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Fee-for-service hospice rates and nursing facility rates effective Oct. 1, 2025
Act
by Oct 1, 2025
Effective date
Oct 1, 2025
Identified
Jun 20, 2026
Summary
Oregon Health Authority has updated fee-for-service hospice payment rates effective October 1, 2025 through September 30, 2026. Key changes include new revenue code 650 for routine home care after day 60 and updated rates based on geographic areas (CBSA codes).
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What to do
by Oct 1, 2025 · 4 steps
01Billing team must update system to use revenue code 651 for routine home care days 1-60 and revenue code 650 for days 61+.
02Update billing software with new CBSA-based payment rates for Oregon geographic areas.
03Ensure providers submit quality data to CMS before billing services on/after Oct 1, 2025 or face reduced payment rates.
04Add value code 61 with appropriate CBSA code in claims processing.
Original notice
Fee-for-service hospice rates and nursing facility rates effective Oct. 1, 2025
oregon.gov · Always check the source before changing claims.
Related changes
See all Oregon Health Plan changes →Fee-for-service hospice NF rates effective July 1, 2020 – June 30, 2021LowEffective Jul 1, 2020 · ProviderFee-for-service hospice rates effective April 1, 2020 through June 30, 2020LowEffective Apr 1, 2020 · ProviderFee-for-service hospice NF rates effective July 1, 2020 – June 30, 2021LowEffective Jul 1, 2020 · ProviderFee-for-Service Hospice Rates Effective Oct. 1, 2026HighEffective Oct 1, 2026 · ProviderBrowse every Oregon Health Plan change in the policy list