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MedicaidReimbursementLow impact

Fee-for-service rate increase for AFH providers effective Jan. 1, 2025

Oregon Health Plan·OR·Provider
Effective date
Jan 1, 2025
We identified it
Jun 20, 2026
Days to comply

Summary

Oregon Health Authority increased fee-for-service reimbursement rates for Adult Foster Home (AFH) providers effective January 1, 2025. New rates are based on LSI scores and range from $2,277 to $4,957 with various add-on levels.

Action Required

Action needed
Immediately: AFH providers must bill for services using the new rates identified in approved rate letters and the updated rate table. Verify rates received match the published table (LSI 0-34: $2,277-$3,641, LSI 35-79: $2,862-$4,957, LSI 80-100: $3,642-$4,957 depending on add-on level). Contact Provider Services at 800-336-6016 if rates don't match.