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MedicaidReimbursementMedium impact

Notice of intent — OHA will amend the Medicaid State Plan to increase fee-for-service rates for durable medical equipment and home enteral/parenteral nutrition and IV infusion services

Oregon Health Plan·OR·Public notice
Effective date
Oct 1, 2024
We identified it
Jun 20, 2026
Days to comply

Summary

Oregon Medicaid is increasing fee-for-service reimbursement rates for durable medical equipment (DME) and home enteral/parenteral nutrition and IV infusion services to 80% of current Medicare rates, effective October 1, 2024. Rates that already exceed 80% of Medicare rates will remain unchanged.

Action Required

Action needed
By October 1, 2024: Billing team must update Oregon Medicaid fee schedules in billing system to reflect new reimbursement rates at 80% of 2024 Medicare rates for DME and home enteral/parenteral nutrition/IV services. Verify current rates exceed 80% threshold before updating, as higher rates will remain frozen. Access updated fee schedules at https://www.oregon.gov/oha/HSD/OHP/Pages/Fee-Schedule.aspx.

Affected Billing Codes

K0820
K0821
K0822
K0823
K0824
K0825
K0826
K0827
K0828
K0829
K0863
K0864
00170