MedicaidReimbursementHigh impact
Fee-for-service hospice rates and nursing facility rates effective Oct. 1, 2024
Oregon Health Plan·OR · Palliative Care·Provider
Effective date
Oct 1, 2024
We identified it
Jun 20, 2026
Summary
Oregon Health Authority updated fee-for-service hospice payment rates effective Oct. 1, 2024, introducing a new revenue code (650) for routine home care after day 61 and requiring quality reporting compliance for full reimbursement rates. Providers must use different revenue codes based on the hospice election timeline and geographic area (CBSA).
Action Required
By Oct. 1, 2024: Hospice billing teams must update systems to use revenue code 651 for routine home care days 1-60 and revenue code 650 for days 61+. Submit quality data to CMS before billing for services on/after Oct. 1. Update billing software with new CBSA-based rates and include Value Code 61 with CBSA code in dollar format on institutional claims. Contact hospice analyst before billing if quality data not submitted to avoid lower reimbursement rates.