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MedicaidReimbursementMedium impact

Fee-for-service nursing facility rate changes effective July 1, 2024 - Updated with corrected rates

Oregon Health Plan·OR · Palliative Care·Provider
Effective date
Jul 1, 2024
We identified it
Jun 20, 2026
Days to comply

Summary

Oregon Medicaid has updated fee-for-service nursing facility room and board rates for hospice services effective July 1, 2024. Hospice providers must use the new statewide bundled rates and follow specific billing requirements for routine home care revenue codes based on 60-day periods.

Action Required

Action needed
Immediately: Billing team must update Oregon Medicaid hospice claims to use new nursing facility room and board rates effective July 1, 2024. Use revenue code 651 for routine home care during first 60 days of hospice election, and revenue code 650 for day 61 or later. Enter nursing facility's Oregon Medicaid provider number in 'Facility Number' field on all claims. Update billing system with new statewide bundled rates for nursing facility residents on hospice care.