MedicaidReimbursementMedium impact
Fee-for-service hospice rates and nursing facility rates effective October 1, 2023
Oregon Health Plan·OR · Palliative Care·Provider
Effective date
Oct 1, 2023
We identified it
Jun 20, 2026
Summary
Oregon Health Authority updated Medicaid fee-for-service hospice payment rates effective October 1, 2023. Key changes include separate revenue codes for routine home care billing (651 for days 1-60, 650 for day 61+) and updated per diem rates by geographic area through September 30, 2024.
Action Required
Immediately: Billing team must update Oregon Medicaid hospice claims to use revenue code 651 for routine home care days 1-60 and revenue code 650 for days 61+. Update billing system with new per diem rates by CBSA code effective October 1, 2023 through September 30, 2024. Ensure quality data reporting compliance to CMS to avoid lower reimbursement rates. Contact hospice policy analyst before billing if quality data not submitted.