MedicaidReimbursementMedium impact
Notice of intent – OHA will submit a Medicaid State Plan to increase reimbursement for Private Duty Nursing providers
Oregon Health Plan·OR · Pediatrics·Public notice
We identified it
Jun 20, 2026
Summary
Oregon Health Authority will submit a State Plan Amendment to increase Medicaid reimbursement rates for Private Duty Nursing services, with rates increasing 25-32% across six billing codes. This is a notice of intent with a comment period ending July 28, 2023.
Action Required
By July 28, 2023, 5 p.m.: Billing teams providing Private Duty Nursing services may submit comments on proposed rate increases to jesse.anderson@oha.oregon.gov. Monitor for final approval and implementation to update billing systems with new Medicaid reimbursement rates for codes S9123, S9124, T1000, T1002, and T1003.