MedicaidReimbursementHigh impact
Fee-for-service nursing facility rate changes effective July 1, 2023
Oregon Health Plan·OR · Palliative Care·Provider
Effective date
Jul 1, 2023
We identified it
Jun 20, 2026
Summary
Oregon Health Authority updated fee-for-service nursing facility room and board rates for hospice services effective July 1, 2023, with new per diem rates ranging from $478.15 to $1330.88 depending on service type. The Enhanced Wage Add-on program ended June 30, 2023, and specific billing requirements for routine home care now distinguish between days 1-60 (revenue code 651) versus day 61+ (revenue code 650).
Action Required
Effective July 1, 2023: Billing team must update Oregon Medicaid hospice billing to use new nursing facility room and board rates ($478.15-$1330.88 per diem based on service type). Use revenue code 651 for routine home care days 1-60 and revenue code 650 for days 61+. Always enter the nursing facility's Oregon Medicaid provider number in the 'Facility Number' field. Stop billing Enhanced Wage Add-on rates after June 30, 2023. Update billing system with new CBSA-based hospice rates and room/board per diem amounts.