MedicaidBilling CodesHigh impact
Temporary rate increase for Enhanced Care Services ends June 30, 2023
Oregon Health Plan·OR · Psychiatry·Provider
Effective date
Jul 1, 2023
We identified it
Jun 20, 2026
Summary
Oregon's temporary rate increase for Enhanced Care Services ends June 30, 2023, with reimbursement dropping to $243.02 per day starting July 1. Providers must switch from using procedure code H2013 with HK modifier to H2018 with HK modifier for services rendered after June 30.
Action Required
By June 30, 2023: Billing team must update system to use procedure code H2018 with HK modifier (instead of H2013 with HK modifier) for all Enhanced Care Services rendered July 1, 2023 and after. Continue using H2013 with HK modifier only for service dates April 1 through June 30, 2023. Update billing software rules and fee schedules to reflect the new reimbursement rate of $243.02 per day starting July 1.