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Oregon Health PlanMedicaid · Billing Codes · Provider · OR · PsychiatryHigh impact

Extension of temporary rate increase for Enhanced Care Services, effective April 1, 2023

Act
immediately
Effective date
Apr 1, 2023
Identified
Jun 20, 2026

Summary

Oregon Health Authority is extending the temporary rate increase for Enhanced Care Services through June 30, 2023, maintaining reimbursement at $405.03 per day. Providers must use procedure code H2013 with HK modifier instead of H2018 with HK modifier to receive the increased rate.

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What to do

immediately · 3 steps
01Billing team must stop using procedure code H2018 with HK modifier for Enhanced Care Services.
02Update billing system to use procedure code H2013 with HK modifier for all ECS service dates from April 1, 2023 through June 30, 2023.
03Update encounter forms and billing software rules.
If missed: Failure to use correct code will result in lower reimbursement rate.

Codes mentioned

H2013H2018

Original notice

Extension of temporary rate increase for Enhanced Care Services, effective April 1, 2023
oregon.gov · Always check the source before changing claims.
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