MedicaidBilling CodesHigh impact
Extension of temporary rate increase for Enhanced Care Services, effective April 1, 2023
Oregon Health Plan·OR · Psychiatry·Provider
Effective date
Apr 1, 2023
We identified it
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.
Action Required
Immediately: Billing team must stop using procedure code H2018 with HK modifier for Enhanced Care Services. Update billing system to use procedure code H2013 with HK modifier for all ECS service dates from April 1, 2023 through June 30, 2023. Update encounter forms and billing software rules. Failure to use correct code will result in lower reimbursement rate.