MedicaidReimbursementHigh impact
Fee-for-service hospice rates effective October 1, 2022
Oregon Health Plan·OR · Palliative Care·Provider
Effective date
Oct 1, 2022
We identified it
Jun 20, 2026
Summary
Oregon Medicaid updated fee-for-service hospice payment rates effective October 1, 2022, with new billing requirements including separate revenue codes for routine home care based on day count (651 for days 1-60, 650 for day 61+). The rates vary by geographic area and include enhanced rates for nursing facilities meeting wage requirements and hospice providers complying with quality reporting.
Action Required
Immediately: Update billing system to use revenue code 651 only for routine home care during first 60 days of hospice election, and revenue code 650 for day 61 or later. For readmissions within 60 days, count prior hospice days to determine correct revenue code. Enter CBSA code in Value Code field 61 as dollar amount (e.g., 13460 as 13460.00). Verify nursing facility enhanced wage add-on approval status and include facility's Oregon Medicaid provider number in Facility Number field when applicable. Ensure quality data reporting compliance with CMS to avoid lower payment rates.