MedicaidAdministrativeLow impact
Fee-for-service inpatient claim reprocessing planned for Oct. 17, 2022
Oregon Health Plan·OR·Provider
Effective date
Oct 17, 2022
We identified it
Jun 20, 2026
Summary
Oregon Health Authority will reprocess all inpatient claims paid between October 1, 2021 and August 7, 2022 on October 17, 2022 weekend to comply with updated MS-DRG grouper software Version 39 and 39.1. Providers will see adjustment codes on remittance advices but no action is required from billing teams.
Action Required
No action required. Be aware that remittance advices will show Detail EOB code 8008 and Adjustment Reason Code 16 for reprocessed claims from October 1, 2021 to August 7, 2022. Contact Provider Services at dmap.providerservices@dhsoha.state.or.us or 800-336-6016 with questions.