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MedicaidBilling CodesHigh impact

Temporary rate increase for Enhanced Care Services, effective October 1, 2022

Oregon Health Plan·OR·Provider
Effective date
Oct 1, 2022
We identified it
Jun 20, 2026
Days to comply

Summary

Oregon Health Authority is temporarily increasing Enhanced Care Services reimbursement to $405.03 per day from October 1, 2022 through March 31, 2023. Providers must switch from using procedure code H2018 with HK modifier to H2013 with HK modifier for billing during this period.

Action Required

Action needed
Immediately for service dates October 1, 2022 through March 31, 2023: Billing team must stop using procedure code H2018 with HK modifier for Enhanced Care Services. Instead use procedure code H2013 with HK modifier. Update billing system rules and encounter forms to reflect this temporary code change. Contact Provider Services at 1-800-336-6016 with questions.

Affected Billing Codes

H2018
H2013