MedicaidReimbursementMedium impact
Fee-for-service nursing facility room and board rates effective July 1, 2022
Oregon Health Plan·OR · Palliative Care·Provider
Effective date
Jul 1, 2022
We identified it
Jun 20, 2026
Summary
Oregon Health Authority updated nursing facility room and board reimbursement rates for hospice services effective July 1, 2022, including enhanced rates for facilities participating in the CNA wage increase program. Hospice providers must verify facility eligibility and bill appropriate enhanced or regular rates based on facility approval status.
Action Required
Immediately: Hospice billing teams must verify each nursing facility's approval status for enhanced wage add-on rates before billing. Use enhanced rates ($458.45 basic, $641.84 complex medical, etc.) for approved facilities and enter facility's Oregon Medicaid provider number in 'Facility Number' field. Use regular rates ($440.82 basic, $617.15 complex medical, etc.) for non-approved facilities. Update billing system to reflect new rate structures.