MedicaidReimbursementHigh impact
Fee-for-service rates for OHA/ODHS private during nursing services effective July 1, 2022
Oregon Health Plan·OR·Provider
Effective date
Jul 1, 2022
We identified it
Jun 20, 2026
Summary
Oregon Health Authority updated Medicaid fee-for-service rates for private duty nursing services effective July 1, 2022. New hourly rates range from $29.61 to $71.61 depending on provider type (RN vs LPN) and service category (OHA vs ODHS).
Action Required
Immediately: Billing team must update rate tables in billing system to reflect new Medicaid private duty nursing rates effective July 1, 2022. For claims already submitted with service dates on or after July 1, 2022, coordinate with prior authorization processors to submit claim adjustments using the correct rates.