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MedicaidReimbursementMedium impact

Hospital payments for members experiencing barriers to discharge

Oregon Health Plan·OR·Plan
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply

Summary

Oregon Health Authority now allows payment to hospitals for inpatient stays when patients no longer meet medical necessity for inpatient care but cannot be discharged due to lack of capacity at lower-level care facilities. This applies to Oregon Health Plan (OHP) Fee-For-Service members, with strong encouragement for Coordinated Care Organizations to adopt similar practices.

Action Required

Action needed
For Oregon providers: Monitor upcoming updates to the Oregon Medicaid COVID-19 Provider Guide 'Acute Care Hospitals' section for specific billing guidance on extended stays for discharge barriers. Contact Cheryl Henning at Cheryl.L.Henning@dhsoha.state.or.us with questions about implementation.