MedicaidReimbursementHigh impact
Fee-for-service hospice rates effective October 1, 2020 – September 30, 2021
Oregon Health Plan·OR · Palliative Care·Provider
Effective date
Oct 1, 2020
We identified it
Jun 20, 2026
Summary
Oregon Health Authority updated fee-for-service hospice payment rates for October 1, 2020 through September 30, 2021, with new separate revenue codes for routine home care before and after day 61. Providers must use revenue code 651 for days 1-60 and revenue code 650 for day 61+ of hospice election.
Action Required
Immediately: Billing team must update hospice billing to use revenue code 651 only for routine home care during first 60 days of hospice election, and revenue code 650 for routine home care on day 61 or later. Update billing system to track hospice election days and automatically apply correct revenue codes. Enter value code '61' with appropriate CBSA code in institutional claims. Ensure quality data reporting to CMS to receive full rates rather than reduced rates for non-compliance.