MedicaidReimbursementLow impact
Public notice - State Plan Amendment to increase Medicaid ventilator rate for nursing facilities
Oregon Health Plan·OR · Pulmonology, Critical Care·Public notice
Effective date
Mar 20, 2020
We identified it
Jun 20, 2026
Summary
Oregon is increasing Medicaid reimbursement rates for nursing facility ventilator-assisted programs from 200% to 235% of the basic nursing facility rate, effective retroactively to March 20, 2020. This change was implemented as part of COVID-19 pandemic response to increase ventilator access and alleviate costs for nursing facilities.
Action Required
No action required for most billing teams. This policy only affects Oregon nursing facilities providing ventilator-assisted care under Medicaid. If your practice provides services to nursing facilities in Oregon, verify that increased reimbursement rates are being applied correctly for ventilator-assisted program claims.