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MedicaidReimbursementLow impact

Correction to 2019 notice about the State Plan Amendment to increase TCM home visiting rates

Oregon Health Plan·OR · Pediatrics, Family Medicine, OB-GYN·Public notice
Effective date
Jan 1, 2020
We identified it
Jun 20, 2026
Days to comply

Summary

Oregon Health Authority corrected a previous notice to clarify that a 29% fee-for-service rate increase for Targeted Case Management home visiting programs (Babies First!, CaCoon, Family Connects, Nurse Family Partnership) became effective January 1, 2020, and uses billing code T1017.

Action Required

Action needed
No immediate action required for billing teams outside Oregon or those not providing TCM home visiting services. Oregon practices billing T1017 for maternal/child health home visiting programs should verify they are receiving the increased 29% reimbursement rate that has been effective since January 1, 2020.

Affected Billing Codes

T1017