Home health Medicaid rates in Oregon are published by revenue code, and the therapy rates are large by any reading of the national range. The Oregon Health Plan pays $191.77 for home health physical therapy on revenue code 421, $181.42 for occupational therapy on 431 and $206.03 for speech therapy on 441, all effective since January 1, 2025. Oregon's rates are not placed in the national rankings because they are published without a unit that can be matched to the per-15-minute and hourly scales used for comparison.
The other side of Oregon's home health picture is labor. The state's median registered nurse wage of $62.02 an hour is the clearest single fact an agency needs to plan around.
Oregon's schedule groups home health services under institutional revenue codes rather than the G-codes many states use:
| Discipline | Revenue code | Oregon rate | Effective since |
|---|---|---|---|
| Home health aide | 571 | $78.78 | 2025-01-01 |
| Physical therapy | 421 | $191.77 | 2025-01-01 |
| Occupational therapy | 431 | $181.42 | 2025-01-01 |
| Speech therapy | 441 | $206.03 | 2025-01-01 |
| Nursing (T1030) | n/a | $17.19 per day | 2008-01-01 |
Speech therapy is the highest-paid discipline, followed by physical therapy and then occupational therapy. Several other states pay all three therapy disciplines a single rate; Oregon does not.
The nursing line is different. Oregon lists $17.19 per day on code T1030, a rate in effect since January 1, 2008. That is the oldest rate in Oregon's home health schedule by many years, while every other discipline was updated on January 1, 2025.
Revenue codes are the codes institutional claims use to identify a type of service. Oregon uses them for home health therapy and aide services, which shapes how agencies set up billing.
Institutional-style claims
Agencies bill home health visits on institutional-style claims, with a revenue code on each line. A team used to billing G-codes on professional claims in another state needs separate templates and edits for Oregon. Errors in this setup are the most common source of early denials for agencies new to the state.
One amount per revenue code line
Each revenue code carries a single published amount. Agencies should confirm with the Oregon Health Plan how units are counted on each line, since the rate's value to the agency depends on whether one line represents one visit.
Because Oregon is unranked, its rates are best read against the national figures in their own units. Nationally, home health physical therapy has a median of $120.52 an hour across 19 ranked states, led by Michigan at $343.72 and Utah at $330.48. Occupational therapy has a median of $117.42 an hour, and speech therapy $29.50 per 15 minutes.
For aides, the national median is $52.32 per visit across 14 ranked states. Oregon's $78.78 on revenue code 571 sits next to the top per-visit states, Minnesota at $80.62 and Utah at $79.96, though the units are not directly comparable.
What an agency can take from this is direction rather than rank. Oregon's therapy rates were set recently, they differ by discipline, and they are large figures by any reading of the national range. Neighboring Washington, which ranks 6th for physical therapy, is the most useful regional comparison.
Oregon is a high-wage state for every home health role. Federal wage data for May 2025:
- Registered nurses: $62.02 an hour in Oregon, against a US median of $46.90.
- Licensed practical nurses: $38.69, against $30.96.
- Home health and personal care aides: $21.35, against $17.21.
- Physical therapists: $49.77, against $49.40.
- Occupational therapists: $54.00, against $48.24.
- Speech-language pathologists: $49.35, against $47.05.
The gap is largest for nurses and aides. An Oregon agency pays registered nurses far more than the national median, and aides more as well, while the Medicaid nursing line in the schedule is a daily rate set in 2008. Therapy wages run close to national levels except for occupational therapists, who earn $54.00.
The practical effect of those wages is that therapy is the discipline where Oregon's rates and wages line up most favorably.
Therapy
A physical therapist at the $49.77 median wage, delivering visits paid at $191.77, leaves the agency room for travel and overhead. Speech therapy, the highest-paid line, sits against a median wage of $49.35. Occupational therapy has the lowest rate of the three and the highest wage, so it is the therapy line that needs the closest scheduling.
Aides
The $78.78 aide rate sits against a median aide wage of $21.35, well above the national median of $17.21. Visit length decides whether the rate covers the visit, so agencies should track average aide time per visit closely.
Nursing
Nursing is the hardest line. With a $62.02 median RN wage, home health nursing on the daily T1030 rate cannot be staffed on that rate alone. Agencies serving patients with ongoing nursing needs should look at the separate private duty nursing benefit; see Oregon private duty nursing rates.
Oregon Health Plan managed care runs through coordinated care organizations (CCOs), Oregon's risk-based Medicaid managed care model. Oregon counts 17 plans, including Health Share of Oregon, PacificSource Community Solutions, Trillium Community Health Plan, AllCare CCO, Umpqua Health Alliance and Yamhill Community Care Organization.
Home health and therapy: CCOs negotiate
For home health, and for physical, occupational and speech therapy, Oregon's rule is that plans negotiate their own rates, and the published rate applies out of network. The fee-for-service rates on this page are the reference point: an agency outside a CCO's network bills at them, while an in-network agency bills at its contract rate. With 17 plans across different regions, an agency covering several counties may hold several different contracts for the same visit.
Lines paid by the state
Home and community-based services, personal care and private duty nursing follow a different rule. They are paid directly by the state, outside managed care, which covers programs run by Oregon Aging and People with Disabilities (APD) and the Office of Developmental Disabilities Services. The Oregon managed care page lists the rule for every service line.
Because CCOs negotiate home health rates, the contract is where an Oregon agency's real revenue is decided. A few questions are worth settling in writing before signing.
Which schedule is the base?
Ask whether the contract pays a fixed dollar amount per revenue code or a percentage of the Oregon Health Plan fee-for-service schedule. A percentage contract moves automatically when the published rates change; a fixed-dollar contract does not, and needs to be reopened each time the schedule moves.
How are visits and units counted?
Confirm how the CCO counts each revenue code line, and whether any discipline is paid differently from the fee-for-service schedule. Differences in unit definitions can matter more than differences in the headline rate.
What does authorization look like?
CCOs set their own authorization processes. An agency holding several CCO contracts may face several different approval workflows for the same service. Building those into intake from the start avoids visits delivered without approval.
How does nursing get paid?
Given the gap between Oregon's RN wages and the daily T1030 rate, ask how the CCO pays skilled nursing visits specifically, and whether it uses the published daily rate or its own amount.
Home health is a small part of Oregon's published schedule. Physician and practitioner services make up most of the state's current rates, and CCO payment rates are set out in each CCO contract. For a home health agency, the wider schedule still matters, because physician and hospital payment shapes how patients reach home health, and APD and ODDS programs shape where they go when home health ends. The full Oregon Medicaid rates page lists every service line.
Oregon has not changed its home health rates since January 1, 2025. Adjacent schedules have moved. The APD Medicaid LTSS rate schedule took effect July 1, 2026 with a 4.0% change, and the Oregon Health Plan published fee schedule corrections in July, August and September 2026.
Two lessons follow for agencies. First, an agency that also delivers APD in-home services saw that line rise in July 2026 while its home health rates stayed put, which shifts the relative economics between the two. Second, Oregon's fee schedule is corrected monthly, so a billing team should check each month's corrections for any home health revenue code rather than waiting for an annual update. See Oregon home care rates for the personal care side.
- Lead with therapy. It is where Oregon's rates and wages fit best.
- Negotiate CCO contracts against the published rate. Ask each CCO to pay at least the schedule, and confirm whether the contract follows future updates.
- Price aide visits by time. With aide wages well above the national median, visit length decides the margin.
- Route long-term nursing needs to the right benefit. Private duty nursing is paid directly by the state on its own schedule.
- Check the monthly corrections. Oregon updates its fee schedule more often than once a year.
Every rate here is compiled from official Oregon Medicaid publications, including the OHP fee-for-service medical-dental fee schedule, and links to its source document. Oregon publishes all 61,297 current Medicaid rates across 115 service categories. Rankings compare states on a common unit; Oregon's revenue-code rates are shown but not ranked. Wages are May 2025 medians.
See the national home health overview for the full state comparison and our methodology for how rates are converted and ranked.