justicedao/ipfs_state_laws huggingface dataset:
410-125-0115 Non-Contiguous Area Out-of-State Hospitals — Effective for services rendered on or after October 1, 2003 Non-contiguous area hospitals are out-of-state hospitals located more than 75 miles outside the Oregon border. Unless such hospitals have an agreement or contract with Division of Medical Assistance Programs (Division) for specialized services, non-contiguous area out-of-state hospitals will receive DRG reimbursement or billed charges whichever is less. The unit value for non-contiguous out-of-state hospitals will be set at the final unit value for the 50th percentile of Oregon hospitals (see Inpatient Rate Calculations from Other Hospitals, DRG Rate Methodology, OAR 410-125-0141 for the methodology used to calculate the unit value at the 50th percentile). No cost outlier, capital or medical education payments will be made. The hospital will receive a disproportionate share reimbursement if eligible (see OAR 410-125-0150). Statutory/Other Authority: ORS 413.042 Statutes/Other Implemented: ORS 414.065 History: OMAP 27-2004, f. 4-22-04 cert. ef. 5-1-04 OMAP 16-2004(Temp), f. & cert. ef. 3-15-04 thru 8-15-04 OMAP 58-2003, f. 9-5-03, cert. ef. 10-1-03 HR 53-1991, f. & cert. 11-18-91, Renumbered from 410-125-0840 HR 32-1991(Temp), f. & cert. ef. 7-29-91 HR 28-1991(Temp), f. & cert. ef. 7-1-91 HR 3-1991, f. & cert. ef. 1-4-91 HR 36-1990(Temp), f. 10-29-90, cert. ef. 11-1-90 HR 31-1990(Temp), f. & cert. ef. 9-11-90 HR 21-1990, f. & cert. ef. 7-9-90, Renumbered from 461-015-0570 HR 18-1990(Temp), f. 6-29-90, cert. ef. 7-1-90 AFS 72-1989, f. & cert. ef. 12-1-89, Renumbered from 461-015-0006, 461-015-0020 & 461-015-0124 AFS 49-1989(Temp), f. 8-24-89, cert. ef. 9-1-89 AFS 45-1989, f. & cert. ef. 8-21-89 AFS 37-1989(Temp), f. 6-30-89, cert. ef. 7-1-89 AFS 36-1989(Temp), f. & cert. ef. 6-30-89 AFS 15-1989(Temp), f. 3-31-89, cert. ef. 4-1-89 AFS 7-1989(Temp), f. 2-17-89, cert. ef. 3-1-89 AFS 63-1988, f. 10-3-88, cert. ef. 12-1-88 AFS 47-1988(Temp), f. 7-13-88, cert. ef. 7-1-88 AFS 26-1988, f. 3-31-88, cert. ef. 4-1-88 AFS 12-1988, f. 2-10-88, cert. ef. 6-1-88 AFS 62-1987(Temp), f. 12-30-87, cert. ef. 1-1-88 AFS 46-1987, f. & cert. ef. 10-1-87 AFS 33-1987(Temp), f. & cert. ef. 7-22-87 AFS 61-1986, f. 8-12-86, cert. ef. 9-1-86 AFS 46-1986(Temp), f. 6-25-86, cert. ef. 7-1-86 AFS 52-1985, f. 9-3-85, cert. ef. 10-1-85 AFS 6-1985, f. 1-28-85, cert. ef. 2-1-85 AFS 45-1984, f. & cert. ef. 10-1-84 AFS 1-1984, f. & cert. ef. 1-9-84 AFS 37-1983(Temp), f. & cert. ef. 7-15-83 Renumbered from 461-015-0120(5) AFS 60-1982, f. & cert. ef. 7-1-82 AFS 18-1982(Temp), f. & cert. ef. 3-1-82 AFS 57-1980, f. 8-29-80, cert. ef. 9-1-80 AFS 14-1980, f. 3-27-80, cert. ef. 4-1-80
410-125-0120 Transportation To and From Medical Services (1) Transportation to and from medical services, including hospital services, is a covered service. However, all non-emergency transports require prior authorization in order for the transportation provider to be paid. (2) Interfacility transfers are defined as bed optimization and balancing resource management strategies for the purpose of patient movement across a health network system. The transfer of patients between hospitals, form hospitals to specialized care facilities, or bed to bed lateral transfers within the same health provider network system. (a) Interfacility transfers are not a covered service by the Agency unless they meet medically necessary criteria. (b) Interfacility transfers are considered medically necessary when one or more of the following criteria are met: (A) The patient requires medically necessary diagnostic or therapeutic services that are not available at the originating facility; or (B) The patient requires a higher-level of care which is not available at the originating facility; or (C) The patient has received care at a prior facility for a condition that is not normally managed at the originating facility and the return to the prior facility is needed to diagnose, manage, or treat a complication or other acute issue. (3) The transportation must be the least expensive obtainable under existing conditions and appropriate to the client's needs. (4) Contact the Division-contracted regional Transportation Brokerage (Brokerage) for prior authorization for the transport or instruct the transportation provider to contact the Brokerage. Brokerage map and contact information is available at https://www.oregon.gov/oha/HSD/OHP/Tools/Transportation%20Brokerage%20Map.pdf (5) Hospitals must follow the after hours procedures for the Brokerages and contact the appropriate after hours providers for non-emergent transportation for hospital discharges. (6) No prior authorization is required when the client's condition requires emergency transport. (7) When a hospital sends a patient to another facility or provider during the course of an inpatient stay and the client is returned to the admitting hospital within 24 hours, the hospital must arrange for and pay for the transportation. See billing instructions contained in the Hospital Supplemental Information on the Division website for additional information. Statutory/Other Authority: ORS 413.042 Statutes/Other Implemented: ORS 414.065 History: DMAP 55-2025, amend filed 06/26/2025, effective 06/29/2025 DMAP 45-2018, minor correction filed 05/25/2018, effective 05/25/2018 DMAP 32-2012, f. 6-29-12, cert. ef. 7-1-12 OMAP 70-2004, f. 9-15-04, cert. ef. 10-1-04 HR 42-1991, f. & cert. ef. 10-1-91 HR 21-1990, f. & cert. ef. 7-9-90, Renumbered from 461-015-0210 AFS 72-1989, f. & cert. ef. 12-1-89 AFS 49-1989(Temp), f. 8-24-89, cert. ef. 9-1-89
410-125-0121 Contiguous Area Out-of-State Hospitals Contiguous area hospitals are out-of-state hospitals located less than 75 miles outside the Oregon border. Unless such hospitals have an agreement or contract with the Agency for specialized services, contiguous area out-of-state hospitals shall receive DRG reimbursement or billed charges whichever is less. The unit value for contiguous out-of-state hospitals shall be set at the final unit value for the 50th percentile of Oregon hospitals (see Inpatient Rate Calculations for Other Hospitals, DRG Rate Methodology OAR 410-125-0141 for the methodology). Contiguous area out-of-state hospitals are also eligible for cost outlier payments. No capital or medical education payments shall be made. The hospital shall receive a disproportionate share reimbursement if eligible (see OAR 410-125-0150). Statutory/Other Authority: ORS 413.042 Statutes/Other Implemented: ORS 414.065 History: DMAP 55-2025, amend filed 06/26/2025, effective 06/29/2025 DMAP 146-2024, temporary amend filed 12/29/2024, effective 01/01/2025 through 06/29/2025 OMAP 27-2004, f. 4-22-04 cert. ef. 5-1-04 OMAP 16-2004(Temp), f. & cert. ef. 3-15-04 thru 8-15-04 OMAP 58-2003, f. 9-5-03, cert. ef. 10-1-03 HR 53-1991, f. & cert. ef. 11-18-91, Renumbered from 410-125-0840 HR 32-1991(Temp), f. & cert. ef. 7-29-91 HR 28-1991(Temp), f. & cert. ef. 7-1-91 HR 3-1991, f. & cert. ef. 1-4-91 HR 36-1990(Temp), f. 10-29-90, cert. ef. 11-1-90 HR 31-1990(Temp), f. & cert. ef. 9-11-90 HR 21-1990, f. & cert. ef. 7-9-90, Renumbered from 461-015-0570 HR 18-1990(Temp), f. 6-29-90, cert. ef. 7-1-90 AFS 72-1989, f. & cert. ef. 12-1-89, Renumbered from 461-015-0006, 461-015-0020 & 461-015-0124 AFS 49-1989(Temp), f. 8-24-89, cert. ef. 9-1-89 AFS 45-1989, f. & cert. ef. 8-21-89 AFS 37-1989(Temp), f. 6-30-89, cert. ef. 7-1-89 AFS 36-1989(Temp), f. & cert. ef. 6-30-89 AFS 15-1989(Temp), f. 3-31-89, cert. ef. 4-1-89 AFS 7-1989(Temp), f. 2-17-89, cert. ef. 3-1-89 AFS 63-1988, f. 10-3-88, cert. ef. 12-1-88 AFS 47-1988(Temp), f. 7-13-88, cert. ef. 7-1-88 AFS 26-1988, f. 3-31-88, cert. ef. 4-1-88 AFS 12-1988, f. 2-10-88, cert. ef. 6-1-88 AFS 62-1987(Temp), f. 12-30-87, cert. ef. 1-1-88 AFS 46-1987, f. & cert. ef. 10-1-87 AFS 33-1987(Temp), f. & cert. ef. 7-22-87 AFS 61-1986, f. 8-12-86, cert. ef. 9-1-86 AFS 46-1986(Temp), f. 6-25-86, cert. ef. 7-1-86 AFS 52-1985, f. 9-3-85, cert. ef. 10-1-85 AFS 6-1985, f. 1-28-85, cert. ef. 2-1-85 AFS 45-1984, f. & cert. ef. 10-1-84 AFS 1-1984, f. & cert. ef. 1-9-84 AFS 37-1983(Temp), f. & cert. ef. 7-15-83 AFS 60-1982, f. & cert. ef. 7-1-82; Renumbered from 461-015-0120(5) AFS 18-1982(Temp), f. & cert. ef. 3-1-82 AFS 57-1980, f. 8-29-80, cert. ef. 9-1-80 AFS 14-1980, f. 3-27-80, cert. ef. 4-1-80
410-125-0124 Retroactive Authorization Retroactive authorization for payment can be granted after the service is provided only in the following circumstances: (1) The person was not yet eligible for Medicaid/CHIP at the time the services were provided. Payment can be made if the services are covered Medicaid/CHIP services and the client's eligibility is extended back to the date the hospital provided services. See: the Hospital Services Supplemental Information on the Division of Medical Assistance Programs (Division) website for additional billing information. (2) If another insurer denied the claim because the service is not covered by that insurer, and the hospital did not seek prior authorization because it had good reason to believe the service was covered by the insurer. Payment can be made by the Division if the services are covered by Medicaid. See: the Hospital Services Supplemental Information on the Division website for additional billing information. Statutory/Other Authority: ORS 413.042 Statutes/Other Implemented: ORS 414.065 History: OMAP 70-2004, f. 9-15-04, cert. ef. 10-1-04 OMAP 34-1999, f. & cert. ef. 10-1-99 HR 42-1991, f. & cert. ef. 10-1-91
410-125-0125 Free-Standing Inpatient Psychiatric Facilities Free-standing inpatient psychiatric facilities (institutions for mental diseases), including Oregon's state-operated psychiatric and training facilities, are reimbursed according to the terms of an agreement between the Addictions and Mental Health, Aging and People with Disabilities, and the hospital. Statutory/Other Authority: ORS 413.042 Statutes/Other Implemented: ORS 414.065 History: DMAP 34-2008, f. 11-26-08, cert. ef. 12-1-08 HR 53-1991, f. & cert. ef. 11-18-91, Renumbered from 410-125-0860 HR 32-1991(Temp), f. & cert. ef. 7-29-91 HR 28-1991 (Temp), f. & cert. ef. 7-1-91 HR 15-1991(Temp), f. & cert. ef. 4-8-91 HR 2-1991, f. & cert. ef. 1-4-91 HR 31-1990(Temp), f. & cert. ef. 9-11-90 HR 21-1990, f. & cert. ef. 7-9-90, Renumbered from 461-015-0580 AFS 72-1989, f. & cert. ef. 12-1-89, Renumbered from 461-015-0006, 461-015-0036, 461-015-0065 & 461-015-0124 AFS 49-1989(Temp), f. 8-24-89, cert. ef. 9-1-89 AFS 45-1989, f. & cert. ef. 8-21-89 AFS 37-1989 (Temp), f. 6-30-89, cert. ef. 7-1-89 AFS 36-1989(Temp), f. & cert. ef. 6-30-89 AFS 15-1989(Temp), f. 3-31-89, cert. ef. 4-1-89 AFS 7-1989(Temp), f. 2-17-89, cert. ef. 3-1-89 AFS 63-1988, f. 10-3-88, cert. ef. 12-1-88 AFS 47-1988(Temp), f. 7-13-88, cert. ef. 7-1-88 AFS 26-1988, f. 3-31-88, cert. ef. 4-1-88 AFS 12-1988, f. 2-10-88, cert. ef. 6-1-88 AFS 62-1987 (Temp), f. 12-30-87, cert. ef. 1-1-88 AFS 46-1987, f. & cert. ef. 10-1-87 AFS 33-1987(Temp), f. & cert. ef. 7-22-87 AFS 61-1986, f. 8-12-86, cert. ef. 9-1-86 AFS 46-1986(Temp), f. 6-25-86, cert. ef. 7-1-86 AFS 52-1985, f. 9-3-85, cert. ef. 10-1-85 AFS 6-1985, f. 1-28-85, cert. ef. 2-1-85 AFS 45-1984, f. & cert. ef. 10-1-84 AFS 1-1984, f. & cert. ef. 1-9-84 AFS 37-1983(Temp), f. & cert. ef. 7-15-83 Renumbered from 461-015-0120(5) AFS 60-1982, f. & cert. ef. 7-1-82 AFS 18-1982(Temp), f. & cert. ef. 3-1-82 AFS 68-1981, f. 9-30-81, cert. ef. 10-1-82 AFS 57-1980, f. 8-29-80, cert. ef. 9-1-80 AFS 14-1980, f. 3-27-80, cert. ef. 4-1-80
410-125-0140 Prior Authorization Does Not Guarantee Payment (1) Prior authorization (PA) is valid for the date range approved only as long as the client remains eligible for services. For example, a client may become ineligible after the PA has been granted but before the actual date of service, or a client's hospital benefit days may be used prior to the time the claim for the prior authorized service is submitted to the Division of Medical Assistance Programs (Division) for payment. (2) All prior authorized treatment are subject to retrospective review. If the information provided to obtain PA cannot be validated in a retrospective review, payment shall be denied or recovered. (3) Hospitals should develop their own internal monitoring system to determine if the admitting physician has received PA for the service from the Division. (4) For the Plus Benefit Package PA information refer to the PA chart in the Hospital Services Program OAR 410-125-0080. (5) Hospitals may also verify PA requirements by calling the Division’s Provider Services Unit or the RN Benefit Hotline (contact phone numbers are located on the Division’s website). Statutory/Other Authority: ORS 413.042 Statutes/Other Implemented: ORS 414.065 History: DMAP 37-2011, f. 12-13-11, cert. ef. 1-1-12 DMAP 32-2010, f. 12-15-10, cert. ef. 1-1-11 OMAP 70-2004, f. 9-15-04, cert. ef. 10-1-04 HR 39-1992, f. 12-31-92, cert. ef. 1-1-93 HR 42-1991, f. & cert. ef. 10-1-91 HR 21-1990, f. & cert. ef. 7-9-90, Renumbered from 461-015-0220 AFS 72-1989, f. & cert. ef. 12-1-89 AFS 49-1989(Temp), f. 8-24-89, cert. ef. 9-1-89
410-125-0142 Graduate Medical Education Reimbursement for Public Teaching Hospitals (1) Graduate medical education payment is reimbursement made to an institution for the costs of an approved medical training program. The State makes GME payments to any in-state public acute care hospital providing a major teaching program, defined as a hospital with more than 200 residents or interns. Funding for public teaching hospital GME is not included in the "capitation rates" paid to managed care plans under the Oregon Health Plan resulting in hospitals with medical teaching programs not being able to capture GME costs when contracting with managed care plans. (2) For each qualifying public hospital, the payment amount is initially determined based on hospital specific costs for medical education as reported in the Medicare Cost Report for the most recent completed reporting year (becomes base year). (3) The GME payment is calculated as follows: (a) Total direct medical education (DME) costs consist of the costs for medical residency and the paramedical education programs. Title XIX DME costs are determined based on the ratio of Title XIX days to total days applied to the total DME. (b) Indirect medical education (IME) costs are derived by first computing the percent of IME to total Medicare inpatient payments. This is performed by dividing the IME Adjustment reported in the Medicare Cost Report by the sum of this amount and Medicare payments for DRG amount — other than outlier payments, inpatient program capital, and organ acquisition. The resulting percent is then applied to net allowable costs (total allowable costs less Total DME costs, computed as discussed in the previous paragraph). Title XIX IME costs are then determined based upon the ratio of Title XIX days to total days. (c) The total net Title XIX GME is the sum of Title XIX IME and DME costs. The GME reimbursement is made quarterly. Reimbursement is limited to the availability of public funds, specifically, the amount of public funds available for GME attributable to the Title XIX patient population. GME is rebased yearly. (4) Total GME payments will not exceed that determined by using Medicare reimbursement. The Medicare upper limit will be determined from the most recent Medicare Cost Report and performed for all inpatient acute hospitals and separately for State operated inpatient acute hospitals in accordance with 42 CFR 447.272(a) and (b). The upper limit review will be performed before the GME payment is made. Statutory/Other Authority: ORS 413.042 Statutes/Other Implemented: ORS 414.065 History: OMAP 17-2006, f. 6-12-06, cert. ef. 7-1-06 OMAP 35-2001, f. 9-24-01, cert. ef. 10-1-01 OMAP 34-1999, f. & cert. ef. 10-1-99 OMAP 30-1999(Temp), f. & cert. ef. 6-15-99 thru 11-1-99
410-125-0146 Supplemental Reimbursement for Public Academic Teaching University Medical Practitioners (1) Effective for dates of service on or after November 17, 2005, physician and other practitioner services provided by practitioners affiliated with a public academic medical center that meets the following eligibility standards shall be eligible for a supplemental teaching practitioner's payment for these services provided to eligible Medicaid recipients and paid for directly on a fee-for-service basis, subject to subsections (3) and (4) of this rule. This supplemental payment shall be equal to the difference between the Medicare allowable and Medicaid reimbursement received. (2) Eligible academic medical centers must be: (a) The hospital must be located within the State of Oregon (border hospitals are excluded); and (b) The hospital provides a major medical teaching program, defined as a hospital with more than 200 residents or interns. (3) Payments under this rule shall be made only to the eligible academic medical centers in accordance with the terms of an intergovermental agreement between the eligible academic medical center and Division of Medical Assistance Programs (Division). Such payments may be made quarterly, but shall be at least paid annually, at the end of each federal fiscal year. Calculation of the payment amount will be based on the annual difference between the practitioners' Medicare allowable and the Medicaid allowable payments to eligible practitioners for the Medicaid claims paid during the most recently completed state fiscal year. Services included are physician and other practitioners' services with RVU weights and physician-administered drugs. The RVU rates used for the payment calculation are the Division’s fee established in rule for the date of service payment period. (4) Allowable Medicaid payments including this supplemental payment remain subject to OAR 410-125-0220(12) and 410-130-0225. For purposes of this rule, the allowable Medicaid payments used to calculate the supplemental payment shall be limited to the services that are billed fee-for-service to the Division on the electronic 837P or the paper CMS-1500, and as to which the physician or practitioner is receiving no reimbursement from the eligible academic medical center and the cost of their service is not reported as a direct medical education cost on the Medicare and the Division’s cost report. Statutory/Other Authority: ORS 413.042 Statutes/Other Implemented: 414.065 History: OMAP 43-2006, f. 12-15-06, cert. ef. 1-1-07 OMAP 33-2006, f. 8-31-06, cert. ef. 9-1-06
410-125-0155 Upper Limits on Payment of Hospital Claims (1) Supplemental payments: (a) Private Hospital Supplemental Payments: (A) From the private Upper Payment Limit (UPL) gap, payments shall be made to all private Diagnosis Related Groups (DRG) hospitals in the form of a per discharge payment applied to hospital specific Medicaid fee-for-service discharges from the quarter preceding the month of the payment; (B) This payment will be equal to one quarter of the gap amount divided by the total private DRG hospital Medicaid fee-for-service discharges from the quarter proceeding the month of payment; (C) The supplemental payments for Private Hospitals will not exceed the UPL for inpatient hospital services. (b) Non-State Government Owned Hospital Supplemental Payments: (A) From the non-state government owned hospital upper payment limit gap, payments shall be made to all non-state government owned DRG hospitals in the form of a per discharge payment applied to hospital specific Medicaid fee-for-service discharges from the quarter preceding the month of the payment; (B) This payment will be equal to one quarter of the gap amount divided by the total non-state government owned DRG hospital Medicaid fee-for-service discharges from the quarter proceeding the month of payment; (C) The supplemental payments for non-state government owned Hospitals will not exceed the UPL for inpatient hospital services. (2) For Type A, Type B and Critical Access Hospitals, reimbursement shall be limited to the lesser of allowable costs or billed charges. This limitation shame be applied separately to inpatient and outpatient services. (3) Payments will not exceed final approved plan: (a) Total reimbursements to a state-operated facility made during the Division of Medical Assistance Program (Division) fiscal year (July 1 through June 30) may not exceed any limit imposed under federal law in the final approved plan; (b) Total aggregate inpatient and outpatient reimbursements to all hospitals made during the Division’s fiscal year (July 1 through June 30) may not exceed any limit imposed under federal law in the final approved plan. Statutory/Other Authority: ORS 413.042 Statutes/Other Implemented: ORS 414.065 History: DMAP 32-2012, f. 6-29-12, cert. ef. 7-1-12 DMAP 39-2008, f. 12-11-08, cert. ef. 1-1-09 OMAP 17-2006, f. 6-12-06, cert. ef. 7-1-06 OMAP 35-2001, f. 9-24-01, cert. ef. 10-1-01 HR 36-1993, f. & cert. ef. 12-1-93 HR 53-1991, f. & cert. ef. 11-18-91 HR 28-1991(Temp), f. & cert. ef. 7-1-91
410-125-0162 Hospital Transformation Performance Program (1) The Hospital Transformation Performance Program (HTPP) is established by the Oregon Health Authority (Authority) to allow hospitals to earn incentive payments by meeting specific performance standards that advance health systems transformation, reduce hospital costs, and improve patient safety. (a) The total amount of funds available through the program is equal to the federal financial participation received from one-percentage point of the assessment. Hospitals that pay an assessment on their net patient revenue, as required by OAR 410-050-0870, are eligible to participate. (b) The performance standards shall be established by the Authority based on recommendations of the Hospital Performance Advisory Committee (Committee) and as approved by the Centers for Medicare and Medicaid Services (CMS). The Committee shall be appointed by the Authority director and comprise four hospital representatives, two Coordinated Care Organization (CCO) representatives, and three members with expertise in measuring health outcomes. (2) To qualify for incentive payments, eligible hospitals must meet the performance standards and measures as determined by the Authority. (3) The Authority will: (a) Establish baselines and targets for performance measures; (b) Post the data specs and formats, forms to be used, schedule and frequency of data submission, frequency of incentive distributions, and other technical information on the Authority’s website once determined; (c) Analyze performance data submitted by hospitals; (d) Determine if hospitals achieve targeted goals or demonstrate sufficient improvement to qualify for incentive payments; and (e) Distribute incentive payments to performing hospitals. Statutory/Other Authority: 2013 OL Ch. 608, Sec. 1, 13 & 25 Statutes/Other Implemented: ORS 414.065 & 2013 OL Ch. 608, Sec. 1, 13 & 25 History: DMAP 59-2014, f. 10-3-14, cert. ef. 10-7-14
410-125-0165 Transfers and Reimbursement (1) When a patient is transferred between hospitals, the transferring hospital is paid on the basis of the number of inpatient days spent at the transferring hospital multiplied by the per diem inter-hospital transfer payment rate. (2) The per diem inter-hospital transfer payment rate = the DRG payment divided by the geometric mean length of stay for the DRG. The geometric mean length of stay is reported in the DRG tables on the Division’s website. (3) Payment to the transferring hospital will not exceed the DRG payment. (4) The final discharging hospital receives the full DRG payment. Statutory/Other Authority: ORS 413.042 Statutes/Other Implemented: ORS 414.065 History: OMAP 70-2004, f. 9-15-04, cert. ef. 10-1-04 OMAP 34-1999, f. & cert. ef. 10-1-99 HR 53-1991, f. & cert. ef. 11-18-91 HR 42-1991, f. & cert. ef. 10-1-91, Renumbered from 410-125-0480 HR 2-1991, f. & cert. ef. 1-4-91 HR 31-1990(Temp), f. & cert. ef. 9-11-90 HR 21-1990, f. & cert. ef. 7-9-90, Renumbered from 461-015-0390 AFS 72-1989, f. & cert. ef. 12-1-89, Renumbered from 461-015-0135 AFS 49-1989(Temp), f. 8-24-89, cert. ef. 9-1-89 AFS 46-1987, f. & ef. 10-1-87 AFS 44-1985, f. & ef. 7-1-85