Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 10 - HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Section 333-010-0105 - Definitions

Current through Register Vol. 63, No. 7, July 1, 2024
(1) "Agency number"
			 means the administrative number assigned to the service provider by the Center
			 for Prevention and Health Promotion (Center) for identification as a ScreenWise
			 Breast and Cervical Cancer services (ScreenWise BCC) provider.
(2) "Ancillary provider" means a provider
			 that performs services beyond the scope of an enrolling provider. Ancillary
			 providers may include but is not limited to laboratories, imaging centers,
			 surgeons and surgical facilities, and hospitals.
(3) "Approved medical services agreement"
			 means the completed ScreenWise BCC agreement, submitted to and approved by the
			 Center for Prevention and Health Promotion.
(4) "Authority" means the Oregon Health
			 Authority.
(5) "BCCTP" means the
			 Breast and Cervical Cancer Treatment Program. ORS
			 414.534,
			 414.536.
(6) "Care coordination or case management"
			 means that a client is provided with services, results, follow-up
			 recommendations, and active tracking of progress towards follow-up
			 recommendations.
(7) "Center" means
			 the Center for Prevention and Health Promotion, the office within the Oregon
			 Health Authority that administers the ScreenWise BCC.
(8) "CLIA" means the federal Clinical
			 Laboratory Improvement Amendments of 1988, establishes quality standards for
			 all laboratory testing to ensure the accuracy, reliability and timeliness of
			 patient test results, and allows for certification of clinical laboratories
			 operating in accordance with these federal amendments.
(9) "Client" means a person of any age or
			 gender who is enrolled in and receives screening or diagnostic services from
			 the ScreenWise BCC.
(10) "Enrolling
			 provider" means a provider that enrolls a client into the ScreenWise BCC,
			 provides care coordination for the client and timely data submission to
			 ScreenWise BCC.
(11) "FPL" means
			 the federal poverty level guidelines established each year by the Department of
			 Health and Human Services, used to determine eligibility for ScreenWise BCC and
			 other federally funded programs.
(12) "HIPAA" means the Health Insurance
			 Portability and Accountability Act.
(13) "ScreenWise BCC" means the ScreenWise
			 program component that provides statewide breast and cervical cancer screening
			 and diagnostic services to eligible clients, that is administered by the Center
			 for Prevention and Health Promotion within the Oregon Health Authority.
(14) "ScreenWise BCC Provider
			 Network" means the combination of all contracted ScreenWise providers,
			 including enrolling and ancillary providers.
(15) "Service provider" or "provider" means a
			 licensed health care provider operating within a scope of practice, who is
			 authorized by the Center to bill for breast and cervical cancer screening and
			 diagnostic services for eligible clients.
(16) "Site number" means the administrative
			 number assigned to the provider by the Center for identification of the
			 geographic location of each ScreenWise BCC provider.
(17) "Underinsured" means that health
			 insurance does not fully cover breast and cervical cancer screening services or
			 that out-of-pocket cost sharing for diagnostic services would pose a financial
			 hardship.
Stat. Auth.: ORS
				  413.042
Stats. Implemented:
				  413.042