reglab/statecodes huggingface dataset:
Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 136 - MEDICAL TRANSPORTATION SERVICES › Section 410-136-3374 - Ground Emergency Medical Transportation - Emergency Medical Services Transportation Private Provider Program - Coordinated Care Organizations Requirements and Payment Processing

Current through Register Vol. 63, No. 7, July 1, 2024
(1)
			 Definitions:
(a) "Coordinated Care
			 Organization" has the meaning defined in OAR 410-141-3500;
(b) "Eligible Emergency Medical Services
			 Provider" means an EMS provider that meets all the eligibility requirements
			 described in (section B) below. A nonfederal or nonpublic entity that:
(A) Employs individuals who are licensed by
			 the Oregon Health Authority under ORS chapter 682 to provide emergency medical
			 services; and
(B) Contracts with a
			 local government pursuant to a plan described in ORS
			 682.062.
(c) "Emergency Medical Services" means the
			 act of transporting an individual by ground from any point of origin to the
			 nearest medical facility capable of meeting the emergency medical needs of the
			 individual, as well as provide advanced, limited-advanced, and basic life
			 support services provided by Eligible Emergency Medical Services Provider
			 before or during the act of transportation. This includes to assess, treat, and
			 stabilize the individual's medical condition; or prepare and transport the
			 individual to a medical facility;
(d) "Emergency Medical Services Transport"
			 means an emergency medical services provider's evaluation of an individual
			 experiencing a medical emergency and the transportation of the individual to
			 the nearest medical facility capable of meeting the needs of the individual.
			 For the purposes of this state plan, EMS air transports are excluded;
(e) "Managed Care Entity" has the meaning
			 defined in OAR 410-141-3500;
(h)
			 "Supplemental Payment" means a payment amount set by the Authority for each
			 approved procedure code to supplement allowable costs for EMST
			 services;
(i) "§438.6(c)
			 Preprint" means a 42 CFR
			 §
										438.6(c) Preprint
			 approved by U.S. Department of Health and Human Services CMS for Qualified
			 Directed Payments to GEMT Providers for GEMT Services rendered during the
			 applicable CCO contract rating period.
Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 138 - TARGETED CASE MANAGEMENT › Section 410-138-0005 - Payment for Targeted Case Management Services Eligible for Federal Financial Participation

Current through Register Vol. 63, No. 7, July 1, 2024
(1) This rule is to
			 be used in conjunction with Targeted Case Management (TCM) rules OAR
			 410-138-0000  through 410-138-0009  and 410-138-0390  and the Division's General
			 Rules chapter 410, division 120.
(2) The TCM services rules are designed to
			 assist the TCM provider organizations in matching state and federal funds for
			 TCM services defined by Section 1915(g) of the Social Security Act,
			 42 USC §
									1396n(g). Providers of
			 Tribal TCM, the Newborn Nurse Home Visiting Program, and the Nurse Family
			 Partnership Program are exempt from cost-sharing requirements to pay
			 non-federal matching funds.
(3)
			 Payment shall be made to the TCM provider enrolled with the Authority as a unit
			 of government provider meeting the requirements set forth in the provider
			 enrollment agreement.
(4) Signing
			 the provider enrollment agreement sets forth the relationship between the State
			 of Oregon, the Authority, and the TCM provider and constitutes agreement by the
			 TCM provider to comply with all applicable Authority rules and federal and
			 state laws and regulations.
(5) The
			 TCM provider shall bill according to administrative rules in chapter 410,
			 division 138 and the TCM supplemental information. Payments shall be made using
			 the Medicaid Management Information System (MMIS), and the TCM provider shall
			 retain the full payment for covered services provided. The TCM provider shall
			 have a Trading Partner Agreement with the Authority prior to submission of
			 electronic transactions.
(6) TCM
			 authorized under these rules is a cost-sharing (Federal Financial Participation
			 (FFP) matching) program in which the TCM provider as a public entity, unit of
			 government, shall pay the non-federal matching share of the amount of the TCM
			 claims, calculated using the Federal Medical Assistance Percentage (FMAP) rates
			 in effect during the quarter when the TCM claims will be paid:
(a) The TCM provider's non-federal matching
			 share means the public funds share of the Medicaid payment amount. Pursuant to
			 the Social Security Act, 42
			 CFR 433.51, public funds may be considered as
			 the state's share in claiming federal financial participation, if the public
			 funds meet the following conditions:
(A) The
			 public funds are transferred to the Authority from public entities that are
			 units of government;
(B) The public
			 funds are not federal funds, or they are federal funds authorized by federal
			 law to be used to match other federal funds; and
(C) All sources of funds shall be allowable
			 under the Social Security Act  42 CFR 433  Subpart B;
Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 138 - TARGETED CASE MANAGEMENT › Section 410-138-0005 - Payment for Targeted Case Management Services Eligible for Federal Financial Participation

Current through Register Vol. 63, No. 7, July 1, 2024
(1) This rule is to
			 be used in conjunction with Targeted Case Management (TCM) rules OAR
			 410-138-0000  through 410-138-0009  and 410-138-0390  and the Division's General
			 Rules chapter 410, division 120.
(2) The TCM services rules are designed to
			 assist the TCM provider organizations in matching state and federal funds for
			 TCM services defined by Section 1915(g) of the Social Security Act,
			 42 USC §
									1396n(g). Providers of
			 Tribal TCM and the Newborn Nurse Home Visiting Program are exempt from
			 cost-sharing requirements to pay non-federal matching funds.
(3) Payment shall be made to the TCM provider
			 enrolled with the Authority as a unit of government provider meeting the
			 requirements set forth in the provider enrollment agreement.
(4) Signing the provider enrollment agreement
			 sets forth the relationship between the State of Oregon, the Authority, and the
			 TCM provider and constitutes agreement by the TCM provider to comply with all
			 applicable Authority rules and federal and state laws and
			 regulations.
(5) The TCM provider
			 shall bill according to administrative rules in chapter 410, division 138 and
			 the TCM supplemental information. Payments shall be made using the Medicaid
			 Management Information System (MMIS), and the TCM provider shall retain the
			 full payment for covered services provided. The TCM provider shall have a
			 Trading Partner Agreement with the Authority prior to submission of electronic
			 transactions.
(6) TCM authorized
			 under these rules is a cost-sharing (Federal Financial Participation (FFP)
			 matching) program in which the TCM provider as a public entity, unit of
			 government, shall pay the non-federal matching share of the amount of the TCM
			 claims, calculated using the Federal Medical Assistance Percentage (FMAP) rates
			 in effect during the quarter when the TCM claims will be paid:
(a) The TCM provider's non-federal matching
			 share means the public funds share of the Medicaid payment amount. Pursuant to
			 the Social Security Act,
			 42 CFR
			 433.51, public funds may be considered as the
			 state's share in claiming federal financial participation, if the public funds
			 meet the following conditions:
(A) The public
			 funds are transferred to the Authority from public entities that are units of
			 government;
(B) The public funds
			 are not federal funds, or they are federal funds authorized by federal law to
			 be used to match other federal funds; and
(C) All sources of funds shall be allowable
			 under the Social Security Act  42 CFR 433  Subpart B;
Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 138 - TARGETED CASE MANAGEMENT › Section 410-138-0007 - Targeted Case Management - Covered Services

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Targeted case management (TCM) services
			 shall be furnished only to assist individuals eligible under the Medicaid State
			 Plan in gaining access to and effectively using needed medical, social,
			 educational, and other services (such as housing or transportation) in
			 accordance with
			 42 CFR
			 441.18.
(2) TCM services billed to Medicaid shall be
			 for allowable activities and include one or more of the following components:
(a) Assessment of an eligible client in the
			 target group to determine the need for medical, educational, social, or other
			 services as follows:
(A) Taking client
			 history;
(B) Identifying the needs
			 of the client, and completing related documentation;
(C) Gathering information from other sources,
			 such as family members, medical providers, social workers, and educators, if
			 necessary, to form a complete assessment of the eligible client;
(D) Periodically reassessing a client to
			 determine if the client's needs or preferences have changed. A reassessment
			 shall be conducted at least annually or more frequently if changes occur in the
			 client's condition;
Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 138 - TARGETED CASE MANAGEMENT › Section 410-138-0009 - Targeted Case Management - Services Not Covered

Current through Register Vol. 63, No. 7, July 1, 2024
Targeted Case Management (TCM) services do not cover:
(1) Direct delivery of an underlying medical,
			 educational, social, or other service to which the eligible client has been
			 referred.
(2) Providing
			 transportation to a service to which an eligible client is referred.
(3) Escorting an eligible client to a
			 service.
(4) Providing child care
			 so that an eligible client may access a service.
(5) Contacts with individuals who are not
			 categorically eligible for Medicaid or who are categorically eligible for
			 Medicaid but not included in the eligible target population when those contacts
			 relate directly to the identification and management of the non-eligible or
			 non-targeted individual's needs and care.
(6) Assisting an individual who has not yet
			 been determined eligible for Medicaid to apply for or obtain eligibility.
(7) TCM services provided to an
			 individual if the services are case management services funded by Title IV-E or
			 Title XX of the Social Security Act, or federal or state funded parole and
			 probation, or juvenile justice programs.
(8) Activities for which third parties are
			 liable to pay.
Stat. Auth.: ORS
				  413.042 &
				  414.065
Stats. Implemented: ORS
				  414.065
Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 138 - TARGETED CASE MANAGEMENT › Section 410-138-0020 - Targeted Case Management Programs

Current through Register Vol. 63, No. 7, July 1, 2024
(1) This rule includes services in the State
			 Plan for TCM and includes: Public Health Nurse Home Visiting, Babies First!,
			 CaCoon, and Nurse-Family Partnership services approved by CMS effective January
			 1, 2017, and Newborn Nurse Home Visiting approved by CMS effective July 1,
			 2019.
(2) TCM programs include the
			 following:
(a) Asthma/Healthy
			 Homes;
(b) Early Intervention/Early
			 Childhood Special Education (EI/ECSE);
(c) Human Immunodeficiency Virus
			 (HIV);
(d) Public Health Nurse Home
			 Visiting programs including, Babies First!, CaCoon, Newborn Nurse Home Visiting
			 and Nurse-Family Partnership;
(e)
			 Substance Abusing Pregnant Women and Substance Abusing Parents with Children
			 Under Age 18; and
(f) Federally
			 Recognized Tribal Governments.
Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 138 - TARGETED CASE MANAGEMENT › Section 410-138-0040 - Targeted Case Management Babies First!, CaCoon, and Nurse-Family Partnership Program Risk Criteria

Current through Register Vol. 63, No. 7, July 1, 2024
(1) This
			 rule is in effect for services approved by CMS effective for services rendered
			 beginning January 1, 2017, and sets forth the criteria for risk factors for the
			 TCM Babies First!, CaCoon, and Nurse-Family Partnership programs to include
			 perinatal and parental eligibility criteria in Table 1 and risk factors for
			 Babies First!, CaCoon and Nurse Family Partnership TCM infant and children
			 eligibility criteria and diagnosis in Table 2.
(2) Table 1 risk criteria for TCM perinatal
			 and parental eligibility and Table 2 risk criteria for TCM infant and children
			 eligibility and diagnosis criteria become effective January 1, 2017, and may be
			 obtained by clicking on the PDF copy.
To view attachments referenced in rule text,
click here to view
				  rule
.
Statutory/Other Authority: ORS
				  413.042 &
				  414.065
Statutes/Other Implemented: ORS
				  414.065
Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 138 - TARGETED CASE MANAGEMENT › Section 410-138-0060 - Targeted Case Management Program - Provider Requirements

Current through Register Vol. 63, No. 7, July 1, 2024
(1) This rule is in
			 effect for services rendered retroactive to July 1, 2009, except for the TCM
			 Asthma/Heathy Homes Program that is retroactive to July 1, 2010; Babies First!,
			 CaCoon, and Nurse-Family Partnership for services rendered effective January 1,
			 2017; and NNHV approved by CMS effective July 1, 2019.
(2) TCM Public Health Nurse Home Visiting
			 (Babies First!, CaCoon, NNHV, and Nurse-Family Partnership) targeted case
			 managers may be an employee of a Local County Health Department or other public
			 or private agency contracted by a Local Public Health Authority with the
			 demonstrated ability to meet all state and federal laws governing the
			 participation of providers in the state Medicaid program and the ability to
			 provide data to the Maternal and Child Health (MCH) Data System. TCM services
			 provided under the Universally Offered Newborn Nurse Home Visiting Program as
			 defined in Public Health 333, Division 6 Newborn Nurse Home Visiting must be
			 provided by certified providers.
(3) TCM Asthma/Healthy Homes, Early
			 Intervention/Early Childhood Special Education (EI/ECSE), and Human
			 Immunodeficiency Virus (HIV) provider organizations shall be unit of government
			 providers. TCM EI/ECSE providers may also be a subcontractor of a government
			 entity.
(4) TCM Substance Abusing
			 Pregnant Women and Substance Abusing Parents with Children Under Age 18
			 provider organizations shall be locally based agencies.
(5) TCM Federally Recognized Tribal
			 Governments providers shall be Indian Health Services/638 facilities.
(6) All providers shall demonstrate the
			 ability to provide all core elements of case management services including:
(a) Comprehensive assessment, which may
			 include triage and environmental assessment of client needs;
(b) Reassessment of the client's status and
			 needs annually or more frequently with a significant change in the client's
			 condition;
(c) Development and
			 periodic revision of a comprehensive care and service plan;
(d) Referral and linking/coordination of
			 services;
(e) Ongoing monitoring
			 and follow-up of referral and related services;
(f) A financial management capacity and
			 system that provides documentation of services and costs and provides
			 computerized tracking and monitoring to assure adequate follow-up and avoid
			 duplication.
Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 138 - TARGETED CASE MANAGEMENT › Section 410-138-0080 - Targeted Case Management Program Billing Policy

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Reimbursement is based on cost-based rate
			 methodology and subject to all rules and laws pertaining to federal financial
			 participation. The Authority's acceptance of cost data provided by provider
			 organizations for the purpose of establishing rates paid for TCM services does
			 not imply or validate the accuracy of the cost data provided.
(2) The cost-based rate shall be derived by
			 considering the following expenditures directly attributable to TCM staff:
(a) TCM staff salaries and other personnel
			 expenses;
(b) Supervisory salaries
			 and other personnel expenses;
(c)
			 Administrative support salaries and other personnel expenses;
(d) Services and supply expenses;
(e) Various overhead expenditures, if not
			 already considered in the indirect rate.
Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 138 - TARGETED CASE MANAGEMENT › Section 410-138-0390 - Targeted Case Management Retroactive Payments

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Providers may submit claims retroactively
			 for services provided to the targeted populations described in OAR
			 410-138-0020(2)(a)-(f)  if the claims meet the following criteria:
(a) Services were provided less than 12
			 months prior to the date of first claim submission and were provided on or
			 after the date indicated in the rule listed above and were allowable services
			 in accordance with OAR 410-138-0007;
(b) The maximum number of units billed does
			 not exceed the maximum allowed under each TCM program.
(c) The case manager was appropriately
			 licensed or certified and met all current requirements for case managers at the
			 time the service was provided, as described in the provider requirements rule
			 OAR 410-138-0060  appropriate for the TCM program;
(d) Documentation regarding provider
			 qualifications and the services that the provider retroactively claims shall
			 have been available at the time the services were performed.
Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 138 - TARGETED CASE MANAGEMENT › Section 410-138-0420 - Targeted Case Management Asthma/Healthy Home - Risk Criteria

Current through Register Vol. 63, No. 7, July 1, 2024
(1) This
			 administrative rule will be implemented contingent on CMS approval for the TCM
			 Asthma/Healthy Home Program. This rule is to be used in conjunction with the
			 Division's General Rules (chapter 410, division 120) and other Targeted Case
			 Management Program rules OAR 410-138-0000  through 410-138-0009.
(2) The target group is Medicaid eligible
			 children with poorly controlled asthma or a history of environmentally induced
			 respiratory distress, which can result in a life threatening asthma
			 exacerbation or exacerbation of respiratory distress.
(3) Risk factors for the target group could
			 include, but are not limited to:
(a)
			 Unscheduled visits for emergency or urgent care;
(b) One or more in-patient stays;
(c) History of intubation or Intensive Care
			 Unit care;
(d) A medication ratio
			 of control medications to rescue medications of less than or equal to .33
			 indicating less than desirable control of asthma;
(e) Environmental or psychosocial concerns
			 raised by medical home;
(f) School
			 day loss greater than two school days per year;
(g) Inability to participate in sports or
			 other activities due to asthma;
(h) Homelessness;
(i) Inadequate housing, heating, or
			 sanitation.
Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 140 - VISUAL SERVICES › Section 410-140-0020 - Service Delivery

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The Division
			 enrolls the following as providers of vision services:
(a) An individual licensed by the relevant
			 state licensing authority to practice optometry; and
(b) A licensed ophthalmologist; and
(c) An optician as defined in ORS
			 683.510-683.530;
Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 140 - VISUAL SERVICES › Section 410-140-0040 - Prior Authorization

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Prior
			 Authorization (PA) is defined in OAR 410-120-0000  and OAR 410-120-1320.
			 Providers must obtain a PA from the:
(a)
			 Enrolled member's Prepaid Health Plan (PHP) or Coordinated Care Organization
			 (CCO); and
(b) The Division for
			 members who receive services on a fee-for-services basis and are not enrolled
			 with a PHP or CCO.
Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 140 - VISUAL SERVICES › Section 410-140-0050 - Eligibility and Benefit Coverage

Current through Register Vol. 63, No. 7, July 1, 2024
(1)
			 Providers shall verify that an individual is an OHP member and eligible for
			 benefits prior to providing services to ensure reimbursement for services
			 provided. If the provider fails to confirm eligibility on the date of service,
			 the provider may not be reimbursed. Providers must verify the member's
			 eligibility including:
(a) That the member
			 receiving vision services is eligible on the date of service for the service
			 provided;
(b) Whether an OHP member
			 receives services on a fee-for-service basis or is enrolled with a PHP or
			 CCO;
(c) That the service is
			 covered under the member's OHP Benefit Package; and
(d) Whether the service is covered by a third
			 party resource (TPR).
Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 140 - VISUAL SERVICES › Section 410-140-0080 - Medicare/Medicaid Assistance Program Claims

Current through Register Vol. 63, No. 7, July 1, 2024
(1) When a member has both Medicare and
			 coverage through the Division, optometrists and ophthalmologists shall bill
			 Medicare first for Medicare covered services.
(2) When an OHP member receives services on a
			 fee-for-service basis under the Division's rules and has Medicare coverage:
(a) A provider may use any visual materials
			 supplier to order visual materials; and
(b) The Division does not require PA for
			 Medicare-covered services.
Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 140 - VISUAL SERVICES › Section 410-140-0120 - ICD-10-CM Diagnosis, CPT/HCPCs Procedure Codes, and Modifiers

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Providers shall
			 use an International Classification of Diseases, 10th revision, Clinical
			 Modification (ICD-10-CM) diagnosis code on all claims.
(2) Providers shall provide the member's
			 diagnosis to ancillary service providers (e.g., SWEEP Optical Laboratories)
			 when prescribing services, equipment, and supplies.
(3) Providers shall use the standardized code
			 sets required by the Health Insurance Portability and Accountability Act
			 (HIPAA) and adopted by the Centers for Medicare and Medicaid Services (CMS).
			 Providers shall accurately code claims using the combination of Health Care
			 Common Procedure Coding System (HCPCS) and Current Procedural Terminology (CPT)
			 codes in effect for the date the service was provided:
(a) Providers may not bill CPT or HCPCS
			 procedure codes for separate procedures when a single CPT or HCPCS code
			 includes all services provided. Providers shall comply with published coding
			 guidelines;
(b) Intermediate and
			 comprehensive ophthalmological services as described under the ophthalmology
			 section of the CPT codebook shall be billed using codes included under this
			 section and not those included under the Evaluation and Management
			 section;
(c) When there is no
			 appropriate descriptive procedure code to bill the Division, the provider shall
			 use the code for "unlisted services."
Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 140 - VISUAL SERVICES › Section 410-140-0140 - Vision Services Coverage and Limitations

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Providers shall comply with the following
			 rules in addition to the Visual Services program rules to determine service
			 coverage and limitations for OHP members according to their benefit packages:
(a) General Rules (OAR chapter 410, division
			 120);
(b) OHP administrative rules
			 (Chapter 410, Division 141);
(c)
			 Health Evidence Review Commission's (HERC) Prioritized List of Health Services
			 (List) (OAR 410-141-3830); and
(d)
			 Referenced guideline notes (The date of service determines the correct version
			 of the administrative rules and HERC List to determine coverage.);
			 and
(e) The Authority's general
			 rules related to provider enrollment and claiming (OAR 943-120-0300  through
			 1505).
Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 140 - VISUAL SERVICES › Section 410-140-0160 - Contact Lens Services and Supplies

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The following is general information
			 regarding the Division's contact lens services and supplies coverage for
			 members who receive services on a fee-for-services basis:
(a) The prescription of optical and physical
			 characteristics of and fitting of contact lens, with medical supervision of
			 adaptation, is only covered when provided by an optometrist or other qualified
			 physician. Contact lens fitting by an independent technician in an optometry
			 office is not a covered service; and
(b) Contact lenses shall be billed to the
			 Division at the provider's acquisition cost. Acquisition cost is defined as the
			 actual dollar amount paid by the provider to purchase the item directly from
			 the manufacturer or supplier plus any shipping and postage for the item.
			 Payment for contact lenses is the lesser of the Division fee schedule or
			 acquisition cost.
Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 140 - VISUAL SERVICES › Section 410-140-0200 - Dispensing, Fitting and Repair of Glasses

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The Division covers the fitting of
			 glasses and the refitting and repair of glasses only when glasses and
			 replacement parts are purchased from:
(a) The
			 Division's contractor;
(b) Any
			 visual materials supplier when the member has primary Medicare coverage and the
			 glasses were a Medicare-covered benefit.
Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 140 - VISUAL SERVICES › Section 410-140-0260 - Contractor Services for Provider Ordering Vision Materials and Supplies

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The Division
			 contracts with SWEEP Optical Laboratories (also referred to herein as
			 contractor) to buy vision materials and supplies, excluding contact lenses. All
			 frames, lenses, and miscellaneous items must be provided:
(a) Only by the contractor, unless the member
			 has primary Medicare coverage; or
(b) By any visual materials supplier when the
			 member has primary Medicare coverage for a Medicare covered item.
Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 140 - VISUAL SERVICES › Section 410-140-0280 - Vision Therapy Services

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The
			 Division covers orthoptic and pleoptic training or "vision therapy" as outlined
			 in OAR 410-140-0140  Vision Services Coverage and Limitations.
(2) Providers shall develop a therapy
			 treatment plan and regimen that shall be taught to the member, family, foster
			 parents, and caregiver during the therapy treatments. No extra treatments shall
			 be authorized for teaching.
(3)
			 Therapy that can be provided by the member, family, foster parents, and
			 caregiver is not a reimbursable service.
(4) All vision therapy services including the
			 initial evaluation shall be billed to the Division with the Current Procedural
			 Terminology (CPT) code for orthoptic and pleoptic training.
Statutory/Other Authority: ORS
				  413.042
Statutes/Other Implemented: ORS
				  414.025 &
				  414.065
Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 140 - VISUAL SERVICES › Section 410-140-0300 - Post-operative Care

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The Division
			 reimburses all covered surgical procedures as global packages, except when the
			 surgeon codes the surgical procedure with a modifier indicating surgical
			 procedure only, excluding post-operative care.
(2) Post-operative care provided outside the
			 global package is:
(a) Reimbursable to
			 optometrists when furnished within their scope of practice;
(b) Billed with:
(A) The surgical CPT code billed by the
			 surgeon;
(B) The appropriate
			 modifier noting post-operative care only; and
(C) The first post-operative date of service;
			 and
(c) Reimbursed a
			 percentage of the global reimbursement.
Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 140 - VISUAL SERVICES › Section 410-140-0400 - Contractor Services/Provider Ordering

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The Division of Medical Assistance
			 Programs (Division) contracts with SWEEP Optical Laboratories (also referred to
			 herein as contractor) to provide vision materials and supplies. Providers
			 needing materials and supplies must order those directly from the contractor,
			 except when the Oregon Health Plan member has primary Medicare coverage. See
			 OAR 410-140-0080.
(2) Providers are
			 responsible for:
(a) Verifying member
			 eligibility prior to submitting an order to the contractor. Refer to OAR
			 410-120-1140  Verification of Eligibility;
(b) Obtaining prior authorization (PA) from
			 the Division for items requiring PA prior to placing a vision materials order.
			 (See OAR 410-140-0040  Prior Authorization.);
(c) Complying with the contractor's order
			 submission requirements, as outlined in the Visual Services Supplemental
			 Information Guide found on this Division website:
http://www.oregon.gov/OHA/HSD/OHP/Pages/Policy-Vision.aspx
;
(d) Submitting prescription/order to the
			 contractor upon notification of PA approval from the contractor; and
(e) Paying SWEEP Optical for any services
			 provided by SWEEP Optical to a member who is not eligible for items. SWEEP
			 Optical is prohibited by contract to sell materials and supplies for
			 non-eligible members at the State Contracted Price.
Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 141 - OREGON HEALTH PLAN › Section 410-141-0020

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: ORS
				  409.110 &
				  413.042
Stats. Implemented:
				  414.065
Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 141 - OREGON HEALTH PLAN › Section 410-141-0065

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: ORS
				  413.042,
				  414.615,
				  414.625,
				  414.635,
				  414.651
Stats. Implemented: ORS
				  414.610-685
Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 141 - OREGON HEALTH PLAN › Section 410-141-0080

Current through Register Vol. 63, No. 7, July 1, 2024
Statutory/Other Authority: ORS
				  413.042,
				  414.645  & 414.647
Statutes/Other Implemented: ORS
				  414.065,
				  414.645  & 414.647
Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 141 - OREGON HEALTH PLAN › Section 410-141-0120

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: ORS
				  413.042
Stats. Implemented: ORS
				  192.518 -
				  192.526, 556.320,
				  414.065,
				  414.727 &
				  441.223
Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 141 - OREGON HEALTH PLAN › Section 410-141-0180

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: ORS
				  413.042 &
				  414.065
Stats. Implemented: ORS
				  414.651
Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 141 - OREGON HEALTH PLAN › Section 410-141-0340

Current through Register Vol. 63, No. 7, July 1, 2024
Statutory/Other Authority: ORS
				  413.042
Statutes/Other Implemented: ORS
				  414.651
Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 141 - OREGON HEALTH PLAN › Section 410-141-0405

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: ORS
				  409.110 &
				  413.042
Stats. Implemented: ORS
				  414.725
Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 141 - OREGON HEALTH PLAN › Section 410-141-0420 - Repealed

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: ORS
				  413.042,
				  414.065,
				  414.615,
				  414.625,
				  414.635 &
				  414.651
Stats. Implemented: ORS
				  414.065 &
				  414.610 -
				  414.685
Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 141 - OREGON HEALTH PLAN › Section 410-141-0660 - Repealed

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: ORS
				  413.042
Stats. Implemented: ORS
				  414.725
Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 141 - OREGON HEALTH PLAN › Section 410-141-0680 - Repealed

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: ORS
				  413.042
Stats. Implemented: ORS
				  414.725
Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 141 - OREGON HEALTH PLAN › Section 410-141-0700 - Repealed

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: ORS
				  413.042
Stats. Implemented: ORS
				  414.725
Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 141 - OREGON HEALTH PLAN › Section 410-141-0720 - Repealed

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: ORS
				  413.042
Stats. Implemented: ORS
				  414.725
Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 141 - OREGON HEALTH PLAN › Section 410-141-0740 - Repealed

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: ORS
				  413.042
Stats. Implemented: ORS
				  414.651
Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 141 - OREGON HEALTH PLAN › Section 410-141-0760 - Repealed

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: ORS
				  413.042
Stats. Implemented: ORS
				  414.725
Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 141 - OREGON HEALTH PLAN › Section 410-141-0780 - Repealed

Current through Register Vol. 63, No. 7, July 1, 2024
Forms referenced are available from the
				  agency.
Stat. Auth.: ORS
				  413.042
Stats. Implemented: ORS
				  414.725
Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 141 - OREGON HEALTH PLAN › Section 410-141-0800 - Repealed

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: ORS
				  413.042
Stats. Implemented: ORS
				  414.725
Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 141 - OREGON HEALTH PLAN › Section 410-141-0820 - Repealed

Current through Register Vol. 63, No. 7, July 1, 2024
Publications: Publications referenced are available from the
				  agency.
Stat. Auth.: ORS
				  413.042
Stats. Implemented: ORS
				  414.725
Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 141 - OREGON HEALTH PLAN › Section 410-141-0840 - Repealed

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: ORS
				  413.042
Stats. Implemented: ORS
				  414.065
Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 141 - OREGON HEALTH PLAN › Section 410-141-0860

Current through Register Vol. 63, No. 7, July 1, 2024
Forms referenced are available from the
				  agency.
Stat. Auth.: ORS
				  413.042,
				  414.065;
Stats. Implemented: ORS
				  414.065
Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 141 - OREGON HEALTH PLAN › Section 410-141-3000

Current through Register Vol. 63, No. 7, July 1, 2024
Statutory/Other Authority: ORS
				  413.042,
				  414.615,
				  414.625,
				  414.635  & 414.651
Statutes/Other Implemented: ORS
				  414.610 -
				  414.685
Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 141 - OREGON HEALTH PLAN › Section 410-141-3010

Current through Register Vol. 63, No. 7, July 1, 2024
Statutory/Other Authority: ORS
				  414.615,
				  414.625,
				  414.635,
				  414.651  & 413.042
Statutes/Other Implemented: ORS
				  414.610 -
				  414.685
Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 141 - OREGON HEALTH PLAN › Section 410-141-3015

Current through Register Vol. 63, No. 7, July 1, 2024
Statutory/Other Authority: 413.042, 414.615, 414.625, 414.635
				  & 414.651
Statutes/Other Implemented: 414.610 -
				  414.685
Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 141 - OREGON HEALTH PLAN › Section 410-141-3020

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: ORS
				  413.042,
				  414.615,
				  414.625,
				  414.635,
				  414.651
Stats. Implemented: ORS
				  414.610 -
				  414.685
Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 141 - OREGON HEALTH PLAN › Section 410-141-3025

Current through Register Vol. 63, No. 7, July 1, 2024
Statutory/Other Authority: ORS
				  413.042, ORS
				  414.615,
				  ORS
				  414.625
Statutes/Other Implemented: Oregon laws 2018 Chapter
				  49
Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 141 - OREGON HEALTH PLAN › Section 410-141-3030

Current through Register Vol. 63, No. 7, July 1, 2024
Statutory/Other Authority: 413.042, 414.615, 414.625, 414.635
				  & 414.651
Statutes/Other Implemented: 414.610 -
				  414.685
Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 141 - OREGON HEALTH PLAN › Section 410-141-3040

Current through Register Vol. 63, No. 7, July 1, 2024
Statutory/Other Authority: ORS
				  413.042,
				  414.645  & 414.625
Statutes/Other Implemented: ORS
				  413.042
Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 141 - OREGON HEALTH PLAN › Section 410-141-3041

Current through Register Vol. 63, No. 7, July 1, 2024
Statutory/Other Authority: ORS
				  413.042,
				  414.615,
				  414.625,
				  414.635,
				  414.651  & 414.652
Statutes/Other Implemented: ORS
				  414.610 -
				  414.685
Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 141 - OREGON HEALTH PLAN › Section 410-141-3050

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: ORS
				  413.042,
				  414.615,
				  414.625,
				  414.635 &
				  414.651
Stats. Implemented: ORS
				  414.610 -
				  414.685
Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 141 - OREGON HEALTH PLAN › Section 410-141-3060

Current through Register Vol. 63, No. 7, July 1, 2024
Statutory/Other Authority: ORS
				  413.042,
				  414.615,
				  414.625,
				  414.635  & 414.651
Statutes/Other Implemented: ORS
				  414.610 -
				  414.685
Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 141 - OREGON HEALTH PLAN › Section 410-141-3061

Current through Register Vol. 63, No. 7, July 1, 2024
Statutory/Other Authority: ORS
				  413.042
Statutes/Other Implemented: ORS
				  414.065
Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 141 - OREGON HEALTH PLAN › Section 410-141-3065

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: ORS
				  413.042,
				  414.615,
				  414.625,
				  414.635,
				  414.651
Stats. Implemented: ORS
				  414.610-68
Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 141 - OREGON HEALTH PLAN › Section 410-141-3080

Current through Register Vol. 63, No. 7, July 1, 2024
Statutory/Other Authority: ORS
				  413.032,
				  414.615,
				  414.625,
				  414.635  & 414.651
Statutes/Other Implemented: ORS
				  414.610 -
				  414.685
Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 141 - OREGON HEALTH PLAN › Section 410-141-3110

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: ORS
				  192.527,
				  192.528,
				  413.042 &
				  414.065
Stat. Implemented: ORS
				  192.527,
				  192.528,
				  413.042, 414010,
				  414.065 &
				  414.727
Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 141 - OREGON HEALTH PLAN › Section 410-141-3120

Current through Register Vol. 63, No. 7, July 1, 2024
Statutory/Other Authority: 413.042, 414.615, 414.625, 414.635
				  & 414.651
Statutes/Other Implemented:
				  414.610-414.685
Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 141 - OREGON HEALTH PLAN › Section 410-141-3140

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: ORS
				  413.042,
				  414.615,
				  414.625,
				  414.635,
				  414.651
Stats. Implemented: ORS
				  414.610 -
				  414.685
Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 141 - OREGON HEALTH PLAN › Section 410-141-3145

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: ORS
				  413.042,
				  414.615,
				  414.625,
				  414.635 & 414.651
Stats. Implemented: ORS
				  414.610 -
				  414.685
Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 141 - OREGON HEALTH PLAN › Section 410-141-3150

Current through Register Vol. 63, No. 7, July 1, 2024
Statutory/Other Authority: ORS
				  413.042
Statutes/Other Implemented: ORS
				  413.042
Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 141 - OREGON HEALTH PLAN › Section 410-141-3160

Current through Register Vol. 63, No. 7, July 1, 2024
Statutory/Other Authority: ORS
				  413.042,
				  414.615,
				  414.625,
				  414.635  & 414.651
Statutes/Other Implemented: ORS
				  414.610-414.685
Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 141 - OREGON HEALTH PLAN › Section 410-141-3170

Current through Register Vol. 63, No. 7, July 1, 2024
Statutory/Other Authority: 413.042, 414.615, 414.625, 414.635
				  & 414.651
Statutes/Other Implemented: ORS
				  414.610 -
				  414.685
Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 141 - OREGON HEALTH PLAN › Section 410-141-3180

Current through Register Vol. 63, No. 7, July 1, 2024
Statutory/Other Authority: ORS
				  413.042,
				  414.615,
				  414.625,
				  414.635  & 414.651
Statutes/Other Implemented: ORS
				  414.610 -
				  414.685
Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 141 - OREGON HEALTH PLAN › Section 410-141-3200

Current through Register Vol. 63, No. 7, July 1, 2024
Statutory/Other Authority: ORS
				  413.042,
				  414.615,
				  414.625,
				  414.635  & 414.651
Statutes/Other Implemented: ORS
				  414.610 -
				  414.685
Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 141 - OREGON HEALTH PLAN › Section 410-141-3220

Current through Register Vol. 63, No. 7, July 1, 2024
Statutory/Other Authority: ORS
				  413.032,
				  414.615,
				  414.625,
				  414.635  & 414.651
Statutes/Other Implemented: ORS
				  414.610 -
				  414.685
Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 141 - OREGON HEALTH PLAN › Section 410-141-3225

Current through Register Vol. 63, No. 7, July 1, 2024
Statutory/Other Authority: 413.042, 414.065, 414.651,
				  414.615, 414.625 & 414.635
Statutes/Other Implemented: 414.065 & 414.610-414.685
Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 141 - OREGON HEALTH PLAN › Section 410-141-3230

Current through Register Vol. 63, No. 7, July 1, 2024
Statutory/Other Authority: 413.032, 414.615, 414.625, 414.635
				  & 414.651
Statutes/Other Implemented:
				  414.610-414.685
Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 141 - OREGON HEALTH PLAN › Section 410-141-3235

Current through Register Vol. 63, No. 7, July 1, 2024
Statutory/Other Authority: 413.042, 414.615, 414.625, 414.635
				  & 414.651
Statutes/Other Implemented:
				  414.610-414.685
Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 141 - OREGON HEALTH PLAN › Section 410-141-3240

Current through Register Vol. 63, No. 7, July 1, 2024
Statutory/Other Authority: 414.615, 414.625, 414.635, 414.651
				  & 414.032
Statutes/Other Implemented:
				  414.610-414.685
Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 141 - OREGON HEALTH PLAN › Section 410-141-3246

Current through Register Vol. 63, No. 7, July 1, 2024
Statutory/Other Authority: 413.042 & 414.065
Statutes/Other Implemented:
				  414.065