Oregon Statutes - Chapter 414 - Medical Assistance

414.001 [Repealed by 1953 c.378 §2]
414.002 [Repealed by 1953 c.378 §2]
414.003 [Repealed by 1953 c.378 §2]
414.004 [Repealed by 1953 c.378 §2]
414.005 [Repealed by 1953 c.378 §2]
414.006 [Repealed by 1953 c.378 §2]
414.007 [Repealed by 1953 c.378 §2]
414.008 [Repealed by 1953 c.378 §2]
414.009 [Repealed by 1953 c.378 §2]
414.010 [Repealed by 1953 c.378 §2]
414.011 [Repealed by 1953 c.378 §2]
414.012 [Repealed by 1953 c.378 §2]
414.013 [Repealed by 1953 c.378 §2]
414.014 [Repealed by 1953 c.378 §2]
414.015 [Repealed by 1953 c.30 §2]
414.016 [Repealed by 1953 c.30 §2]
414.017 [Repealed by 1953 c.30 §2]
414.018 Goals; findings.
(1) It is the intention of the Legislative Assembly to achieve the goals of universal access to an adequate level of high quality health care...
414.019 Laws comprising Oregon Health Plan.
As used in ORS 414.018 to 414.024, 414.042, 414.107, 414.710 and 414.720, as of November 4, 1993, �Oregon Health Plan� means chapter 815, Oregon Laws...
414.020 [Repealed by 1953 c.204 §9]
414.021 Duties of administrator; staff; advisory committees; grants; meetings.
(1) The Administrator of the Office for Oregon Health Policy and Research shall be responsible for analyzing and reporting on the implementation of the elements...
414.022 Provision of mental health services; goals; criteria; reports.
Mental health services shall be provided by the Department of Human Services, in collaboration with the Health Services Commission, for the purpose of determining how...
414.023 Chemical dependency services; goal.
Chemical dependency services shall begin on January 1, 1995, to operate through June 30, 1996, in the Department of Human Services for the purpose of...
414.024 Guidelines for selecting areas for initial operation of programs.
In the selection of any area of the state for the initial operation of the programs authorized by ORS 414.018 to 414.024, 414.042, 414.107, 414.710,...
414.025 Definitions.
As used in this chapter, unless the context or a specially applicable statutory definition requires otherwise: (1) �Category of aid� means assistance provided by the...
414.026 [2001 c.980 §2; renumbered 414.420 in 2005]
414.027 [2001 c.980 §3; renumbered 414.422 in 2005]
414.028 [Formerly 414.305; renumbered 414.426 in 2005]
414.029 [2003 c.76 §1; renumbered 414.428 in 2005]
414.030 [Repealed by 1953 c.204 §9]
414.031 Oregon Health Policy Commission to review changes proposed by Department of Human Services for medical assistance program and other health care programs.
(1) The Department of Human Services shall submit to the Oregon Health Policy Commission any proposals to amend the State Medicaid Plan, modify Medicaid operational...
414.032 Medical assistance to categorically needy and medically needy.
Within the limits of funds available therefor, medical assistance shall be made available to persons who are categorically needy or medically needy. [1967 c.502 §4;...
414.033 Expenditures for medical assistance authorized.
The Department of Human Services may: (1) Subject to the allotment system provided for in ORS 291.234 to 291.260, expend such sums as are required...
414.034 Acceptance of federal billing, reimbursement and reporting forms.
The Department of Human Services shall accept federal Centers for Medicare and Medicaid Services billing, reimbursement and reporting forms instead of department billing, reimbursement and...
414.035 [1965 c.556 §1; repealed by 1967 c.502 §21]
414.036 Policy on persons without access to health services.
(1) The Legislative Assembly finds that: (a) Hundreds of thousands of Oregonians have no health insurance or other coverage and lack the income and resources...
414.037 [1967 c.502 §5; repealed by 1975 c.509 §2 (414.038 enacted in lieu of 414.037)]
414.038 Medically needy program; determination of income.
(1) Payments in behalf of medically needy individuals may be made for a member of a family which has annual income within the following levels:...
414.039 Medically needy program; rules.
(1) The Department of Human Services shall establish by rule a medically needy program providing services to which the categorically eligible are entitled. (2) These...
414.040 [1953 c.204 §2; renumbered 414.810 and then 566.310]
414.042 Determination of need for and amount of medical assistance; rules.
(1) The need for and the amount of medical assistance to be made available for each eligible group of recipients of medical assistance shall be...
414.045 [1965 c.556 §3; repealed by 1967 c.502 §21]
414.047 Application for medical assistance.
(1) Application for any category of aid shall also constitute application for medical assistance. (2) Except as otherwise provided in this section, each person requesting...
414.049 Documentation required for person applying for medical assistance under ORS 414.705 to 414.750.
For each person applying for health services under ORS 414.705 to 414.750, the Department of Human Services shall fully document: (1) The category of aid...
414.050 [1953 c.204 §2; renumbered 414.820 and then 566.320]
414.051 Authorization and payment for dental services.
The Department of Human Services shall approve or deny prior authorization requests for dental services not later than 30 days after submission thereof by the...
414.055 Hearing on eligibility.
Any individual whose claim for medical assistance is denied or is not acted upon with reasonable promptness may petition the Department of Human Services for...
414.057 Notice of change in circumstances.
Upon the receipt of property or income or upon any other change in circumstances which directly affects the eligibility of the recipient to receive medical...
414.060 [1953 c.204 §3; renumbered 414.830 and then 566.330]
414.065 Determination of health services covered; standards; cost sharing; payments by department as payment in full; rules.
(1)(a) With respect to medical and remedial care and services to be provided in medical assistance during any period, and within the limits of funds...
414.070 [1953 c.204 §4; renumbered 414.840 and then 566.340]
414.073 Information on all licensed healing arts to be made available.
When giving information concerning medical assistance, the Department of Human Services shall make available to applicants or recipients materials which include at least a listing...
414.075 Payment of deductibles imposed under federal law.
Medical assistance provided to any individual who is covered by the hospital insurance benefits or supplementary health insurance benefits, or either of them, as established...
414.080 [1953 c.204 §5; renumbered 414.850 and then 566.350]
414.085 Cooperative agreements authorized.
(1) The Department of Human Services may enter into cooperative arrangements with other state agencies and with public or private local agencies: (a) To establish...
414.090 [1953 c.204 §6; renumbered 414.860 and then 566.360]
414.095 Exemptions applicable to payments.
Neither medical assistance nor amounts payable to vendors out of public assistance funds are transferable or assignable at law or in equity and none of...
414.105 Recovery of medical assistance; estate claims; transfer of assets; rules.
(1) The Department of Human Services may recover from any person the amounts of medical assistance incorrectly paid on behalf of such person. (2) Medical...
414.106 Possible limitation on recovery of certain medical assistance; federal law.
(1) Subject to the requirements of subsection (2) of this section, if 42 U.S.C. 1396p (b)(1)(B) as in effect on January 1, 1995, is repealed...
414.107 Entitlement to mental health care and chemical dependency services.
Until such time as mental health care and chemical dependency services are integrated into the Health Services Commission priority list and the integrated list is...
414.109 Oregon Health Plan Fund.
(1) The Oregon Health Plan Fund is established, separate and distinct from the General Fund. Interest earned by the Oregon Health Plan Fund shall be...
414.115 Medical assistance by insurance or service contracts; rules.
(1) In lieu of providing one or more of the medical and remedial care and services available under medical assistance by direct payments to providers...
414.125 Rates on insurance or service contracts; requirements for insurer or contractor.
(1) Any payment of available medical assistance funds for policies of insurance or service contracts shall be according to such uniform area-wide rates as the...
414.135 Contracts relating to direct providers of care and services.
The Department of Human Services may enter into nonexclusive contracts under which funds available for medical assistance may be administered and disbursed by the contractor...
414.145 Implementation of ORS 414.115, 414.125 or 414.135.
(1) The provisions of ORS 414.115, 414.125 or 414.135 shall be implemented whenever it appears to the Department of Human Services that such implementation will...
414.150 Purpose of ORS 414.150 to 414.153.
It is the purpose of ORS 414.150 to 414.153 to take advantage of opportunities to: (1) Enhance the state and local public health partnership; (2)...
414.151 Enrollment of poverty level medical assistance program clients; agreements with local governments.
The Department of Human Services shall endeavor to develop agreements with local governments to facilitate the enrollment of poverty level medical assistance program clients. Subject...
414.152 Duties of state agencies.
To capitalize on the successful public health programs provided by county health departments and the sizable investment by state and local governments in the public...
414.153 Authorization for payment for certain services.
In order to make advantageous use of the system of public health services available through county health departments and other publicly supported programs and to...
414.205 [1967 c.502 §18; 1981 c.825 §1; repealed by 1995 c.727 §48]
414.210 [1957 c.692 §1; repealed by 1963 c.631 §2]
414.211 Medicaid Advisory Committee.
(1) There is established a Medicaid Advisory Committee consisting of not more than 15 members appointed by the Governor. (2) The committee shall be composed...
414.215 [1967 c.502 §19; 1991 c.66 §21; repealed by 1995 c.727 §48]
414.220 [1957 c.692 §2; repealed by 1963 c.631 §2]
414.221 Duties of committee.
The Medicaid Advisory Committee shall advise the Administrator of the Office for Oregon Health Policy and Research and the Director of Human Services on: (1)...
414.225 Department to consult with committee.
The Department of Human Services shall consult with the Medicaid Advisory Committee concerning the determinations required under ORS 414.065. [1967 c.502 §20; 1991 c.66 §22;...
414.227 Application of public meetings law to advisory committees.
(1) ORS 192.610 to 192.690 apply to any meeting of an advisory committee with the authority to make decisions for, conduct policy research for or...
414.230 [1957 c.692 §5; repealed by 1963 c.631 §2]
414.240 [1957 c.692 §3; repealed by 1963 c.631 §2]
414.250 [1957 c.692 §4; repealed by 1963 c.631 §2]
414.260 [1957 c.692 §6; repealed by 1963 c.631 §2]
414.270 [1957 c.692 §7(1); repealed by 1963 c.631 §2]
414.280 [1957 c.692 §7(2); repealed by 1963 c.631 §2]
414.290 [1957 c.692 §7(3); repealed by 1963 c.631 §2]
414.300 [1957 c.692 §8; repealed by 1963 c.631 §2]
414.305 [1969 c.507 §3; 1971 c.33 §1; 1977 c.384 §5; 1991 c.66 §23; 2001 c.900 §102; renumbered 414.028 in 2001]
414.310 [1957 c.692 §9; 1961 c.130 §2; repealed by 1963 c.631 §2]
414.312 Oregon Prescription Drug Program.
(1) As used in ORS 414.312 to 414.318: (a) �Pharmacy benefit manager� means an entity that, in addition to being a prescription drug claims processor,...
414.314 Application and participation in Oregon Prescription Drug Program; prescription drug charges; fees.
(1) An individual or entity described in ORS 414.312 (4) may apply to participate in the Oregon Prescription Drug Program. Participants shall apply on an...
414.316 Preferred drug list for Oregon Prescription Drug Program.
The Office for Oregon Health Policy and Research shall develop and recommend to the Department of Human Services a preferred drug list that identifies preferred...
414.318 Prescription Drug Purchasing Fund.
The Prescription Drug Purchasing Fund is established separate and distinct from the General Fund. The Prescription Drug Purchasing Fund shall consist of moneys appropriated to...
414.320 Rules.
The Department of Human Services shall adopt rules to implement and administer ORS 414.312 to 414.318. The rules shall include but are not limited to...
414.325 Prescription drugs; use of legend or generic drugs; prior authorization; rules.
(1) As used in this section, �legend drug� means any drug requiring a prescription by a practitioner, as defined in ORS 689.005. (2) A licensed...
414.327 Electronically transmitted prescriptions; federal waiver; rules.
(1) The Department of Human Services shall seek a waiver from the federal Centers for Medicare and Medicaid Services to allow the department to communicate...
414.329 Prescription drug benefits for certain persons who are eligible for Medicare Part D prescription drug coverage; rules.
(1) Notwithstanding ORS 414.705 to 414.750, the Department of Human Services shall adopt rules modifying the prescription drug benefits for persons who are eligible for...
414.330 Legislative findings on prescription drugs.
The Legislative Assembly finds that: (1) The cost of prescription drugs in the Oregon Health Plan is growing and will soon be unsustainable; (2) The...
414.332 Policy for Practitioner-Managed Prescription Drug Plan.
It is the policy of the State of Oregon that a Practitioner-Managed Prescription Drug Plan will ensure that: (1) Oregonians have access to the most...
414.334 Practitioner-Managed Prescription Drug Plan for Oregon Health Plan.
(1) The Department of Human Services shall adopt a Practitioner-Managed Prescription Drug Plan for the Oregon Health Plan. The purpose of the plan is to...
414.336 Limitation on rules regarding Practitioner-Managed Prescription Drug Plan.
The Department of Human Services may not adopt or amend any rule that requires a prescribing practitioner to contact the department to request an exception...
414.338 Patient Prescription Drug Assistance Program; College of Pharmacy at Oregon State University to operate program.
(1) The Patient Prescription Drug Assistance Program is established. The purpose of the program is to match low-income Oregonians who lack prescription drug benefit coverage...
414.340 Definitions for ORS 414.340, 414.342 and 414.348.
As used in this section and ORS 414.342 and 414.348: (1) �Eligible person� means a resident of this state who: (a) Is 65 years of...
414.342 Senior Prescription Drug Assistance Program; application and enrollment; enrollment fee; critical access pharmacies; rules.
(1) The Senior Prescription Drug Assistance Program is created in the Department of Human Services. The purpose of the program is to provide financial assistance...
414.344 Contracts to provide services under Senior Prescription Drug Assistance Program.
The Department of Human Services may contract with a pharmacy provider or a pharmacy benefits manager to provide services under the Senior Prescription Drug Assistance...
414.346 Rules.
The Department of Human Services shall adopt rules necessary to implement ORS 414.342. [2001 c.869 §8] Note: See note under 414.338.
414.348 Senior Prescription Drug Assistance Fund.
The Senior Prescription Drug Assistance Fund is established separate and distinct from the General Fund. The Senior Prescription Drug Assistance Fund may receive any appropriations,...
414.350 Definitions for ORS 414.350 to 414.415.
As used in ORS 414.350 to 414.415: (1) �Appropriate and medically necessary use� means drug prescribing, drug dispensing and patient medication usage in conformity with...
414.355 Drug Use Review Board created; duties; members; term; qualifications.
(1) There is created a 12-member Drug Use Review Board responsible for advising the Department of Human Services on the implementation of the retrospective and...
414.360 Duties of board regarding retrospective and prospective drug use review programs; rules.
(1) The Drug Use Review Board shall advise the Department of Human Services on: (a) Adoption of rules to implement ORS 414.350 to 414.415 in...
414.365 Educational and informational duties of board; procedures to insure confidentiality.
In addition to advising the Department of Human Services, the Drug Use Review Board shall do the following subject to the approval of the Director...
414.370 Authorized intervention procedures.
In appropriate instances, interventions developed under ORS 414.360 (1)(d) may include the following: (1) Information disseminated to prescribers and pharmacists to insure that they are...
414.375 Standards for prospective drug use review program.
The prospective drug use review program must be based on the guidelines established by the Department of Human Services in consultation with the Drug Use...
414.380 Standards for retrospective drug use review program.
The retrospective drug use review program must: (1) Be based on the guidelines established by the Department of Human Services in consultation with the Drug...
414.385 Compliance with Omnibus Budget Reconciliation Act of 1990.
The Drug Use Review Board, retrospective and prospective programs, and related educational programs shall be operated in accordance with the requirements of the Omnibus Budget...
414.390 Unauthorized disclosure of information prohibited; staff access to information.
(1) Information collected under ORS 414.350 to 414.415 that identifies an individual is confidential and shall not be disclosed by the Drug Use Review Board,...
414.395 When executive session authorized; public testimony.
(1) Notwithstanding ORS 192.660, the Drug Use Review Board may meet in an executive session for purposes of reviewing the prescribing or dispensing practices of...
414.400 Board subject to public record laws; chairperson; expenses; quorum; advisory committees.
(1) The Drug Use Review Board shall operate in accordance with ORS chapter 192. The board shall annually elect a chairperson from the members of...
414.410 Staff.
The Department of Human Services shall provide staff to the Drug Use Review Board. [1993 c.578 §5] Note: See note under 414.350.
414.415 Contents of annual report; public comment.
(1) The annual report under ORS 414.365 (1) shall be subject to public comments prior to its submission to the Director of Human Services. Copies...
414.420 Suspension of medical assistance for pregnant women who are incarcerated.
(1) When a woman who is enrolled in the Oregon Health Plan as a pregnant woman becomes an inmate residing in a public institution, the...
414.422 Conditions for coverage for pregnant women who are incarcerated.
ORS 414.420 does not extend eligibility to an otherwise ineligible individual or extend medical assistance to an individual if matching federal funds are not available...
414.424 Suspension of medical assistance of persons with serious mental illness under certain circumstances.
(1) As used in this section: (a) �Person with a serious mental illness� means a person who is diagnosed by a psychiatrist, a licensed clinical...
414.426 Payment of cost of medical care for institutionalized persons.
The Department of Human Services is hereby authorized to pay the cost of care for patients in institutions operated under ORS 179.321 under the medical...
414.428 Coverage for American Indian and Alaskan Native beneficiaries.
(1) An individual described in ORS 414.025 (2)(r) who is eligible for or receiving medical assistance and who is an American Indian and Alaskan Native...
414.500 Findings regarding medical assistance for persons with hemophilia.
The Legislative Assembly finds that there are citizens of this state who have the disease of hemophilia and that hemophilia is generally excluded from any...
414.510 Definitions.
(1) �Eligible individual� means a resident of the State of Oregon over the age of 20 years. (2) �Hemophilia services� means a program for medical...
414.520 Hemophilia services.
Within the limit of funds expressly appropriated and available for medical assistance to hemophiliacs, hemophilia services under ORS 414.500 to 414.530 shall be made available...
414.530 When payments not made for hemophilia services.
Payments under ORS 414.500 to 414.530 shall not be made for any services which are available to the recipient under any other private, state or...
414.532 Definitions for ORS 414.534 to 414.538.
As used in ORS 414.534 to 414.538: (1) �Medical assistance� has the meaning given that term in ORS 414.025. (2) �Provider� has the meaning given...
414.534 Treatment for breast or cervical cancer; eligibility criteria for medical assistance.
(1) The Department of Human Services shall provide medical assistance to a woman who: (a) Is screened for breast or cervical cancer through the Oregon...
414.536 Presumptive eligibility for medical assistance for treatment of breast or cervical cancer.
(1) The Department of Human Services shall provide medical assistance to a woman whom the department determines is presumptively eligible for medical assistance. As used...
414.538 Prohibition on coverage limitations; priority to low-income women.
(1) The Department of Human Services shall provide medical assistance under ORS 414.534 or 414.536 to a woman who meets general coverage requirements applicable to...
414.540 Rules.
The Department of Human Services shall adopt rules necessary for the implementation and administration of ORS 414.534 to 414.538. [2001 c.902 §5] Note: See note...
414.550 Definitions for ORS 414.550 to 414.565.
As used in ORS 414.550 to 414.565: (1) �Cystic fibrosis services� means a program for medical care, including the cost of prescribed medications and equipment,...
414.555 Findings regarding medical assistance for persons with cystic fibrosis.
The Legislative Assembly finds that there are citizens of this state who have the disease of cystic fibrosis and that cystic fibrosis is generally excluded...
414.560 Cystic fibrosis services.
(1) Within the limit of funds expressly appropriated and available for medical assistance to individuals who have cystic fibrosis, cystic fibrosis services under ORS 414.550...
414.565 When payments not made for cystic fibrosis services.
Payments under ORS 414.550 to 414.565 shall not be made for any services which are available to the recipient under any other private, state or...
414.610 Legislative intent.
It is the intent of the Legislative Assembly to develop and implement new strategies for persons eligible to receive medical assistance that promote and change...
414.620 System established.
There is established the Oregon Health Care Cost Containment System. The system shall consist of state policies and actions that encourage price competition among health...
414.630 Prepaid capitated health care service contracts; when fee for services to be paid.
(1) The Department of Human Services shall execute prepaid capitated health service contracts for at least hospital or physician medical care, or both, with hospital...
414.640 Selection of providers; reimbursement for services not covered; actions as trade practice; actions not insurance; rules.
(1) Eligible persons shall select, to the extent practicable as determined by the Department of Human Services, from among available providers participating in the program....
414.650 [1983 c.590 §7; 1987 c.660 §19; 1989 c.513 §1; 1991 c.66 §26; repealed by 1995 c.727 §48]
414.660 Demonstration projects for medical service contracts.
The Department of Human Services shall pursue demonstration projects for medical service contracts in at least the four standard metropolitan statistical areas in this state...
414.670 Phasing in eligible clients.
For the purpose of insuring that a maximum number of eligible persons are served by the Oregon Health Care Cost Containment System through prepaid capitated...
414.705 Definitions for ORS 414.705 to 414.750.
(1) As used in ORS 414.705 to 414.750, �health services� means at least so much of each of the following as are approved and funded...
414.706 Legislative approval and funding of health services to certain persons.
The Legislative Assembly shall approve and fund health services to the following persons: (1) Persons who are categorically needy as described in ORS 414.025 (2)(n)...
414.707 Level of health services provided to certain persons.
(1) Subject to funds available: (a) Persons who are categorically needy as described in ORS 414.025 (2)(n) and (o), and persons under 19 years of...
414.708 Conditions for coverage for certain elderly persons, blind persons or persons who have disabilities.
(1) A person is eligible to receive the health services described in ORS 414.707 (1)(b) when the person is a resident of this state who:...
414.709 Adjustment of population of eligible persons in event of insufficient resources.
(1) Except as provided in subsection (2) of this section, if insufficient resources are available during a biennium, the population of eligible persons receiving health...
414.710 Services available to certain eligible persons.
The following services are available to persons eligible for services under ORS 414.025, 414.036, 414.042, 414.065 and 414.705 to 414.750 but such services are not...
414.712 Medical assistance for certain eligible persons.
The Department of Human Services shall provide medical assistance under ORS 414.705 to 414.750 to eligible persons who receive assistance under ORS 411.706 and to...
414.715 Health Services Commission; confirmation; qualifications; terms; expenses; subcommittees.
(1) The Health Services Commission is established, consisting of 11 members appointed by the Governor and confirmed by the Senate. Five members shall be physicians...
414.720 Public hearings; public involvement; biennial reports on health services priorities; funding.
(1) The Health Services Commission shall conduct public hearings prior to making the report described in subsection (3) of this section. The commission shall solicit...
414.725 Prepaid managed care health services contracts; financial reporting; rules.
(1)(a) Pursuant to rules adopted by the Department of Human Services, the department shall execute prepaid managed care health services contracts for health services funded...
414.727 Reimbursement of rural hospitals by prepaid managed care health services organization.
(1) A prepaid managed care health services organization, as defined in ORS 414.736, that contracts with the Department of Human Services under ORS 414.725 (1)...
414.728 Reimbursement of rural hospitals by Department of Human Services.
For services provided to persons who are entitled to receive medical assistance and whose medical assistance benefits are not administered by a prepaid managed care...
414.730 Subcommittee on Mental Health Care and Chemical Dependency.
The Health Services Commission shall establish a Subcommittee on Mental Health Care and Chemical Dependency to assist the commission in determining priorities for mental health...
414.735 Adjustment of reimbursement in event of insufficient resources; approval of Legislative Assembly or Emergency Board; notice to providers.
(1) If insufficient resources are available during a contract period: (a) The population of eligible persons determined by law shall not be reduced. (b) The...
414.736 Definitions.
As used in this section and ORS 414.725, 414.737, 414.738, 414.739, 414.740, 414.741, 414.742, 414.743 and 414.744: (1) �Designated area� means a geographic area of...
414.737 Mandatory enrollment in prepaid managed care health services organization.
(1) Except as provided in subsections (2) and (3) of this section, a person who is eligible for or receiving physical health, dental, mental health...
414.738 Use of physician care organizations.
(1) If the Department of Human Services has not been able to contract with the fully capitated health plan or plans in a designated area,...
414.739 Circumstances under which fully capitated health plan may contract as physician care organization.
(1) A fully capitated health plan may apply to the Department of Human Services to contract with the department as a physician care organization rather...
414.740 Contracts with certain prepaid group practice health plan.
(1) Notwithstanding ORS 414.738 (1), the Department of Human Services shall contract under ORS 414.725 with a prepaid group practice health plan that serves at...
414.741 Determination of benchmarks for setting per capita rates.
(1) The Health Services Commission shall retain an actuary to determine the benchmark for setting per capita rates necessary to reimburse prepaid managed care health...
414.742 Payment for mental health drugs.
The Department of Human Services may not establish capitation rates that include payment for mental health drugs. The department shall reimburse pharmacy providers for mental...
414.743 Payment to noncontracting hospital by fully capitated health plan; rules.
(1) As used in this section, �fully capitated health plan� means an organization that contracts with the Department of Human Services on a prepaid capitated...
414.744 Pharmacy benefit manager to manage prescription drug benefits.
(1) Subject to the provisions of subsection (4) of this section, the Department of Human Services shall contract with a pharmacy benefit manager to manage...
414.745 Liability of health care providers and plans.
Any health care provider or plan contracting to provide services to the eligible population under ORS 414.705 to 414.750 shall not be subject to criminal...
414.747 Supplemental rebates from pharmaceutical manufacturers.
(1) The Department of Human Services shall negotiate and enter into agreements with pharmaceutical manufacturers for supplemental rebates that are in addition to the discount...
414.750 Authority of Legislative Assembly to authorize services for other persons.
Nothing in ORS 414.036 and 414.705 to 414.750 is intended to limit the authority of the Legislative Assembly to authorize services for persons whose income...
414.751 Office for Oregon Health Policy and Research Advisory Committee.
(1) There is established in the Office for Oregon Health Policy and Research the Office for Oregon Health Policy and Research Advisory Committee composed of...
414.805 Liability of individual for medical services received while in custody of law enforcement officer.
(1) An individual who receives medical services while in the custody of a law enforcement officer is liable: (a) To the provider of the medical...
414.807 Department to pay for medical services related to law enforcement activity; certification of injury.
(1)(a) When charges and expenses are incurred for medical services provided to an individual for injuries related to law enforcement activity and subject to the...
414.810 [Formerly 414.040; renumbered 566.310]
414.815 Law Enforcement Medical Liability Account; limited liability; rules; report.
(1) The Law Enforcement Medical Liability Account is established separate and distinct from the General Fund. Interest earned, if any, shall inure to the benefit...
414.820 [Formerly 414.050; renumbered 566.320]
414.821 [2001 c.898 §1; 2003 c.14 §196; repealed by 2003 c.735 §5]
414.823 [2001 c.898 §2; 2003 c.14 §197; repealed by 2003 c.735 §5]
414.825 Policy.
It is the policy of the State of Oregon that: (1) The state, in partnership with the private sector, move toward providing affordable access to...
414.827 [2001 c.898 §4; 2003 c.14 §199; repealed by 2003 c.735 §5]
414.829 [2001 c.898 §5; 2003 c.14 §200; repealed by 2003 c.684 §13 and 2003 c.735 §5]
414.830 [Formerly 414.060; renumbered 566.330]
414.831 Family Health Insurance Assistance Program.
The Office of Private Health Partnerships shall focus on expanding group coverage provided by the Family Health Insurance Assistance Program. [2001 c.898 §5a; 2003 c.14...
414.833 [2001 c.898 §6; 2003 c.14 §202; repealed by 2003 c.735 §5]
414.834 [2001 c.898 §7; 2003 c.14 §203; repealed by 2003 c.735 §5]
414.835 [2001 c.898 §8; 2003 c.14 §204; repealed by 2003 c.735 §5]
414.837 [2001 c.898 §10; 2003 c.14 §205; repealed by 2003 c.735 §5]
414.839 Subsidies for health insurance coverage.
(1) Subject to funds available, the Department of Human Services may provide public subsidies for the purchase of health insurance coverage provided by public programs...
414.840 [Formerly 414.070; renumbered 566.340]
414.850 [Formerly 414.080; renumbered 566.350]
414.860 [Formerly 414.090; renumbered 566.360]

Last modified: August 7, 2008