(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.
(2) The department by rule shall define the circumstances under which it may choose to reimburse for any medical services not covered under the prepaid capitation or costs of related services provided by or under referral from any physician participating in the program in which the eligible person is enrolled.
(3) The department shall establish requirements as to the minimum time period that an eligible person is assigned to specific providers in the system.
(4) Actions taken by providers, potential providers, contractors and bidders in specific accordance with this chapter in forming consortiums or in otherwise entering into contracts to provide medical care shall be considered to be conducted at the direction of this state, shall be considered to be lawful trade practices and shall not be considered to be the transaction of insurance for purposes of ORS 279A.025, 279A.140, 414.145 and 414.610 to 414.640. [1983 c.590 §4; 1991 c.66 §25; 2003 c.794 §276]Section: Previous 414.550 414.555 414.560 414.565 414.610 414.620 414.630 414.640 414.650 414.660 414.670 414.705 414.706 414.707 414.708 Next
Last modified: August 7, 2008