(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 than as a fully capitated health plan to provide services under ORS 414.705 to 414.750.
(2) The Office for Oregon Health Policy and Research shall develop the criteria that the department must use to determine the circumstances under which the department may accept an application by a fully capitated health plan to contract as a physician care organization. The criteria developed by the office shall include but not be limited to the following:
(a) The fully capitated health plan must show documented losses due to hospital risk and must show due diligence in managing those risks; and
(b) Contracting as a physician care organization is financially viable for the fully capitated health plan. [2003 c.810 §5a]
Note: See note under 414.736.Section: Previous 414.727 414.728 414.730 414.735 414.736 414.737 414.738 414.739 414.740 414.741 414.742 414.743 414.744 414.745 414.747 Next
Last modified: August 7, 2008