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U.S. State Codes
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Oregon
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Volume : 11 - Juvenile Code...
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Chapter 414 - Medical Assistance
Chapter 414 - Medical Assistance
Section 414.018 - Legislative intent; findings.
Section 414.025 - Definitions for ORS chapters 411, 413 and 414.
Section 414.026
Section 414.027
Section 414.028
Section 414.029
Section 414.033 - Expenditures for medical assistance authorized.
Section 414.034 - Acceptance of federal billing, reimbursement and reporting forms.
Section 414.040
Section 414.041 - Simplified application process; outreach and enrollment.
Section 414.042
Section 414.044 - Notice to Department of Veterans’ Affairs of information regarding applications for health care coverage by uniformed service members and veterans; rules.
Section 414.047
Section 414.049
Section 414.050
Section 414.051
Section 414.055
Section 414.057
Section 414.060
Section 414.065 - Determination of health care and services covered; quality measures; reimbursement; cost sharing; payments by Oregon Health Authority as payment in full; rules.
Section 414.066 - Billing patient for services covered by medical assistance prohibited.
Section 414.067 - Coordinated care organization assumption of costs; reports to Legislative Assembly.
Section 414.070
Section 414.071 - Timely payment for dental services.
Section 414.073
Section 414.075 - Payment of deductibles imposed under federal law.
Section 414.080
Section 414.090
Section 414.095 - Exemptions applicable to payments.
Section 414.105
Section 414.106
Section 414.109 - Oregon Health Plan Fund.
Section 414.115 - Medical assistance by insurance or service contracts; rules.
Section 414.117 - Premium assistance for health insurance coverage.
Section 414.125 - Rates on insurance or service contracts; requirements for insurer or contractor.
Section 414.135 - Contracts relating to direct providers of care and services.
Section 414.145 - Implementation of ORS 414.115, 414.125 or 414.135.
Section 414.150 - Purpose of ORS 414.150 to 414.153.
Section 414.151
Section 414.152 - Duty of state agencies to work with local health departments.
Section 414.153 - Services provided by local health departments.
Section 414.211 - Medicaid Advisory Committee.
Section 414.221 - Duties of committee.
Section 414.225 - Oregon Health Authority to consult with committee.
Section 414.227 - Application of public meetings law to advisory committees.
Section 414.231 - Eligibility for Health Care for All Oregon Children program; 12-month continuous enrollment; verification of eligibility.
Section 414.305
Section 414.312 - Oregon Prescription Drug Program.
Section 414.314 - Application and participation in Oregon Prescription Drug Program; prescription drug charges; fees.
Section 414.318 - Prescription Drug Purchasing Fund.
Section 414.320 - Rules.
Section 414.325 - Prescription drugs; use of legend or generic drugs; prior authorization; rules.
Section 414.326 - Supplemental rebates from pharmaceutical manufacturers.
Section 414.327 - Electronically transmitted prescriptions; rules.
Section 414.328 - Synchronization of prescription drug refills.
Section 414.329 - Prescription drug benefits for certain persons who are eligible for Medicare Part D prescription drug coverage; rules.
Section 414.330 - Legislative findings on prescription drugs.
Section 414.332 - Policy for Practitioner-Managed Prescription Drug Plan.
Section 414.334 - Practitioner-Managed Prescription Drug Plan for medical assistance program.
Section 414.337 - Limitation on rules regarding Practitioner-Managed Prescription Drug Plan.
Section 414.351 - Definitions for ORS 414.351 to 414.414.
Section 414.353 - Committee established; membership.
Section 414.354 - Meetings; advisory committees; public notice and testimony.
Section 414.356 - Executive session.
Section 414.359 - Mental Health Clinical Advisory Group.
Section 414.361 - Committee to advise and make recommendations on drug utilization review standards and interventions; preferred drug list.
Section 414.364 - Intervention approaches.
Section 414.369 - Prospective drug use review program.
Section 414.371 - Retrospective drug use review program.
Section 414.372 - Pharmacy lock-in program; rules.
Section 414.381 - Annual reports; educational materials; procedures to protect confidential information.
Section 414.382 - Requirements for annual report.
Section 414.414 - Use and disclosure of confidential information.
Section 414.420
Section 414.422
Section 414.424
Section 414.426 - Payment of cost of medical care for institutionalized persons.
Section 414.428 - Coverage for American Indian and Alaskan Native beneficiaries.
Section 414.430 - Access to dental care for pregnant women; rules.
Section 414.432 - Reproductive health services for noncitizens.
Section 414.440
Section 414.500 - Findings regarding medical assistance for persons with hemophilia.
Section 414.510 - Definitions.
Section 414.520 - Hemophilia services.
Section 414.530 - When payments not made for hemophilia services.
Section 414.532 - Definitions for ORS 414.534 to 414.538.
Section 414.534 - Treatment for breast or cervical cancer; eligibility criteria for medical assistance; rules.
Section 414.536 - Presumptive eligibility for medical assistance for treatment of breast or cervical cancer.
Section 414.538 - Prohibition on coverage limitations; priority to low-income women.
Section 414.540 - Rules.
Section 414.550 - Definitions for ORS 414.550 to 414.565.
Section 414.555 - Findings regarding medical assistance for persons with cystic fibrosis.
Section 414.560 - Cystic fibrosis services.
Section 414.565 - When payments not made for cystic fibrosis services.
Section 414.570 - System established.
Section 414.572 - Coordinated care organizations; rules.
Section 414.575 - Community advisory councils.
Section 414.577 - Community health assessment and adoption of community health improvement plan; rules.
Section 414.578 - Community health improvement plan.
Section 414.581 - Tribal Advisory Council established; membership; terms.
Section 414.584 - Meetings of coordinated care organization governing body to be open to public; recording and taking of minutes required.
Section 414.590 - Coordinated care organization contracts; terms and amendments; 60 days’ advance notice; refusal to renew.
Section 414.591 - Coordinated care organization contracts; financial reporting; rules.
Section 414.593 - Reporting and public disclosure of expenditures by coordinated care organizations.
Section 414.595 - External quality reviews of coordinated care organizations; limits on documentation and reporting requirements.
Section 414.598 - Alternative payment methodologies.
Section 414.605 - Consumer and provider protections.
Section 414.607 - Use and disclosure of member information; access by member to personal health information.
Section 414.609 - Network adequacy; member transfers.
Section 414.611 - Transfer of 500 or more members of coordinated care organization.
Section 414.613 - Discrimination based on scope of practice prohibited; appeals; rules.
Section 414.619 - Coordination between Oregon Health Authority and Department of Human Services.
Section 414.620
Section 414.625
Section 414.627
Section 414.628 - Innovator agents.
Section 414.629
Section 414.630
Section 414.631 - Mandatory enrollment in coordinated care organization; exemptions.
Section 414.632 - Services to individuals who are dually eligible for Medicare and Medicaid.
Section 414.635
Section 414.637
Section 414.638 - Metrics and scoring subcommittee; identification of outcome and quality measures and benchmarks.
Section 414.640
Section 414.645
Section 414.646
Section 414.647
Section 414.651
Section 414.652
Section 414.653
Section 414.654 - Persons served by prepaid managed care health services organizations; funding of health information technology.
Section 414.655 - Utilization of patient centered primary care homes and behavioral health homes by coordinated care organizations.
Section 414.661
Section 414.665 - Traditional health workers utilized by coordinated care organizations; rules.
Section 414.667 - Definition for ORS 414.667 to 414.669.
Section 414.668 - Access to doula services.
Section 414.669 - Payment for doula services.
Section 414.672 - Tribal-based practices for mental health and substance abuse prevention, counseling and treatment.
Section 414.679
Section 414.685
Section 414.686 - Health assessments for foster children.
Section 414.688 - Commission established; membership.
Section 414.689 - Members; meetings.
Section 414.690 - Prioritized list of health services.
Section 414.694 - Commission review of covered reproductive health services.
Section 414.695 - Medical technology assessment.
Section 414.698 - Comparative effectiveness of medical technologies.
Section 414.701 - Commission may not rely solely on comparative effectiveness research.
Section 414.704 - Advisory committee.
Section 414.706 - Persons eligible for medical assistance; rules.
Section 414.709 - Adjustment of population of eligible persons in event of insufficient resources prohibited.
Section 414.710 - Services not subject to prioritized list.
Section 414.712 - Health services for certain eligible persons.
Section 414.725
Section 414.728 - Reimbursement of rural hospitals on fee-for-service basis.
Section 414.730
Section 414.735 - Reduction in scope of health services in event of insufficient resources; approval of Legislative Assembly or Emergency Board; notice to providers.
Section 414.737
Section 414.742 - Payment for mental health drugs.
Section 414.743 - Payment to noncontracting hospital by coordinated care organization; rules.
Section 414.745 - Liability of health care providers and plans.
Section 414.747
Section 414.751
Section 414.755 - Payment for hospital services.
Section 414.756 - Payments to Oregon Health and Science University.
Section 414.760 - Payment for patient centered primary care home and behavioral health home services.
Section 414.762 - Payment for child abuse assessment.
Section 414.764 - Payment for services provided by pharmacy or pharmacist.
Section 414.766 - Behavioral health treatment; rules.
Section 414.768
Section 414.770 - Participants in clinical trials.
Section 414.772 - Limits on use of step therapy.
Section 414.805 - Liability of individual for medical services received while in custody of law enforcement officer.
Section 414.807 - Oregon Health Authority to pay for medical services related to law enforcement activity; certification of injury.
Section 414.810
Section 414.815 - Law Enforcement Medical Liability Account; limited liability; rules; report.
Section 414.820
Section 414.830
Section 414.839
Section 414.840
Section 414.850
Section 414.853 - Definitions.
Section 414.855 - Hospital assessment; rates; rules.
Section 414.857 - Reduction in rate required by federal law.
Section 414.860
Section 414.863 - Refund of hospital assessment; right to contested case hearing.
Section 414.865 - Audits.
Section 414.867 - Deposit of assessments collected to Hospital Quality Assurance Fund.
Section 414.869 - Establishment of Hospital Quality Assurance Fund.
Section 414.871 - Applicability of hospital assessment.
Section 414.880 - Managed care organization assessment; rate.
Section 414.882 - Refund of managed care organization assessment; right to contested case hearing.
Section 414.884 - Applicability of managed care organization assessment.
Section 414.900 - Hospital assessment; penalties.
Section 414.902 - Managed care organization assessment; penalties.