Oregon Administrative Rules
Chapter 409 - OREGON HEALTH AUTHORITY, HEALTH POLICY AND ANALYTICS
Division 36 - HEALTH CARE PROVIDER INCENTIVE PROGRAM
Section 409-036-0110 - Monitoring and Follow-up Requirements
Universal Citation: OR Admin Rules 409-036-0110
Current through Register Vol. 63, No. 9, September 1, 2024
(1) To maintain participation in the program, a provider must:
(a) Notify the Authority
immediately upon beginning work at a qualifying practice site.
(b) Promptly submit semi-annual reports
signed by the provider and the administrator of the qualifying practice site
verifying the provider's employment, or licensed business (in the case of a
sole provider), and providing any additional information as requested by the
Authority, including but not limited to:
(A)
Site's and Provider's caseload (panel size or equivalent);
(B) Site's and Provider's Medicaid caseload
and Medicare caseload;
(C) Provider
full-time equivalent (FTE) status; and
(D) Number and percentages of practice site's
patients whose health care is covered by Medicaid and by Medicare, and the
number of patients at the practice site who are uninsured.
(2) The first report is due six months after employment begins, and every six months thereafter, until the term of the contract is complete.
(3) A provider participating in the program must notify the Authority immediately of any change in employment or practice status.
Statutory/Other Authority: ORS 676.454
Statutes/Other Implemented: ORS 676.454
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