Oregon Administrative Rules
Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS
Division 123 - DENTAL/DENTURIST SERVICES
Section 410-123-1230 - Buying-Up

(1) Buying-up as defined in OAR 410-120-0000 is prohibited.

(2) Providers are not permitted to bill and accept payment from the Division or an MCE for a covered service when:

(3) If a member wants to purchase a non-covered service or item, the member shall sign and date a provider-completed Agreement to Pay Form before becoming responsible for full payment. A payment from the Division or the managed care plan for a covered service cannot be credited toward the non-covered service and then an additional member payment sought to obtain, for example, a gold crown (not covered) instead of the stainless steel crown (covered).