Oregon Administrative Rules
Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS
Division 136 - MEDICAL TRANSPORTATION SERVICES
Section 410-136-3140 - Transports of Clients Changing Hospitals or Other Facilities
Universal Citation: OR Admin Rules 410-136-3140
Current through Register Vol. 63, No. 9, September 1, 2024
(1) Brokerages shall arrange and pay for transporting an eligible client who has had a change in condition, noted in the client's Oregon Department of Human Services (ODHS) care plan, resulting in a need for a new service setting with a lower or higher level of care. This includes clients who are changing levels of care between their community-based care settings or between institutional and community-based settings. The client's ODHS worker must request the ride.
(2) Brokerages shall not arrange or pay for:
(a) The transport or
return of an inpatient client from an admitting hospital to another hospital
(or facility) for diagnostic or other short-term services when the patient will
return to the admitting hospital within the first 24-hours of admission. The
subcontractor shall bill the admitting hospital directly for these
transports;
(b) The transport of a
client receiving long-term care service in their home or residing in a
long-term care facility for the sole purpose of shopping for another long-term
care facility, even if the client is looking for a new facility to receive a
lower or higher level of care;
(c)
The transport of a client moving from one type of facility to a facility of the
same type, such as from an adult foster home to another adult foster home;
and
(d) The transport of a client
who is relocating to another state, unless the transport is to receive an OHP
covered medical service pursuant to OAR
410-136-3080, Out-of-State
Transportation.
Statutory/Other Authority: ORS 413.042
Statutes/Other Implemented: ORS 414.065
Disclaimer: These regulations may not be the most recent version. Oregon may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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