Oregon Administrative Rules
Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS
Division 140 - VISUAL SERVICES
Section 410-140-0080 - Medicare/Medicaid Assistance Program Claims

Universal Citation: OR Admin Rules 410-140-0080

Current through Register Vol. 63, No. 9, September 1, 2024

(1) When a member has both Medicare and coverage through the Division, optometrists and ophthalmologists shall bill Medicare first for Medicare covered services.

(2) When an OHP member receives services on a fee-for-service basis under the Division's rules and has Medicare coverage:

(a) A provider may use any visual materials supplier to order visual materials; and

(b) The Division does not require PA for Medicare-covered services.

Statutory/Other Authority: ORS 413.042 & 414.065

Statutes/Other Implemented: ORS 414.025, 414.065 & 414.075

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