Oregon Administrative Rules
Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS
Division 141 - OREGON HEALTH PLAN
- Section 410-141-0000
- Section 410-141-0010
- Section 410-141-0020
- Section 410-141-0050
- Section 410-141-0060
- Section 410-141-0065
- Section 410-141-0070
- Section 410-141-0080
- Section 410-141-0085
- Section 410-141-0120
- Section 410-141-0140
- Section 410-141-0160
- Section 410-141-0180
- Section 410-141-0200
- Section 410-141-0220
- Section 410-141-0260
- Section 410-141-0261
- Section 410-141-0262
- Section 410-141-0263
- Section 410-141-0264
- Section 410-141-0265
- Section 410-141-0266
- Section 410-141-0270
- Section 410-141-0280
- Section 410-141-0300
- Section 410-141-0320
- Section 410-141-0340
- Section 410-141-0400
- Section 410-141-0405
- Section 410-141-0407
- Section 410-141-0410
- Section 410-141-0420 - Repealed
- Section 410-141-0440
- Section 410-141-0480
- Section 410-141-0500
- Section 410-141-0520
- Section 410-141-0660 - Repealed
- Section 410-141-0680 - Repealed
- Section 410-141-0700 - Repealed
- Section 410-141-0720 - Repealed
- Section 410-141-0740 - Repealed
- Section 410-141-0760 - Repealed
- Section 410-141-0780 - Repealed
- Section 410-141-0800 - Repealed
- Section 410-141-0820 - Repealed
- Section 410-141-0840 - Repealed
- Section 410-141-0860
- Section 410-141-3000
- Section 410-141-3010
- Section 410-141-3015
- Section 410-141-3020
- Section 410-141-3025
- Section 410-141-3030
- Section 410-141-3040
- Section 410-141-3041
- Section 410-141-3050
- Section 410-141-3060
- Section 410-141-3061
- Section 410-141-3065
- Section 410-141-3066
- Section 410-141-3070
- Section 410-141-3080
- Section 410-141-3110
- Section 410-141-3120
- Section 410-141-3140
- Section 410-141-3145
- Section 410-141-3150
- Section 410-141-3160
- Section 410-141-3170
- Section 410-141-3180
- Section 410-141-3200
- Section 410-141-3220
- Section 410-141-3225
- Section 410-141-3230
- Section 410-141-3235
- Section 410-141-3240
- Section 410-141-3245
- Section 410-141-3246
- Section 410-141-3247
- Section 410-141-3248
- Section 410-141-3250
- Section 410-141-3255
- Section 410-141-3258
- Section 410-141-3259
- Section 410-141-3260
- Section 410-141-3261
- Section 410-141-3262
- Section 410-141-3263
- Section 410-141-3264
- Section 410-141-3267
- Section 410-141-3268
- Section 410-141-3269
- Section 410-141-3270
- Section 410-141-3280
- Section 410-141-3300
- Section 410-141-3320
- Section 410-141-3340
- Section 410-141-3345
- Section 410-141-3350
- Section 410-141-3355
- Section 410-141-3360
- Section 410-141-3365
- Section 410-141-3370
- Section 410-141-3375
- Section 410-141-3380
- Section 410-141-3385
- Section 410-141-3390
- Section 410-141-3395
- Section 410-141-3420
- Section 410-141-3430
- Section 410-141-3435
- Section 410-141-3440
- Section 410-141-3445
- Section 410-141-3450
- Section 410-141-3455
- Section 410-141-3460
- Section 410-141-3465
- Section 410-141-3470
- Section 410-141-3475
- Section 410-141-3480
- Section 410-141-3485
- Section 410-141-3500 - Definitions
- Section 410-141-3500 - Definitions
- Section 410-141-3501 - Administration of Oregon Integrated and Coordinated Health Care Delivery System Regulation; Rule Precedence
- Section 410-141-3505 - Use of Subcontractors
- Section 410-141-3510 - Provider Contracting and Credentialing
- Section 410-141-3515 - Network Adequacy
- Section 410-141-3520 - Record Keeping and Use of Health Information Technology
- Section 410-141-3525 - Outcome and Quality Measures
- Section 410-141-3530 - Sanctions
- Section 410-141-3531 - Sanctions for Failure to Comply with State or Federal Information Security or Privacy Laws
- Section 410-141-3540 - Member Protections
- Section 410-141-3545 - Coordinated Care Organization Behavioral Health Provider, Treatment and Facility Certification and Licensure
- Section 410-141-3550 - Resolving Disputes between MCEs and the Authority
- Section 410-141-3555 - Resolving Disputes between Health Care Entities and CCOs that Concern CCO Contact Award
- Section 410-141-3560 - Resolving Contract Disputes Between Health Care Entities and CCOs
- Section 410-141-3565 - Managed Care Entity Billing
- Section 410-141-3566 - Telemedicine and Telehealth Delivered Health Service and Reimbursement Requirements
- Section 410-141-3570 - Managed Care Entity Encounter Claims Data Reporting
- Section 410-141-3575 - MCE Member Relations: Marketing
- Section 410-141-3580 - MCE Member Relations: Potential Member Information
- Section 410-141-3585 - MCE Member Relations: Education and Information
- Section 410-141-3590 - MCE Member Relations: Member Rights and Responsibilities
- Section 410-141-3591 - MCE Interoperability Requirements
- Section 410-141-3600 - MCE Assessment: Definitions
- Section 410-141-3601 - MCE Assessment: General Administration
- Section 410-141-3605 - MCE Assessment: Disclosure of Information
- Section 410-141-3610 - MCE Assessment: Calculation, Report, Due Date, Verification
- Section 410-141-3615 - MCE Assessment: Filing an Amended Report
- Section 410-141-3620 - MCE Assessment: Determining the Date Filed
- Section 410-141-3625 - MCE Assessment: Authority to Audit Records
- Section 410-141-3630 - MCE Assessment: Determining Assessment Liability on Failure to File
- Section 410-141-3635 - MCE Assessment: Financial Penalty for Failure to File a Report or Failure to Pay Assessment When Due
- Section 410-141-3640 - MCE Assessment: Notice of Proposed Action
- Section 410-141-3645 - MCE Assessment: Hearing Process
- Section 410-141-3650 - MCE Assessment: Final Order of Payment
- Section 410-141-3655 - Assessment: Remedies Available after Final Order of Payment
- Section 410-141-3700 - CCO Application and Contracting Procedures
- Section 410-141-3705 - Criteria for CCOs
- Section 410-141-3710 - Contract Termination and Close-Out Requirements
- Section 410-141-3715 - CCO Governance; Public Meetings and Transparency
- Section 410-141-3720 - Service Area Change for Existing CCOs
- Section 410-141-3725 - CCO Contract Renewal Notification
- Section 410-141-3730 - Community Health Assessment and Community Health Improvement Plans
- Section 410-141-3735 - Social Determinants of Health and Equity; Health Equity
- Section 410-141-3740 - Traditional Health Workers
- Section 410-141-3800 - CCO Enrollment for Children Receiving Health Services
- Section 410-141-3805 - Mandatory MCE Enrollment Exceptions
- Section 410-141-3810 - Disenrollment from MCEs
- Section 410-141-3815 - CCO Enrollment for Temporary Out-of-Area Behavioral Health Treatment Services
- Section 410-141-3820 - Covered Services
- Section 410-141-3826 - Responsibility for Particular Covered Services Based on Plan Type
- Section 410-141-3825 - Excluded Services and Limitations
- Section 410-141-3830 - Prioritized List of Health Services
- Section 410-141-3830 - Prioritized List of Health Services
- Section 410-141-3835 - MCE Service Authorization
- Section 410-141-3840 - Emergency and Urgent Care Services
- Section 410-141-3845 - Health-Related Services
- Section 410-141-3850 - Transition of Care
- Section 410-141-3855 - Pharmaceutical Services
- Section 410-141-3855 - Pharmaceutical Services
- Section 410-141-3860 - Care Coordination: Administration, Systems and Infrastructure
- Section 410-141-3865 - Care Coordination: Identification of Member Needs
- Section 410-141-3870 - Care Coordination: Service Coordination
- Section 410-141-3875 - MCE Grievances And Appeals: Definitions and General Requirements
- Section 410-141-3880 - Grievances & Appeals: Grievance Process Requirements
- Section 410-141-3885 - Grievances And Appeals: Notice of Action/Adverse Benefit Determination
- Section 410-141-3890 - Grievances And Appeals: Appeal Process
- Section 410-141-3895 - Grievances & Appeals: Expedited Appeal
- Section 410-141-3900 - Grievances And Appeals: Contested Case Hearings
- Section 410-141-3905 - Grievances & Appeals: Expedited Contested Case Hearings
- Section 410-141-3910 - Grievances And Appeals: Continuation of Benefits
- Section 410-141-3915 - Grievances & Appeals: System Recordkeeping
- Section 410-141-3920 - Transportation: NEMT General Requirements
- Section 410-141-3925 - Transportation: Vehicle Equipment and Driver Standards
- Section 410-141-3930 - Transportation: Out-of-Service Area and Out-of-State Transportation
- Section 410-141-3935 - Transportation: Attendants for Child and Special Needs Transports
- Section 410-141-3940 - Transportation: Secured Transports
- Section 410-141-3945 - Transportation: Ground and Air Ambulance Transports
- Section 410-141-3955 - Transportation: Member Service Modifications and Rights
- Section 410-141-3960 - Transportation: Member Reimbursed Mileage, Meals, and Lodging
- Section 410-141-3965 - Reports and Documentation
- Section 410-141-4000
- Section 410-141-4005
- Section 410-141-4010
- Section 410-141-4020
- Section 410-141-4030
- Section 410-141-4040
- Section 410-141-4050
- Section 410-141-4060
- Section 410-141-4070
- Section 410-141-4080
- Section 410-141-4090
- Section 410-141-4100
- Section 410-141-4110
- Section 410-141-4120
- Section 410-141-5000 - FINANCIAL SOLVENCY REGULATION: Definitions
- Section 410-141-5005 - FINANCIAL SOLVENCY REGULATION: CCO Financial Solvency Requirements
- Section 410-141-5010 - FINANCIAL SOLVENCY REGULATION: Procedure for General Financial Reporting and for Determining Financial Solvency Matters
- Section 410-141-5015 - FINANCIAL SOLVENCY REGULATION: Financial Statement Reporting
- Section 410-141-5020 - FINANCIAL SOLVENCY REGULATION: Annual Audited Financial Statements and Auditor's Report
- Section 410-141-5025 - FINANCIAL SOLVENCY REGULATION: Qualifications of Independent Certified Public Accountant
- Section 410-141-5030 - FINANCIAL SOLVENCY REGULATION: Notification of Adverse Financial Condition
- Section 410-141-5035 - FINANCIAL SOLVENCY REGULATION: Accountant's Letter of Qualifications
- Section 410-141-5040 - FINANCIAL SOLVENCY REGULATION: Independent Certified Public Accountants Workpapers
- Section 410-141-5045 - FINANCIAL SOLVENCY REGULATION: Corporate Governance Annual Disclosure Filing
- Section 410-141-5050 - FINANCIAL SOLVENCY REGULATION: Requirements for Reinsurance
- Section 410-141-5060 - FINANCIAL SOLVENCY REGULATION: Qualified Trust Agreements
- Section 410-141-5065 - FINANCIAL SOLVENCY REGULATION: Letters of Credit; Other Security
- Section 410-141-5070 - FINANCIAL SOLVENCY REGULATION: Assets, Liabilities, Reserves
- Section 410-141-5075 - FINANCIAL SOLVENCY REGULATION: Disallowance of Certain Reinsurance Transactions
- Section 410-141-5055 - FINANCIAL SOLVENCY REGULATION: Requirements for Obtaining Credit for Reinsurance
- Section 410-141-5080 - FINANCIAL SOLVENCY REGULATION: Transparency
- Section 410-141-5085 - ASSET VALUATION AND PERMITTED INVESTMENTS: Definitions
- Section 410-141-5090 - ASSET VALUATION AND PERMITTED INVESTMENTS: Calculation of Value; Books and Records
- Section 410-141-5095 - ASSET VALUATION AND PERMITTED INVESTMENTS: Assets Other Than Securities; Bonds; Real Property; Mortgages; Compensating Balances
- Section 410-141-5100 - ASSET VALUATION AND PERMITTED INVESTMENTS: Investments Used to Provide Compensating Balances
- Section 410-141-5105 - ASSET VALUATION AND PERMITTED INVESTMENTS: Investment of Required Capitalization
- Section 410-141-5110 - ASSET VALUATION AND PERMITTED INVESTMENTS: Investment in Mortgage Loans
- Section 410-141-5115 - ASSET VALUATION AND PERMITTED INVESTMENTS: Investment in Real Property
- Section 410-141-5120 - ASSET VALUATION AND PERMITTED INVESTMENTS: Investment in Corporate Stocks
- Section 410-141-5125 - ASSET VALUATION AND PERMITTED INVESTMENTS: Loans; Security; Limitations
- Section 410-141-5130 - ASSET VALUATION AND PERMITTED INVESTMENTS: Investments; Certain Obligations, Property, Loans and Other Specified Items
- Section 410-141-5135 - ASSET VALUATION AND PERMITTED INVESTMENTS: Personal Property; Protection of Investment Property; Custom
- Section 410-141-5140 - ASSET VALUATION AND PERMITTED INVESTMENTS: "Prudent Investor" Standard
- Section 410-141-5145 - ASSET VALUATION AND PERMITTED INVESTMENTS: Prohibited Conduct by Directors, Trustees, Officers, Agents or Employees
- Section 410-141-5150 - ASSET VALUATION AND PERMITTED INVESTMENTS: Investment of Funds in Obligations That Are Not Investment Quality; Percentage of Assets
- Section 410-141-5155 - ASSET VALUATION AND PERMITTED INVESTMENTS: Approval by Board
- Section 410-141-5160 - ASSET VALUATION AND PERMITTED INVESTMENTS: Record of Investments
- Section 410-141-5165 - ASSET VALUATION AND PERMITTED INVESTMENTS: Prohibited Investments
- Section 410-141-5170 - CAPITALIZATION: Capital and Surplus
- Section 410-141-5175 - CAPITALIZATION: Impaired Capital and Surplus
- Section 410-141-5180 - CAPITALIZATION: Dividend and Distribution Restrictions
- Section 410-141-5185 - CAPITALIZATION: Restricted Reserve Account
- Section 410-141-5186 - CAPITALIZATION: Restricted Reserve Account-Permitted Investments in Obligations with Political Subdivisions; Public Supported Housing
- Section 410-141-5190 - CAPITALIZATION: Surplus Notes
- Section 410-141-5195 - CAPITALIZATION: Risk-based Capital (RBC) Definitions
- Section 410-141-5200 - CAPITALIZATION: RBC Reports
- Section 410-141-5205 - CAPITALIZATION: Company Action Level Event
- Section 410-141-5210 - CAPITALIZATION: Regulatory Action Level Event
- Section 410-141-5215 - CAPITALIZATION: Authorized Control Level Event
- Section 410-141-5220 - CAPITALIZATION: Mandatory Control Level Event
- Section 410-141-5225 - REPORTING AND APPROVAL OF CERTAIN TRANSACTIONS: Extraordinary Dividends and Other Distributions
- Section 410-141-5230 - REPORTING AND APPROVAL OF CERTAIN TRANSACTIONS: Reports of Material Acquisitions And Dispositions Of Assets, and Changes to Ceded Reinsurance Agreements; Assumption Reinsurance
- Section 410-141-5235 - REPORTING AND APPROVAL OF CERTAIN TRANSACTIONS: Reports of Material Materiality and Reporting Standards for Asset Acquisitions and Dispositions
- Section 410-141-5240 - REPORTING AND APPROVAL OF CERTAIN TRANSACTIONS: Materiality and Reporting Standards for Changes in Ceded Reinsurance Agreements
- Section 410-141-5245 - EXAMINATIONS: CCO Production of Books and Records
- Section 410-141-5250 - EXAMINATIONS: Authority Examinations of CCOs
- Section 410-141-5255 - CCO ACQUISITIONS AND MERGERS: Purpose; Definitions
- Section 410-141-5260 - CCO ACQUISITIONS AND MERGERS: Activities Prohibited Unless Certain Provisions Satisfied
- Section 410-141-5265 - CCO ACQUISITIONS AND MERGERS: Procedure For Acquiring Controlling Interest
- Section 410-141-5270 - CCO ACQUISITIONS AND MERGERS: Information to Be Included in Form A
- Section 410-141-5275 - CCO ACQUISITIONS AND MERGERS: Hearing, Request, Notice
- Section 410-141-5280 - CCO ACQUISITIONS AND MERGERS: Determination Concerning Proposed Activity, Time For Decision, Grounds For Refusal
- Section 410-141-5285 - CCO HOLDING COMPANY REGULATION: Definitions
- Section 410-141-5290 - CCO HOLDING COMPANY REGULATION: Members of Holding Company Systems; Registration Requirements
- Section 410-141-5295 - CCO HOLDING COMPANY REGULATION: Form and Contents of Registration Statement
- Section 410-141-5300 - CCO HOLDING COMPANY REGULATION: Registration Statement Filing
- Section 410-141-5305 - CCO HOLDING COMPANY REGULATION: Information Required to Be Disclosed
- Section 410-141-5310 - CCO HOLDING COMPANY REGULATION: Presumption of Control; Rebuttal
- Section 410-141-5315 - CCO HOLDING COMPANY REGULATION: Disclaimer of Affiliation
- Section 410-141-5320 - CCO HOLDING COMPANY REGULATION: Transactions Within Holding Company
- Section 410-141-5325 - CCO HOLDING COMPANY REGULATION: Director and Officer Liability; Effect of Control of CCO Subject to Registration; Board of Directors
- Section 410-141-5330 - CCO HOLDING COMPANY REGULATION: Annual Enterprise Risk Report
- Section 410-141-5335 - CCO HOLDING COMPANY REGULATION: Disclaimers and Termination of Registration
- Section 410-141-5340 - CCO HOLDING COMPANY REGULATION: Forms; General Requirements
- Section 410-141-5345 - CCO HOLDING COMPANY REGULATION: Forms; Incorporation by Reference, Summaries, And Omissions
- Section 410-141-5350 - CCO HOLDING COMPANY REGULATION: Forms; Information Unknown or Unavailable and Extension of Time to Furnish
- Section 410-141-5355 - CCO HOLDING COMPANY REGULATION: Forms; Additional Information; Amendments
- Section 410-141-5360 - CCO INSOLVENCY AND DISSOLUTION: Access to Funds and Transition of Members and Records
- Section 410-141-5365 - CCO INSOLVENCY AND DISSOLUTION: Hazardous Operations
- Section 410-141-5370 - CCO INSOLVENCY AND DISSOLUTION: Recovery From Parent Corporation Or Holding Company In The Event Of Liquidation Or Rehabilitation
- Section 410-141-5375 - CCO INSOLVENCY AND DISSOLUTION: Voluntary Dissolution; Approval of Plan
- Section 410-141-5380 - CIVIL PENALTIES
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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