Oregon Administrative Rules
Chapter 836 - DEPARTMENT OF CONSUMER AND BUSINESS SERVICES, INSURANCE REGULATION
Division 53 - HEALTH BENEFIT PLANS
Section 836-053-0017 - Additions to Essential Health Benefits for Plan Years Beginning on and after January 1, 2022
Universal Citation: OR Admin Rules 836-053-0017
Current through Register Vol. 63, No. 9, September 1, 2024
(1) In addition to any other benefits required under state or federal law, a health benefit plan required to provide essential health benefits within the meaning of ORS 731.097 must, at a minimum, provide coverage for the following items and services:
(a) Up to 20 visits per year for spinal
manipulation if within the scope of license of the healthcare
provider;
(b) Up to 12 visits per
year for acupuncture;
(c) Coverage
of Buprenorphine or brand equivalent products for medication-assisted treatment
of opioid use disorder without prior authorization, dispensing limits, fail
first policies, or lifetime limits; and
(d) At least one intranasal opioid reversal
agent for initial prescriptions of opioids with dosages of 50 or more morphine
milligram equivalents (MME).
(2) The requirements of this rule apply to health benefit plans issued or renewed on or after January 1, 2022.
Statutory/Other Authority: ORS 731.097
Statutes/Other Implemented: ORS 731.097
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.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.
