Oregon Administrative Rules
Chapter 836 - DEPARTMENT OF CONSUMER AND BUSINESS SERVICES, INSURANCE REGULATION
Division 53 - HEALTH BENEFIT PLANS
Section 836-053-1525 - Definitions
Current through Register Vol. 63, No. 9, September 1, 2024
The following definitions apply to OAR 836-053-1520 to 836-053-1530:
(1) "APAC Data Reporting Program" means the all payer all claims data reporting program pursuant to ORS 442.464, 442.466, and 442.993.
(2) "APM" means alternative payment methodologies.
(3) "Annual supplemental provider level APM Summary report" means a data set composed of total and primary care-related dollars disbursed, by payment arrangement and line of business in the APAC Data Reporting Program pursuant to OAR 409-025-0120(8) and OAR 409-025-0120(9).
(4) "Comprehensive Primary Care Plus (CPC+)" means a national primary care medical home payment model, conducted by the Center for Medicare and Medicaid Innovation in accordance with 42 U.S.C. 1315a, that includes performance-based incentive payments for primary care.
(5) "Patient-Centered Primary Care Home (PCPCH)" means a health care team or clinic, defined in ORS 414.655, that meets the standards and has been recognized under OAR 409-055-0040.
Statutory/Other Authority: ORS 731.244
Statutes/Other Implemented: Or Law ch 489 §7
