Oregon Code — 414
Browse 166 sections in division 414 of the Oregon code. Each section page includes the full statutory text, official source links, and citation guidance.
Sections (showing up to 300)
- § 414.018. Legislative intent; findings
- § 414.025. Definitions for ORS chapters 411, 413 and 414
- § 414.033. Expenditures for medical assistance authorized
- § 414.034. Acceptance of federal billing, reimbursement and reporting forms
- § 414.041. Simplified application process; outreach and enrollment
- § 414.044. Notice to Department of Veterans Affairs of information regarding applications for health care coverage by uniformed service members and veterans; rules
- § 414.065. Determination of health services covered; quality measures; reimbursement; cost sharing; payments by Oregon Health Authority as payment in full; rules
- § 414.066. Billing patient for services covered by medical assistance prohibited
- § 414.067. Coordinated care organization assumption of costs; reports to Legislative Assembly
- § 414.071. Timely payment for dental services
- § 414.072. Prior authorization data and reports
- § 414.074. Timely prior authorization determinations for repair of complex rehabilitation technology
- § 414.075. Payment of deductibles imposed under federal law
- § 414.095. Exemptions applicable to payments
- § 414.109. Oregon Health Plan Fund
- § 414.115. Medical assistance by insurance or service contracts; rules
- § 414.117. Premium assistance for health insurance coverage
- § 414.125. Rates on insurance or service contracts; requirements for insurer or contractor
- § 414.135. Contracts relating to direct providers of care and services
- § 414.145. Implementation of ORS 414.115, 414.125 or 414.135
- § 414.150. Purpose of ORS 414.150 to 414.153
- § 414.152. Duty of state agencies to work with local health departments
- § 414.153. Services provided by local health departments
- § 414.211. Medicaid Advisory Committee
- § 414.221. Duties of committee
- § 414.225. Oregon Health Authority to consult with committee
- § 414.227. Application of public meetings law to advisory committees
- § 414.231. Eligibility for Cover All People program; 12-month continuous enrollment; verification of eligibility
- § 414.241. Oregon Health Authority to administer bridge program
- § 414.245. Bridge Program Fund
- § 414.312. Oregon Prescription Drug Program
- § 414.314. Application and participation in Oregon Prescription Drug Program; prescription drug charges; fees
- § 414.318. Prescription Drug Purchasing Fund
- § 414.320. Rules
- § 414.324. Prohibition on requiring prior authorization or step therapy for human immunodeficiency virus drugs
- § 414.325. Prescription drugs; use of legend or generic drugs; prior authorization; rules
- § 414.326. Supplemental rebates from pharmaceutical manufacturers
- § 414.327. Electronically transmitted prescriptions; rules
- § 414.328. Synchronization of prescription drug refills
- § 414.329. Prescription drug benefits for certain persons who are eligible for Medicare Part D prescription drug coverage; rules
- § 414.330. Legislative findings on prescription drugs
- § 414.332. Policy for Practitioner-Managed Prescription Drug Plan
- § 414.334. Practitioner-Managed Prescription Drug Plan for medical assistance program
- § 414.337. Limitation on rules regarding Practitioner-Managed Prescription Drug Plan
- § 414.351. Definitions for ORS 414.351 to 414.414
- § 414.353. Committee established; membership
- § 414.354. Meetings; advisory committees; public notice and testimony
- § 414.356. Executive session
- § 414.359. Mental Health Clinical Advisory Group
- § 414.361. Committee to advise and make recommendations on drug utilization review standards and interventions; preferred drug list
- § 414.364. Intervention approaches
- § 414.369. Prospective drug use review program
- § 414.371. Retrospective drug use review program
- § 414.372. Pharmacy lock-in program; rules
- § 414.381. Annual reports; educational materials; procedures to protect confidential information
- § 414.382. Requirements for annual report
- § 414.414. Use and disclosure of confidential information
- § 414.426. Payment of cost of medical care for institutionalized persons
- § 414.428. Coverage for American Indian and Alaska Native beneficiaries
- § 414.430. Access to dental care for pregnant medical assistance recipients; rules
- § 414.432. Reproductive health services for noncitizens
- § 414.434. Eligibility for individuals under age 26 who have aged out of foster care in Oregon or another state
- § 414.436. Oregon Health Authority to review rules and contracts to ensure timely access to services for individuals under 21 years of age
- § 414.500. Findings regarding medical assistance for persons with hemophilia
- § 414.510. Definitions
- § 414.520. Hemophilia services
- § 414.530. When payments not made for hemophilia services
- § 414.532. Definitions for ORS 414.534 to 414.538
- § 414.534. Treatment for breast or cervical cancer; eligibility criteria for medical assistance; rules
- § 414.536. Presumptive eligibility for medical assistance for treatment of breast or cervical cancer
- § 414.538. Prohibition on coverage limitations; priority to low-income women
- § 414.540. Rules
- § 414.550. Definitions for ORS 414.550 to 414.565
- § 414.555. Findings regarding medical assistance for persons with cystic fibrosis
- § 414.560. Cystic fibrosis services
- § 414.565. When payments not made for cystic fibrosis services
- § 414.570. System established
- § 414.572. Coordinated care organizations; rules
- § 414.575. Community advisory councils
- § 414.577. Community health assessment and adoption of community health improvement plan; rules
- § 414.578. Community health improvement plan to address health of children and youth
- § 414.581. Tribal Advisory Council established; membership; terms
- § 414.584. Meetings of coordinated care organization governing body to be open to public; recording and taking of minutes required
- § 414.590. Coordinated care organization contracts; terms and amendments; 60 days advance notice; refusal to renew
- § 414.591. Coordinated care organization contracts; financial reporting; rules
- § 414.592. Requirements for contracts between authority and providers; alignment with behavioral quality health metrics and incentives
- § 414.593. Reporting and public disclosure of expenditures by coordinated care organizations
- § 414.595. External quality reviews of coordinated care organizations; limits on documentation and reporting requirements
- § 414.598. Alternative payment methodologies
- § 414.605. Consumer and provider protections
- § 414.607. Use and disclosure of member information; access by member to personal health information
- § 414.609. Network adequacy; member transfers
- § 414.611. Transfer of 500 or more members of coordinated care organization
- § 414.613. Discrimination based on scope of practice prohibited; appeals; rules
- § 414.619. Coordination between Oregon Health Authority and Department of Human Services
- § 414.628. Innovator agents
- § 414.631. Mandatory enrollment in coordinated care organization; exemptions
- § 414.632. Services to individuals who are dually eligible for Medicare and Medicaid
- § 414.654. Persons served by prepaid managed care health services organizations; funding of health information technology
- § 414.655. Utilization of patient centered primary care homes and behavioral health homes by coordinated care organizations
- § 414.665. Traditional health workers utilized by coordinated care organizations; rules
- § 414.667. Definitions for ORS 414.667 to 414.671
- § 414.668. Access to services provided by doulas, lactation counselors and lactation educators
- § 414.669. Payment for doula, lactation counselor and lactation educator services
- § 414.671. Report on status of doulas
- § 414.672. Tribal-based practices for mental health and substance abuse prevention, counseling and treatment
- § 414.686. Health assessments for foster children
- § 414.688. Commission established; membership
- § 414.689. Members; meetings
- § 414.690. Prioritized list of health services
- § 414.694. Commission review of covered reproductive health services
- § 414.695. Medical technology assessment
- § 414.698. Comparative effectiveness of medical technologies
- § 414.701. Commission to rely on range of research; research referencing quality of life in general measure under limited circumstances
- § 414.704. Advisory committee
- § 414.706. Persons eligible for medical assistance; rules
- § 414.709. Adjustment of population of eligible persons in event of insufficient resources prohibited
- § 414.710. Services not subject to prioritized list
- § 414.712. Health services for certain eligible persons
- § 414.717. Palliative care program; rules
- § 414.719. Housing navigation services and social determinants of health; rules
- § 414.722. Post-hospital extended care benefit
- § 414.723. Telemedicine services; rules
- § 414.726. Requirement to use certified or qualified health care interpreters; reimbursement; rules
- § 414.728. Reimbursement of rural hospitals on fee-for-service basis
- § 414.735. Reduction in scope of health services in event of insufficient resources; approval of Legislative Assembly or Emergency Board; notice to providers
- § 414.742. Payment for mental health drugs
- § 414.743. Payment to noncontracting hospital by coordinated care organization; rules
- § 414.745. Liability of health care providers and plans
- § 414.755. Payment for hospital services
- § 414.756. Payments to Oregon Health and Science University
- § 414.760. Payment for patient centered primary care home and behavioral health home services
- § 414.761. Payment for bilateral cochlear implants, hearing aids and hearing assistive technology systems for minors
- § 414.762. Payment for child abuse assessment
- § 414.763. Payment for dispensing of 12-month supply of prescription contraceptives
- § 414.764. Payment for services provided by pharmacy or pharmacist
- § 414.765. Periodic surveys of pharmacists regarding costs of dispensing prescription drugs
- § 414.766. Behavioral health treatment; rules
- § 414.767. Survey of medical assistance recipients regarding experience with behavioral health care and services
- § 414.769. Payment for gender-affirming treatment; rules
- § 414.770. Participants in clinical trials
- § 414.771. Payment for certain registered nurse services without order from primary care provider
- § 414.772. Limits on use of step therapy
- § 414.773. Certain conditions on reimbursement of claims for behavioral health services prohibited; assignment of CCO member to primary care provider
- § 414.774. Payment for private duty nursing services for medically fragile children; rules
- § 414.775. Payment for COVID-19 testing and treatment
- § 414.776. Payment for behavioral health services provided by licensed art therapists, licensed certified art therapists and provisional licensed art therapists
- § 414.780. Coordinated care organization reporting of data to assess compliance with mental health parity requirements; annual assessment
- § 414.781. Fee-for-service reimbursement of co-occurring mental health and substance use disorder treatment services
- § 414.782. Reimbursement to ensure access to addiction treatment statewide
- § 414.805. Liability of individual for medical services received while in custody of law enforcement officer
- § 414.807. Oregon Health Authority to pay for medical services related to law enforcement activity; certification of injury
- § 414.815. Law Enforcement Medical Liability Account; limited liability; rules; report
- § 414.853. Definitions
- § 414.855. Hospital assessment; rates; rules
- § 414.857. Reduction in rate required by federal law
- § 414.863. Refund of hospital assessment; right to contested case hearing
- § 414.865. Audits
- § 414.867. Deposit of assessments collected to Hospital Quality Assurance Fund
- § 414.869. Establishment of Hospital Quality Assurance Fund
- § 414.871. Applicability of hospital assessment
- § 414.880. Managed care organization assessment; rate
- § 414.882. Refund of managed care organization assessment; right to contested case hearing
- § 414.884. Applicability of managed care organization assessment
- § 414.900. Hospital assessment; penalties
- § 414.902. Managed care organization assessment; penalties