2011 ORS § 414.738¹
Use of physician care organizations

(1) If the Oregon Health Authority has not been able to contract with the fully capitated health plan or plans in a designated area, the authority may contract with a physician care organization in the designated area.

(2) The Office for Oregon Health Policy and Research shall develop criteria that the authority shall consider when determining the circumstances under which the authority may contract with a physician care organization. The criteria developed by the office shall include but not be limited to the following:

(a) The physician care organization must be able to assign an enrollee to a person or entity that is primarily responsible for coordinating the physical health services provided to the enrollee;

(b) The contract with a physician care organization does not threaten the financial viability of other fully capitated health plans in the designated area; and

(c) The contract with a physician care organization must be consistent with the legislative intent of using prepaid managed care health services organizations to provide services under ORS 414.631 (Mandatory enrollment in coordinated care organization), 414.651 (Coordinated care organization contracts) and 414.688 (Commission established) to 414.750 (Authority of Legislative Assembly to authorize services for other persons). [2003 c.810 §5; 2009 c.595 §332]

Note: 414.738 (Use of physician care organizations) is repealed July 1, 2017. See section 64, chapter 602, Oregon Laws 2011, as amended by section 70, chapter 602, Oregon Laws 2011.

Note: See note under 414.688 (Commission established).