Chapter 414 Medical Assistance

Oregon Health Plan

§ 414.018 Goals
§ 414.019 Laws comprising Oregon Health Plan
§ 414.021 Duties of administrator
§ 414.022 Provision of mental health services
§ 414.023 Chemical dependency services
§ 414.024 Guidelines for selecting areas for initial operation of programs
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Miscellaneous Provisions

§ 414.031 Oregon Health Policy Commission to review changes proposed by Department of Human Services for medical assistance program and other health care programs
§ 414.032 Medical assistance to categorically needy and medically needy
§ 414.033 Expenditures for medical assistance authorized
§ 414.034 Acceptance of federal billing, reimbursement and reporting forms
§ 414.036 Policy on persons without access to health services

Procedure to Obtain Medical Assistance

§ 414.038 Medically needy program
§ 414.039 Medically needy program
§ 414.042 Determination of need for and amount of medical assistance
§ 414.047 Application for medical assistance
§ 414.049 Documentation required for person applying for medical assistance under ORS 414.705 to 414.750
§ 414.051 Authorization and payment for dental services
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Medical Assistance

§ 414.065 Determination of health services covered
§ 414.073 Information on all licensed healing arts to be made available
§ 414.075 Payment of deductibles imposed under federal law
§ 414.085 Cooperative agreements authorized
§ 414.095 Exemptions applicable to payments
§ 414.105 Recovery of medical assistance
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Insurance and Service Contracts

§ 414.115 Medical assistance by insurance or service contracts
§ 414.125 Rates on insurance or service contracts
§ 414.135 Contracts relating to direct providers of care and services
§ 414.145 Implementation of ORS 414.115, 414.125 or 414.135

State and Local Public Health Partnership

§ 414.150 Purpose of ORS 414.150 to 414.153
§ 414.151 Enrollment of poverty level medical assistance program clients
§ 414.152 Duties of state agencies
§ 414.153 Authorization for payment for certain services

Advisory Committees

§ 414.211 Medicaid Advisory Committee
§ 414.221 Duties of committee
§ 414.225 Department to consult with committee
§ 414.227 Application of public meetings law to advisory committees

Prescription Drugs

Oregon Prescription Drug Program

§ 414.312 Oregon Prescription Drug Program
§ 414.314 Application and participation in Oregon Prescription Drug Program
§ 414.316 Preferred drug list for Oregon Prescription Drug Program
§ 414.318 Prescription Drug Purchasing Fund
§ 414.320 Rules

Prescription Drug Coverage by Medical Assistance

§ 414.325 Prescription drugs
§ 414.327 Electronically transmitted prescriptions
§ 414.329 Prescription drug benefits for certain persons who are eligible for Medicare Part D prescription drug coverage

Practitioner Managed Prescription Drug Plan

§ 414.330 Legislative findings on prescription drugs
§ 414.332 Policy for Practitioner-Managed Prescription Drug Plan
§ 414.334 Practitioner-Managed Prescription Drug Plan for Oregon Health Plan
§ 414.336 Limitation on rules regarding Practitioner-Managed Prescription Drug Plan

Patient Prescription Drug Assistance Program

§ 414.338 Patient Prescription Drug Assistance Program

Senior Prescription Drug Assistance Program

§ 414.340 Definitions for ORS 414.340, 414.342 and 414.348
§ 414.342 Senior Prescription Drug Assistance Program
§ 414.344 Contracts to provide services under Senior Prescription Drug Assistance Program
§ 414.346 Rules
§ 414.348 Senior Prescription Drug Assistance Fund

Drug Use Review Board

§ 414.350 Definitions for ORS 414.350 to 414.415
§ 414.355 Drug Use Review Board created
§ 414.360 Duties of board regarding retrospective and prospective drug use review programs
§ 414.365 Educational and informational duties of board
§ 414.370 Authorized intervention procedures
§ 414.375 Standards for prospective drug use review program
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Medical Assistance for Certain Individuals

§ 414.420 Suspension of medical assistance for pregnant women who are incarcerated
§ 414.422 Conditions for coverage for pregnant women who are incarcerated
§ 414.424 Suspension of medical assistance of persons with serious mental illness under certain circumstances
§ 414.426 Payment of cost of medical care for institutionalized persons
§ 414.428 Coverage for American Indian and Alaskan Native beneficiaries
§ 414.500 Findings regarding medical assistance for persons with hemophilia
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Oregon Health Care Cost Containment System

§ 414.610 Legislative intent
§ 414.620 System established
§ 414.630 Prepaid capitated health care service contracts
§ 414.640 Selection of providers
§ 414.660 Demonstration projects for medical service contracts
§ 414.670 Phasing in eligible clients

Scope of Covered Health Services

§ 414.705 Definitions for ORS 414.705 to 414.750
§ 414.706 Legislative approval and funding of health services to certain persons
§ 414.707 Level of health services provided to certain persons
§ 414.708 Conditions for coverage for certain elderly persons, blind persons or persons who have disabilities
§ 414.709 Adjustment of population of eligible persons in event of insufficient resources
§ 414.710 Services available to certain eligible persons
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Payment of Medical Expenses of Person in Custody of Law Enforcement Officer

§ 414.805 Liability of individual for medical services received while in custody of law enforcement officer
§ 414.807 Department to pay for medical services related to law enforcement activity
§ 414.815 Law Enforcement Medical Liability Account

Expansion of Oregon Health Plan

§ 414.825 Policy
§ 414.831 Family Health Insurance Assistance Program
§ 414.839 Subsidies for health insurance coverage

Temporary Provisions Relating to Healthy Oregon Act Are Compiled As Notes Following Ors 414.839

Source:
Legislative Counsel Committee, CHAPTER 414—Medical Assistance, https://­www.­oregonlegislature.­gov/­bills_laws/­ors/­414.­html (2007) (last ac­cessed Feb. 12, 2009).