Reimbursement methodology for payment to hospitals
(1) A hospital that provides services or supplies under a benefit plan offered by the Oregon Educators Benefit Board shall be reimbursed using the methodology prescribed by the Oregon Health Authority under ORS 442.392 (Uniform payment methodology for hospital and ambulatory surgical center services) and may not be reimbursed for each service or supply provided.
(2) This section applies to hospital payments made by a carrier under a contract with the board and to hospital payments made under a self-insurance program administered by a third party administrator on behalf of the board.
(3) This section does not apply to reimbursements paid by a carrier or third party administrator to a hospital that is not subject to the methodology prescribed by the authority under ORS 442.392 (Uniform payment methodology for hospital and ambulatory surgical center services). [2011 c.418 §8]
Note: See note under 243.860 (Definitions for ORS 243.860 to 243.886).
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