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 authority shall develop criteria for determining whether to contract with a physician care organization. The criteria developed by the authority 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 this chapter. [2003 c.810 §5; 2009 c.595 §332; 2015 c.318 §23]
Note: 414.738 (Use of physician care organizations) is repealed July 1, 2017.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, section 23, chapter 8, Oregon Laws 2012, and section 2, chapter 792, Oregon Laws 2015.
3 OregonLaws.org assembles these lists by analyzing references between Sections. Each listed item refers back to the current Section in its own text. The result reveals relationships in the code that may not have otherwise been apparent.