Chapter 415 Financial Regulation of Coordinated Care Organizations

General Provisions

§ 415.001 Reinsurance program for coordinated care organizations (CCOs)
§ 415.011 Oregon Health Authority regulation of financial solvency of CCOs to align with regulation of domestic insurers
§ 415.012 Definitions for ORS 415.012 to 415.430
§ 415.013 Powers and authority to enforce ORS 415.012 to 415.430
§ 415.015 Prohibited conflicts of interest of officer or employee of Oregon Health Authority with responsibility for enforcement
§ 415.019 Right to contested case hearing

Confidential Reports

§ 415.056 Confidentiality of reports regarding certain financial information
§ 415.055 Confidentiality of complaints
§ 415.057 Authorized use of confidential reports regarding financial information

Compliance Audit Documents

§ 415.061 Definitions for 415.061 to 415.067
§ 415.062 Compliance self-evaluative audit document privileged
§ 415.063 Permissible use of compliance self-evaluative audit document by Oregon Health Authority
§ 415.064 Waiver of privilege
§ 415.065 Petition for in camera hearing on privilege of compliance self-evaluative audit document
§ 415.066 Exceptions to privilege of compliance self-evaluative audit document
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Investigations and Examinations

§ 415.101 Requests for information
§ 415.103 False or misleading filings prohibited
§ 415.105 Investigations authorized
§ 415.107 Examinations and audits
§ 415.109 Conduct of examination
§ 415.111 Report of examination
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Supervision of Coordinated Care Organization

§ 415.203 Opportunity to cure impairment of required capitalization
§ 415.204 Grounds for order of supervision
§ 415.205 Period of supervision

Delinquency Proceedings

§ 415.251 Jurisdiction of delinquency proceedings
§ 415.252 Exclusive remedy
§ 415.253 Oregon Receivership Code inapplicable
§ 415.261 Petition for delinquency proceeding
§ 415.263 Cooperation with Oregon Health Authority in delinquency investigation or proceeding
§ 415.265 Injunction prohibiting waste or disposition of property upon petition for delinquency proceeding
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Claims Against Insolvent Coordinated Care Organization

§ 415.400 Filing proof of claim against CCO declared by court to be insolvent
§ 415.401 Requirements for proof of claim
§ 415.402 Preference of claims
§ 415.403 Priority of preferred claims
§ 415.404 Contingent claims
§ 415.405 Priority of special deposit claims
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Source:
Legislative Counsel Committee, CHAPTER 415—Financial Regulation of Coordinated Care Organizations, https://­www.­oregonlegislature.­gov/­bills_laws/­ors/­ors415.­html (2019) (last ac­cessed May 16, 2020). Currency Information