Or. Admin. R. 333-010-0205 - Definitions

(1) "Agency number" means the administrative number assigned to the service provider by the Center for Prevention and Health Promotion (Center) for identification as a BCCP/WW provider.
(2) "Ancillary provider" means an individual or entity that has met the eligibility requirements for enrollment in the WW Program, has executed a medical services agreement with the Center, has been assigned a BCCP/WW Program agency number, and performs services beyond the scope of an enrolling provider, such as laboratory, imaging, or surgical services.
(3) "Approved medical services agreement" means the completed WW Program agreement, submitted to and approved by the Center for Prevention and Health Promotion.
(4) "Authority" means the Oregon Health Authority.
(5) "BCCP" means the Oregon Breast and Cervical Cancer Program.
(6) "Care coordination" or "case management" means that a client is provided with services, results, follow-up recommendations, and active tracking of progress towards follow-up recommendations.
(7) "Center" means the Center for Prevention and Health Promotion, within the Oregon Health Authority, Public Health Division.
(8) "CLIA" means the federal Clinical Laboratory Improvement Amendments of 1988 ( P.L. 100-578, 42 U.S.C. 201 and 263 a)
(9) "Client" means a woman 40 to 64 years of age who is enrolled in and receives screening or services from the WW Program.
(10) "Enrolling provider" means an individual or entity that has met the eligibility requirements for enrollment in the WW Program, has executed a medical services agreement with the Center, has been assigned a BCCP/WW Program agency number, and provides screening, services, or care coordination for WW Program clients.
(11) "FPL" means the federal poverty level guidelines established each year by the United States Department of Health and Human Services, used to determine eligibility for the WW Program and other federally funded programs.
(12) "HIPAA" means the Health Insurance Portability and Accountability Act.
(13) "Site number" means the administrative number assigned to the family planning service provider by the Center for identification of the geographic location of each WW provider.
(14) "WISEWOMAN Program" or "WW Program" means the program that provides statewide heart disease, stroke and diabetes screening and services to eligible clients, that is administered by the Center.
(15) "WW Program provider network" means the combination of all contracted WW Program providers, including enrolling and ancillary providers.

Notes

Or. Admin. R. 333-010-0205
PH 1-2009, f. & cert. ef. 2-13-09; PH 5-2011(Temp), f. & cert. ef. 7-1-11 thru 12-27-11; PH 11-2011, f. & cert. ef. 10-27-11; PH 12-2014(Temp), f. & cert. ef. 4-18-14 thru 10-15-14; PH 27-2014, f. & cert. ef. 10-10-14

Stat. Auth.: ORS 413.042

Stats. Implemented: ORS 413.042, 431.250

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