Or. Admin. R. 410-125-0020 - Retroactive Eligibility
(1) The
Division of Medical Assistance Programs (Division) may pay for services
provided to an individual who does not have Medicaid coverage at the time
services are provided if the individual is made retroactively eligible for
medical assistance and eligibility is extended back to the date services were
provided. Contact the local branch concerning possible retroactive eligibility.
In some cases, the date of branch contact may be considered the date of
application for eligibility.
(2)
Authorization for payment may be given after the service is provided under
limited circumstances. For prior authorization information see OAR 410-125-0124
(Hospital Services Program).
Notes
Stat. Auth.: ORS 413.042
Stats. Implemented: ORS 414.065
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(1) The Division of Medical Assistance Programs (Division) may pay for services provided to an individual who does not have Medicaid coverage at the time services are provided if the individual is made retroactively eligible for medical assistance and eligibility is extended back to the date services were provided. Contact the local branch concerning possible retroactive eligibility. In some cases, the date of branch contact may be considered the date of application for eligibility.
(2) Authorization for payment may be given after the service is provided under limited circumstances. For prior authorization information see OAR 410-125-0124 (Hospital Services Program).
Notes
Stat. Auth.: ORS 413.042
Stats. Implemented: ORS 414.065