Or. Admin. Code § 409-028-0020 - Coordinated Care Organization Reporting Requirements

(1) No later than September 30 of each year beginning September 30, 2019, a coordinated care organization (CCO) participating in CPC+ shall submit to the Authority the Annual Supplemental Provider Level APM Summary report using the APAC Data Reporting Program for the prior calendar year [Example: January 1, 2018 through December 31, 2018 data needs to be submitted by September 30, 2019.].

(2) No later than September 30 of each year beginning September 30, 2019, a CCO participating in CPC+ shall submit to the Authority a PCPCH APM Reporting Form (PCPCH APM-1) for the prior calendar year [Example: January 1, 2018 through December 31, 2018 data needs to be submitted by September 30, 2019] providing the following information:

(a) The number of PCPCHs in their network;

(b) The number of PCPCHs in their network with an APM in their contract;

(c) The number of PCPCHs in their network offered an APM.

Notes

Or. Admin. Code § 409-028-0020

OHP 2-2018, adopt filed 02/01/2018, effective 2/1/2018

Form referenced are available on the agency's website at: http://www.oregon.gov/oha/HPA/ANALYTICS/Pages/All-Payer-All-Claims.aspx.

Statutory/Other Authority: ORS 413.432 & OL 2017, Ch. 489

Statutes/Other Implemented: OL 2017, Ch. 489