Or. Admin. Code § 410-125-0103 - Medicare Clients
When Medicare is the primary payer, services provided in the inpatient or out-patient setting do not require prior authorization. However, if the Division of Medical Assistance Programs (Division) is the primary payer because the service is not covered by Medicare; the prior authorization requirements listed in chapter 410 division 125 would apply.
Notes
Stat. Auth.: ORS 413.042
Stats. Implemented: ORS 414.065
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