Or. Admin. Code § 413-050-0405 - Definitions

(1) "Administrative Exams": DHS uses the DMAP definition for Administrative Medical Examinations and Reports found in OAR 410-120-0000 which is: "Examinations, evaluations, and reports, including copies of medical records, requested on the DMAP 729 form through the local DHS office or requested and/or approved by DMAP to establish client eligibility for a medical assistance program or for casework planning."

(2) "Other Medical Expenditure": Any payment to a licensed medical provider for a service provided to a person in the household who is not eligible or potentially eligible for Title XIX or GA (General Assistance), or for a certain service provided to an eligible Title XIX or GA client which is not covered under Administrative Exams using the Medical Service Authorization and Invoice form, CF 501A.

Notes

Or. Admin. Code § 413-050-0405

SOSCF 40-2001, f. 12-31-01, cert. ef. 1-1-02

Forms referenced are available from the agency.

Stat. Auth.: ORS 418.005

Stats. Implemented: Title XIX