Or. Admin. Code § 436-015-0050 - Record Keeping and Place of Business

(1) Every MCO must give the director notice of one Oregon location and mailing address where the MCO keeps records of the following:

(a) Up-to-date membership listings of all MCO members;

(b) Sanctions or punitive actions taken by the MCO against its members;

(c) Actions taken by the MCO's peer review committee;

(d) Utilization reviews performed identifying cases reviewed, issues involved, and action taken;

(e) A profile analysis of each provider in the MCO;

(f) Enrolled workers receiving treatment by come-along providers; and

(g) All other records as necessary to ensure compliance with the certification requirements under OAR 436-015-0030.

(2) Records required by section (1) of this rule must be retained at the authorized Oregon location for three full calendar years.

(3) Each MCO provider must maintain medical records as provided by OAR 436-010-0240.

Notes

Or. Admin. Code § 436-015-0050

WCD 11-1990(Temp), f. 6-19-90, cert. ef. 7-1-90; WCD 33-1990, f. 12-12-90, cert. ef. 12-26-90; WCD 2-1992, f. 1-10-92, cert. ef. 2-1-92; WCD 14-1994, f. 12-20-94, cert. ef. 2-1-95; WCD 12-1998, f. 12-16-98, cert. ef. 1-1-99; WCD 3-2002, f. 2-25-02 cert. ef. 4-1-02; WCD 14-2003(Temp), f. 12-15-03, cert. ef. 1-1-04 thru 6-28-03; WCD 6-2004, f. 6-14-04, cert. ef. 6-29-04; WCD 1-2012, f. 2-16-12, cert. ef. 4-1-12; WCD 5-2018, amend filed 03/15/2018, effective 4/1/2018

Publications: Publications referenced are available from the agency.

Statutory/Other Authority: ORS 656.726(4) & ORS 656.260

Statutes/Other Implemented: ORS 656.260