Providers or contractors receiving payments from or
through the Oregon Health Authority are subject to audit or other
post payment review procedures for all payments applicable to items
or services furnished or supplied by the provider or contractor to or
on behalf of the Authority or to its clients.
(1) The Authority adopts and
incorporates by reference the rules established in OAR
407-120-1505,
for those matters that involve providers or contractors of the
Authority, except as otherwise provided in this rule. Audit rules and
procedures from
407-120-1505 as incorporated into this rule ensure
proper payments were made by the Authority based on requirements
applicable to covered services and promote program
integrity.
(2) Any
reference to OAR
407-120-1505 in rules or contracts of the Authority
are deemed to be references to the requirements of this rule, and
shall be construed to apply to providers or contractors receiving
payments from or through the Authority.
(3) The Authority authorizes the
Department to act on its behalf in carrying out audits and
establishing overpayment amounts associated with the administration
of programs or activities administered by the Authority.
(4) Provider appeals for the
Authority shall be handled by the Authority under the procedures set
forth in OAR
407-120-1505. References to "the OPAR Administrator" or
"the Administrator" are hereby incorporated as references to "the
Authority Director."
[Publication: Publications referenced are available
from the agency.]
Notes
Or. Admin. Code §
943-120-1505
OHA
15-2011(Temp), f. & cert. ef. 7-1-11 thru 12-27-11; OHA 21-2011,
f. 8-31-11, cert. ef. 9-1-11
Publication: Publications referenced are available
from the agency.
Stat. Auth.: ORS
413.042
Stats. Implemented: ORS
411.010,
413.032,
414.065 &
414.715
