Current through Register Vol. 60, No. 12, December 1, 2021
(1) Transporting a member via ambulance is
required when a medical facility or provider states the member's medical
condition requires the presence of a health care professional during the
emergency or non-emergency transport. This includes neonatal
(2) For NEMT services,
the CCOs shall authorize the transport.
CCOs shall provide ambulance transports
with a medical technician when:
member's medical condition requires a stretcher and the length of transport
requires a personal care attendant, but the member does not have one;
(b) Necessitated by the member's
medical condition consistent with section (1) above of this rule.
(4) When a member's medical
condition is an emergency as defined in OAR 410-120-0000, emergency ambulance
transportation must be used. The ambulance must transport the member to the
nearest appropriate facility able to meet the member's medical needs.
(5) CCOs shall verify that providers of
ground or air ambulance services have been licensed by the Authority to operate
ground or air ambulances. If the ambulance service provider is located in a
contiguous state and regularly provides rides to OHP members, the CCO must
ensure the ambulance service provider has been licensed by both the Authority
and the contiguous state in which it is operating.
Or. Admin. R.
57-2019, adopt filed 12/17/2019, effective
Statutory/Other Authority: ORS
413.042 & ORS
Statutes/Other Implemented: ORS