Division 125 - HOSPITAL SERVICES

  1. § 410-125-0000 - Determining When the Patient Has Medical Assistance
  2. § 410-125-0020 - Retroactive Eligibility
  3. § 410-125-0030 - Hospital Hold
  4. § 410-125-0040 - Title XIX/Title XXI Clients
  5. § 410-125-0041 - Non-Title XIX/XXI Clients
  6. § 410-125-0045 - Coverage and Limitations
  7. § 410-125-0047 - Repealed
  8. § 410-125-0050 - Client Copayments
  9. § 410-125-0080 - Inpatient Services
  10. § 410-125-0085 - Outpatient Services
  11. § 410-125-0086 - Prior Authorization for FCHP/MHO Clients
  12. § 410-125-0090 - Inpatient Rate Calculations - Type A, Type B, and Critical Access Oregon Hospitals
  13. § 410-125-0095 - Hospitals Providing Specialized Inpatient Services
  14. § 410-125-0101 - Hospital-Based Nursing Facilities and Medicaid Swing Beds
  15. § 410-125-0102 - Medically Needy Clients
  16. § 410-125-0103 - Medicare Clients
  17. § 410-125-0115 - Non-Contiguous Area Out-of-State Hospitals - Effective for services rendered on or after October 1, 2003
  18. § 410-125-0120 - Transportation To and From Medical Services
  19. § 410-125-0121 - [Effective until 6/29/2025] Contiguous Area Out-of-State Hospitals - Effective for services rendered on or after October 1, 2003
  20. § 410-125-0121 - [Effective 6/29/2025] Contiguous Area Out-of-State Hospitals - Effective for services rendered on or after October 1, 2003, version 2
  21. § 410-125-0124 - Retroactive Authorization
  22. § 410-125-0125 - Free-Standing Inpatient Psychiatric Facilities
  23. § 410-125-0140 - Prior Authorization Does Not Guarantee Payment
  24. § 410-125-0141 - [Effective until 6/29/2025] DRG Rate Methodology
  25. § 410-125-0141 - [Effective 6/29/2025] DRG Rate Methodology, version 2
  26. § 410-125-0142 - Graduate Medical Education Reimbursement for Public Teaching Hospitals
  27. § 410-125-0146 - Supplemental Reimbursement for Public Academic Teaching University Medical Practitioners
  28. § 410-125-0150 - Disproportionate Share
  29. § 410-125-0155 - Upper Limits on Payment of Hospital Claims
  30. § 410-125-0162 - Hospital Transformation Performance Program
  31. § 410-125-0165 - Transfers and Reimbursement
  32. § 410-125-0170 - Death Occurring on Day of Admission
  33. § 410-125-0175 - Hospitals Providing Specialized Outpatient Services
  34. § 410-125-0180 - Public Rates
  35. § 410-125-0181 - [Effective until 6/29/2025] Non-Contiguous and Contiguous Area Out-of-State Hospitals - Outpatient Services
  36. § 410-125-0181 - [Effective 6/29/2025] Non-Contiguous and Contiguous Area Out-of-State Hospitals - Outpatient Services, version 2
  37. § 410-125-0190 - Outpatient Rate Calculations - Type A, Type B, and Critical Access Oregon Hospitals
  38. § 410-125-0195 - Outpatient Services In-State DRG Hospitals
  39. § 410-125-0200 - Time Limitation for Submission of Claims
  40. § 410-125-0201 - Independent ESRD Facilities
  41. § 410-125-0210 - Third Party Resources and Reimbursement
  42. § 410-125-0220 - Services Billed on the Electronic 837I or on the Paper UB-04 and Other Claim Forms
  43. § 410-125-0221 - Payment in Full
  44. § 410-125-0230 - Qualified Directed Payments
  45. § 410-125-0360 - Definitions and Billing Requirements
  46. § 410-125-0400 - Discharge
  47. § 410-125-0401 - Definitions: Emergent, Urgent, and Elective Admissions
  48. § 410-125-0410 - Readmission
  49. § 410-125-0450 - Provider Preventable Conditions
  50. § 410-125-0550 - X-Ray or EKG Procedures Furnished in Emergency Room
  51. § 410-125-0600 - Non-Contiguous Out-of-State Hospital Services
  52. § 410-125-0620 - Special Reports and Exams and Medical Records
  53. § 410-125-0640 - Third Party Payers - Other Resources, Client Responsibility and Liability
  54. § 410-125-0641 - Medicare
  55. § 410-125-0720 - Adjustment Requests
  56. § 410-125-1020 - Filing of Cost Statement
  57. § 410-125-1040 - Accounting and Record Keeping
  58. § 410-125-1060 - Fiscal Audits
  59. § 410-125-1070 - Type A and Type B Hospitals
  60. § 410-125-1080 - Documentation
  61. § 410-125-2000 - Access to Records
  62. § 410-125-2020 - Post Payment Review
  63. § 410-125-2030 - Recovery of Payments
  64. § 410-125-2040 - Provider Appeals - Administrative Review
  65. § 410-125-2060 - Provider Appeals - Hearing Request
  66. § 410-125-2080 - Administrative Errors

State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.

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