Division 141 - OREGON HEALTH PLAN

  1. § 410-141-0000 - [Repealed]
  2. § 410-141-0010 - [Repealed]
  3. § 410-141-0020 - [Repealed]
  4. § 410-141-0050 - [Repealed]
  5. § 410-141-0060 - [Repealed]
  6. § 410-141-0065 - [Repealed]
  7. § 410-141-0070 - [Repealed]
  8. § 410-141-0080 - [Repealed]
  9. § 410-141-0085 - [Repealed]
  10. § 410-141-0120 - [Repealed]
  11. § 410-141-0140 - [Repealed]
  12. § 410-141-0160 - [Repealed]
  13. § 410-141-0180 - [Repealed]
  14. § 410-141-0200 - [Repealed]
  15. § 410-141-0220 - [Repealed]
  16. § 410-141-0260 - [Repealed]
  17. § 410-141-0261 - [Repealed]
  18. § 410-141-0262 - [Repealed]
  19. § 410-141-0263 - [Repealed]
  20. § 410-141-0264 - [Repealed]
  21. § 410-141-0265 - [Repealed]
  22. § 410-141-0266 - [Repealed]
  23. § 410-141-0270 - [Repealed]
  24. § 410-141-0280 - [Repealed]
  25. § 410-141-0300 - [Repealed]
  26. § 410-141-0320 - [Repealed]
  27. § 410-141-0340 - [Repealed]
  28. § 410-141-0400 - [Repealed]
  29. § 410-141-0405 - [Repealed]
  30. § 410-141-0407 - [Repealed]
  31. § 410-141-0410 - [Repealed]
  32. § 410-141-0420 - Repealed
  33. § 410-141-0440 - [Repealed]
  34. § 410-141-0480 - [Repealed]
  35. § 410-141-0500 - [Repealed]
  36. § 410-141-0520 - [Repealed]
  37. § 410-141-0660 - Repealed
  38. § 410-141-0680 - Repealed
  39. § 410-141-0700 - Repealed
  40. § 410-141-0720 - Repealed
  41. § 410-141-0740 - Repealed
  42. § 410-141-0760 - Repealed
  43. § 410-141-0780 - Repealed
  44. § 410-141-0800 - Repealed
  45. § 410-141-0820 - Repealed
  46. § 410-141-0840 - Repealed
  47. § 410-141-0860 - [Repealed]
  48. § 410-141-3000 - [Repealed]
  49. § 410-141-3010 - [Repealed]
  50. § 410-141-3015 - [Repealed]
  51. § 410-141-3020 - [Repealed]
  52. § 410-141-3025 - [Repealed]
  53. § 410-141-3030 - [Repealed]
  54. § 410-141-3040 - [Repealed]
  55. § 410-141-3041 - [Repealed]
  56. § 410-141-3050 - [Repealed]
  57. § 410-141-3060 - [Repealed]
  58. § 410-141-3061 - [Repealed]
  59. § 410-141-3065 - [Repealed]
  60. § 410-141-3066 - [Repealed]
  61. § 410-141-3070 - [Repealed]
  62. § 410-141-3080 - [Repealed]
  63. § 410-141-3110 - [Repealed]
  64. § 410-141-3120 - [Repealed]
  65. § 410-141-3140 - [Repealed]
  66. § 410-141-3145 - [Repealed]
  67. § 410-141-3150 - [Repealed]
  68. § 410-141-3160 - [Repealed]
  69. § 410-141-3170 - [Repealed]
  70. § 410-141-3180 - [Repealed]
  71. § 410-141-3200 - [Repealed]
  72. § 410-141-3220 - [Repealed]
  73. § 410-141-3225 - [Repealed]
  74. § 410-141-3230 - [Repealed]
  75. § 410-141-3235 - [Repealed]
  76. § 410-141-3240 - [Repealed]
  77. § 410-141-3245 - [Repealed]
  78. § 410-141-3246 - [Repealed]
  79. § 410-141-3247 - [Repealed]
  80. § 410-141-3248 - [Repealed]
  81. § 410-141-3250 - [Repealed]
  82. § 410-141-3255 - [Repealed]
  83. § 410-141-3258 - [Repealed]
  84. § 410-141-3259 - [Repealed]
  85. § 410-141-3260 - [Repealed]
  86. § 410-141-3261 - [Repealed]
  87. § 410-141-3262 - [Repealed]
  88. § 410-141-3263 - [Repealed]
  89. § 410-141-3264 - [Repealed]
  90. § 410-141-3267 - [Repealed]
  91. § 410-141-3268 - [Repealed]
  92. § 410-141-3269 - [Repealed]
  93. § 410-141-3270 - [Repealed]
  94. § 410-141-3280 - [Repealed]
  95. § 410-141-3300 - [Repealed]
  96. § 410-141-3320 - [Repealed]
  97. § 410-141-3340 - [Repealed]
  98. § 410-141-3345 - [Repealed]
  99. § 410-141-3350 - [Repealed]
  100. § 410-141-3355 - [Repealed]
  101. § 410-141-3360 - [Repealed]
  102. § 410-141-3365 - [Repealed]
  103. § 410-141-3370 - [Repealed]
  104. § 410-141-3375 - [Repealed]
  105. § 410-141-3380 - [Repealed]
  106. § 410-141-3385 - [Repealed]
  107. § 410-141-3390 - [Repealed]
  108. § 410-141-3395 - [Repealed]
  109. § 410-141-3420 - [Repealed]
  110. § 410-141-3430 - [Repealed]
  111. § 410-141-3435 - [Repealed]
  112. § 410-141-3440 - [Repealed]
  113. § 410-141-3445 - [Repealed]
  114. § 410-141-3450 - [Repealed]
  115. § 410-141-3455 - [Repealed]
  116. § 410-141-3460 - [Repealed]
  117. § 410-141-3465 - [Repealed]
  118. § 410-141-3470 - [Repealed]
  119. § 410-141-3475 - [Repealed]
  120. § 410-141-3480 - [Repealed]
  121. § 410-141-3485 - [Repealed]
  122. § 410-141-3500 - Definitions
  123. § 410-141-3501 - Administration of Oregon Integrated and Coordinated Health Care Delivery System Regulation; Rule Precedence
  124. § 410-141-3505 - Use of Subcontractors
  125. § 410-141-3510 - [Effective until 9/10/2021]Provider Contracting and Credentialing
  126. § 410-141-3510 - [Effective 9/10/2021]Provider Contracting and Credentialing, version 2
  127. § 410-141-3515 - Network Adequacy
  128. § 410-141-3520 - Record Keeping and Use of Health Information Technology
  129. § 410-141-3525 - Outcome and Quality Measures
  130. § 410-141-3530 - Sanctions
  131. § 410-141-3540 - Member Protections
  132. § 410-141-3545 - Coordinated Care Organization Behavioral Health Provider, Treatment and Facility Certification and Licensure
  133. § 410-141-3550 - Resolving Disputes between MCEs and the Authority
  134. § 410-141-3555 - Resolving Disputes between Health Care Entities and CCOs that Concern CCO Contact Award
  135. § 410-141-3560 - Resolving Contract Disputes Between Health Care Entities and CCOs
  136. § 410-141-3565 - Managed Care Entity Billing
  137. § 410-141-3566 - Telehealth Service and Reimbursement Requirements
  138. § 410-141-3570 - Managed Care Entity Encounter Claims Data Reporting
  139. § 410-141-3575 - MCE Member Relations: Marketing
  140. § 410-141-3580 - MCE Member Relations: Potential Member Information
  141. § 410-141-3585 - MCE Member Relations: Education and Information
  142. § 410-141-3590 - MCE Member Relations: Member Rights and Responsibilities
  143. § 410-141-3591 - MCE Interoperability Requirements
  144. § 410-141-3600 - MCE Assessment: Definitions
  145. § 410-141-3601 - MCE Assessment: General Administration
  146. § 410-141-3605 - MCE Assessment: Disclosure of Information
  147. § 410-141-3610 - MCE Assessment: Calculation, Report, Due Date, Verification
  148. § 410-141-3615 - MCE Assessment: Filing an Amended Report
  149. § 410-141-3620 - MCE Assessment: Determining the Date Filed
  150. § 410-141-3625 - MCE Assessment: Authority to Audit Records
  151. § 410-141-3630 - MCE Assessment: Determining Assessment Liability on Failure to File
  152. § 410-141-3635 - MCE Assessment: Financial Penalty for Failure to File a Report or Failure to Pay Assessment When Due
  153. § 410-141-3640 - MCE Assessment: Notice of Proposed Action
  154. § 410-141-3645 - MCE Assessment: Hearing Process
  155. § 410-141-3650 - MCE Assessment: Final Order of Payment
  156. § 410-141-3655 - Assessment: Remedies Available after Final Order of Payment
  157. § 410-141-3700 - CCO Application and Contracting Procedures
  158. § 410-141-3705 - Criteria for CCOs
  159. § 410-141-3710 - Contract Termination and Close-Out Requirements
  160. § 410-141-3715 - CCO Governance; Public Meetings and Transparency
  161. § 410-141-3720 - Service Area Change for Existing CCOs
  162. § 410-141-3725 - CCO Contract Renewal Notification
  163. § 410-141-3730 - Community Health Assessment and Community Health Improvement Plans
  164. § 410-141-3735 - Social Determinants of Health and Equity; Health Equity
  165. § 410-141-3740 - Traditional Health Workers
  166. § 410-141-3800 - CCO Enrollment for Children Receiving Health Services
  167. § 410-141-3805 - Mandatory MCE Enrollment Exceptions
  168. § 410-141-3810 - Disenrollment from MCEs
  169. § 410-141-3815 - CCO Enrollment for Temporary Out-of-Area Behavioral Health Treatment Services
  170. § 410-141-3820 - Covered Services
  171. § 410-141-3825 - Excluded Services and Limitations
  172. § 410-141-3830 - Prioritized List of Health Services
  173. § 410-141-3835 - MCE Service Authorization
  174. § 410-141-3840 - Emergency and Urgent Care Services
  175. § 410-141-3845 - Health-Related Services
  176. § 410-141-3850 - Transition of Care
  177. § 410-141-3855 - Pharmaceutical Services
  178. § 410-141-3860 - Integration and Coordination of Care
  179. § 410-141-3865 - Care Coordination Requirements
  180. § 410-141-3870 - Intensive Care Coordination
  181. § 410-141-3875 - MCE Grievances & Appeals: Definitions and General Requirements
  182. § 410-141-3880 - Grievances & Appeals: Grievance Process Requirements
  183. § 410-141-3885 - Grievances & Appeals: Notice of Action/Adverse Benefit Determination
  184. § 410-141-3890 - Grievances & Appeals: Appeal Process
  185. § 410-141-3895 - Grievances & Appeals: Expedited Appeal
  186. § 410-141-3900 - Grievances & Appeals: Contested Case Hearings
  187. § 410-141-3905 - Grievances & Appeals: Expedited Contested Case Hearings
  188. § 410-141-3910 - Grievances and Appeals: Continuation of Benefits
  189. § 410-141-3915 - Grievances & Appeals: System Recordkeeping
  190. § 410-141-3920 - Transportation: NEMT General Requirements
  191. § 410-141-3925 - Transportation: Vehicle Equipment and Driver Standards
  192. § 410-141-3930 - Transportation: Out-of-Service Area and Out-of-State Transportation
  193. § 410-141-3935 - Transportation: Attendants for Child and Special Needs Transports
  194. § 410-141-3940 - Transportation: Secured Transports
  195. § 410-141-3945 - Transportation: Ground and Air Ambulance Transports
  196. § 410-141-3955 - Transportation: Member Service Modifications and Rights
  197. § 410-141-3960 - Transportation: Member Reimbursed Mileage, Meals, and Lodging
  198. § 410-141-3965 - Reports and Documentation
  199. § 410-141-4000 - [Repealed]
  200. § 410-141-4005 - [Repealed]
  201. § 410-141-4010 - [Repealed]
  202. § 410-141-4020 - [Repealed]
  203. § 410-141-4030 - [Repealed]
  204. § 410-141-4040 - [Repealed]
  205. § 410-141-4050 - [Repealed]
  206. § 410-141-4060 - [Repealed]
  207. § 410-141-4070 - [Repealed]
  208. § 410-141-4080 - [Repealed]
  209. § 410-141-4090 - [Repealed]
  210. § 410-141-4100 - [Repealed]
  211. § 410-141-4110 - [Repealed]
  212. § 410-141-4120 - [Repealed]
  213. § 410-141-5000 - FINANCIAL SOLVENCY REGULATION: Definitions
  214. § 410-141-5005 - FINANCIAL SOLVENCY REGULATION: CCO Financial Solvency Requirements
  215. § 410-141-5010 - FINANCIAL SOLVENCY REGULATION: Procedure for General Financial Reporting and for Determining Financial Solvency Matters
  216. § 410-141-5015 - FINANCIAL SOLVENCY REGULATION: Financial Statement Reporting
  217. § 410-141-5020 - FINANCIAL SOLVENCY REGULATION: Annual Audited Financial Statements and Auditor's Report
  218. § 410-141-5025 - FINANCIAL SOLVENCY REGULATION: Qualifications of Independent Certified Public Accountant
  219. § 410-141-5030 - FINANCIAL SOLVENCY REGULATION: Notification of Adverse Financial Condition
  220. § 410-141-5035 - FINANCIAL SOLVENCY REGULATION: Accountant's Letter of Qualifications
  221. § 410-141-5040 - FINANCIAL SOLVENCY REGULATION: Independent Certified Public Accountants Workpapers
  222. § 410-141-5045 - FINANCIAL SOLVENCY REGULATION: Corporate Governance Annual Disclosure Filing
  223. § 410-141-5050 - FINANCIAL SOLVENCY REGULATION: Requirements for Reinsurance
  224. § 410-141-5060 - FINANCIAL SOLVENCY REGULATION: Qualified Trust Agreements
  225. § 410-141-5065 - FINANCIAL SOLVENCY REGULATION: Letters of Credit; Other Security
  226. § 410-141-5070 - FINANCIAL SOLVENCY REGULATION: Assets, Liabilities, Reserves
  227. § 410-141-5075 - FINANCIAL SOLVENCY REGULATION: Disallowance of Certain Reinsurance Transactions
  228. § 410-141-5055 - FINANCIAL SOLVENCY REGULATION: Requirements for Obtaining Credit for Reinsurance
  229. § 410-141-5080 - FINANCIAL SOLVENCY REGULATION: Transparency
  230. § 410-141-5085 - ASSET VALUATION AND PERMITTED INVESTMENTS: Definitions
  231. § 410-141-5090 - ASSET VALUATION AND PERMITTED INVESTMENTS: Calculation of Value; Books and Records
  232. § 410-141-5095 - ASSET VALUATION AND PERMITTED INVESTMENTS: Assets Other Than Securities; Bonds; Real Property; Mortgages; Compensating Balances
  233. § 410-141-5100 - ASSET VALUATION AND PERMITTED INVESTMENTS: Investments Used to Provide Compensating Balances
  234. § 410-141-5105 - ASSET VALUATION AND PERMITTED INVESTMENTS: Investment of Required Capitalization
  235. § 410-141-5110 - ASSET VALUATION AND PERMITTED INVESTMENTS: Investment in Mortgage Loans
  236. § 410-141-5115 - ASSET VALUATION AND PERMITTED INVESTMENTS: Investment in Real Property
  237. § 410-141-5120 - ASSET VALUATION AND PERMITTED INVESTMENTS: Investment in Corporate Stocks
  238. § 410-141-5125 - ASSET VALUATION AND PERMITTED INVESTMENTS: Loans; Security; Limitations
  239. § 410-141-5130 - ASSET VALUATION AND PERMITTED INVESTMENTS: Investments; Certain Obligations, Property, Loans and Other Specified Items
  240. § 410-141-5135 - ASSET VALUATION AND PERMITTED INVESTMENTS: Personal Property; Protection of Investment Property; Custom
  241. § 410-141-5140 - ASSET VALUATION AND PERMITTED INVESTMENTS: "Prudent Investor" Standard
  242. § 410-141-5145 - ASSET VALUATION AND PERMITTED INVESTMENTS: Prohibited Conduct by Directors, Trustees, Officers, Agents or Employees
  243. § 410-141-5150 - ASSET VALUATION AND PERMITTED INVESTMENTS: Investment of Funds in Obligations That Are Not Investment Quality; Percentage of Assets
  244. § 410-141-5155 - ASSET VALUATION AND PERMITTED INVESTMENTS: Approval by Board
  245. § 410-141-5160 - ASSET VALUATION AND PERMITTED INVESTMENTS: Record of Investments
  246. § 410-141-5165 - ASSET VALUATION AND PERMITTED INVESTMENTS: Prohibited Investments
  247. § 410-141-5170 - CAPITALIZATION: Capital and Surplus
  248. § 410-141-5175 - CAPITALIZATION: Impaired Capital and Surplus
  249. § 410-141-5180 - CAPITALIZATION: Dividend and Distribution Restrictions
  250. § 410-141-5185 - CAPITALIZATION: Restricted Reserve Account
  251. § 410-141-5190 - CAPITALIZATION: Surplus Notes
  252. § 410-141-5195 - CAPITALIZATION: Risk-based Capital (RBC) Definitions
  253. § 410-141-5200 - CAPITALIZATION: RBC Reports
  254. § 410-141-5205 - CAPITALIZATION: Company Action Level Event
  255. § 410-141-5210 - CAPITALIZATION: Regulatory Action Level Event
  256. § 410-141-5215 - CAPITALIZATION: Authorized Control Level Event
  257. § 410-141-5220 - CAPITALIZATION: Mandatory Control Level Event
  258. § 410-141-5225 - REPORTING AND APPROVAL OF CERTAIN TRANSACTIONS: Extraordinary Dividends and Other Distributions
  259. § 410-141-5230 - REPORTING AND APPROVAL OF CERTAIN TRANSACTIONS: Reports of Material Acquisitions And Dispositions Of Assets, and Changes to Ceded Reinsurance Agreements; Assumption Reinsurance
  260. § 410-141-5235 - REPORTING AND APPROVAL OF CERTAIN TRANSACTIONS: Reports of Material Materiality and Reporting Standards for Asset Acquisitions and Dispositions
  261. § 410-141-5240 - REPORTING AND APPROVAL OF CERTAIN TRANSACTIONS: Materiality and Reporting Standards for Changes in Ceded Reinsurance Agreements
  262. § 410-141-5245 - EXAMINATIONS: CCO Production of Books and Records
  263. § 410-141-5250 - EXAMINATIONS: Authority Examinations of CCOs
  264. § 410-141-5255 - CCO ACQUISITIONS AND MERGERS: Purpose; Definitions
  265. § 410-141-5260 - CCO ACQUISITIONS AND MERGERS: Activities Prohibited Unless Certain Provisions Satisfied
  266. § 410-141-5265 - CCO ACQUISITIONS AND MERGERS: Procedure For Acquiring Controlling Interest
  267. § 410-141-5270 - CCO ACQUISITIONS AND MERGERS: Information to Be Included in Form A
  268. § 410-141-5275 - CCO ACQUISITIONS AND MERGERS: Hearing, Request, Notice
  269. § 410-141-5280 - CCO ACQUISITIONS AND MERGERS: Determination Concerning Proposed Activity, Time For Decision, Grounds For Refusal
  270. § 410-141-5285 - CCO HOLDING COMPANY REGULATION: Definitions
  271. § 410-141-5290 - CCO HOLDING COMPANY REGULATION: Members of Holding Company Systems; Registration Requirements
  272. § 410-141-5295 - CCO HOLDING COMPANY REGULATION: Form and Contents of Registration Statement
  273. § 410-141-5300 - CCO HOLDING COMPANY REGULATION: Registration Statement Filing
  274. § 410-141-5305 - CCO HOLDING COMPANY REGULATION: Information Required to Be Disclosed
  275. § 410-141-5310 - CCO HOLDING COMPANY REGULATION: Presumption of Control; Rebuttal
  276. § 410-141-5315 - CCO HOLDING COMPANY REGULATION: Disclaimer of Affiliation
  277. § 410-141-5320 - CCO HOLDING COMPANY REGULATION: Transactions Within Holding Company
  278. § 410-141-5325 - CCO HOLDING COMPANY REGULATION: Director and Officer Liability; Effect of Control of CCO Subject to Registration; Board of Directors
  279. § 410-141-5330 - CCO HOLDING COMPANY REGULATION: Annual Enterprise Risk Report
  280. § 410-141-5335 - CCO HOLDING COMPANY REGULATION: Disclaimers and Termination of Registration
  281. § 410-141-5340 - CCO HOLDING COMPANY REGULATION: Forms; General Requirements
  282. § 410-141-5345 - CCO HOLDING COMPANY REGULATION: Forms; Incorporation by Reference, Summaries, And Omissions
  283. § 410-141-5350 - CCO HOLDING COMPANY REGULATION: Forms; Information Unknown or Unavailable and Extension of Time to Furnish
  284. § 410-141-5355 - CCO HOLDING COMPANY REGULATION: Forms; Additional Information; Amendments
  285. § 410-141-5360 - CCO INSOLVENCY AND DISSOLUTION: Access to Funds and Transition of Members and Records
  286. § 410-141-5365 - CCO INSOLVENCY AND DISSOLUTION: Hazardous Operations
  287. § 410-141-5370 - CCO INSOLVENCY AND DISSOLUTION: Recovery From Parent Corporation Or Holding Company In The Event Of Liquidation Or Rehabilitation
  288. § 410-141-5375 - CCO INSOLVENCY AND DISSOLUTION: Voluntary Dissolution; Approval of Plan
  289. § 410-141-5380 - CIVIL PENALTIES

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