Oregon Administrative Rules|Division 120 - MEDICAL ASSISTANCE PROGRAMS

Section 410-120-0000 - Acronyms and Definitions

Section 410-120-0003 - OHP Standard Benefit Package

Section 410-120-0006 - Medical Eligibility Standards

Section 410-120-0011 - Effect of COVID-19 Emergency Authorities on Administrative Rules

Section 410-120-0025 - Administration of Division of Medical Assistance Programs, Regulation and Rule Precedence

Section 410-120-0030 - Children's Health Insurance Program

Section 410-120-0035 - Public Entity

Section 410-120-0045 - Applications for Medical Assistance at Provider locations

Section 410-120-0250 - Managed Care Entity

Section 410-120-1140 - Verification of Eligibility and Coverage

Section 410-120-1160 - Medical Assistance Benefits and Provider Rules

Section 410-120-1180 - Medical Assistance Benefits: Out-of-State Services

Section 410-120-1190 - Medically Needy Benefit Program

Section 410-120-1195 - SB 5548 Population

Section 410-120-1200 - Excluded Services and Limitations

Section 410-120-1210 - Medical Assistance Benefit Packages and Delivery System

Section 410-120-1230 - Client Co-payment

Section 410-120-1260 - Provider Enrollment

Section 410-120-1280 - Billing

Section 410-120-1285 - Recoupment and Data Sharing with Third-Party Insurers

Section 410-120-1295 - Non-Participating Provider

Section 410-120-1300 - Timely Submission of Claims

Section 410-120-1320 - Authorization of Payment

Section 410-120-1340 - Payment

Section 410-120-1350 - Buying-Up

Section 410-120-1360 - Requirements for Financial, Clinical and Other Records

Section 410-120-1380 - Compliance with Federal and State Statutes

Section 410-120-1385 - Compliance with Public Meetings Law

Section 410-120-1390 - Premium Sponsorships

Section 410-120-1395 - Program Integrity

Section 410-120-1396 - Provider and Contractor Audits

Section 410-120-1397 - Recovery of Overpayments to Providers - Recoupments and Refunds

Section 410-120-1400 - Provider Sanctions

Section 410-120-1460 - Type and Conditions of Sanction

Section 410-120-1510 - Fraud and Abuse

Section 410-120-1560 - Provider Appeals

Section 410-120-1570 - Claim Re-Determinations

Section 410-120-1580 - Provider Appeals- Administrative Review

Section 410-120-1600 - Provider Appeals - Contested Case Hearings

Section 410-120-1855 - Client's Rights and Responsibilities

Section 410-120-1860 - Contested Case Hearing Procedures

Section 410-120-1865 - Denial, Reduction, or Termination of Services

Section 410-120-1870 - Client Premium Payments

Section 410-120-1875 - Agency Hearing Representatives

Section 410-120-1880 - Contracted Services

Section 410-120-1920 - Institutional Reimbursement Changes

Section 410-120-1940 - Interest Payments on Overdue Claims

Section 410-120-1960 - Payment of Private Insurance Premiums

Section 410-120-1980 - Requests for Information and Public Records

Section 410-120-1990 - Telehealth

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