OHP Stakeholder Archive

• Hospital Services
• Managed Care
• Other meetings
• Other stakeholder announcements

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Hospital Services

• ED Triage Assessment Fee Policy
  • Proposed Emergency Room Triage Fee Canceled  
  • Notice of Proposed Rulemaking for rules relating to ED triage. Send comments to DMAP Rules Coordinator by noon Friday, 8/18/06.   
  • Meeting recap 7/27/06   
  • Meeting recap 3/31/06 (PDF) 
  • Meeting recap 11/29/05 (PDF)     
  • Code table for triage diagnoses considered non-emergent by DMAP medical personnel   
  • Draft savings action pricing information (PDF) 
  • Estimated Average EMTALA Costs from OAHHS(PDF)
  • Feedback requested for proposed policy (PDF)
  • Policy change notification  (PDF)
  • Q & A (PDF) 
• Draft ED rules (PDF files) - Stakeholder review ended 7/12/06. OMAP filed Notice of Proposed Rulemaking related to rules on 7/14/06.
  • 410-120-0000 Definitions
  • 410-120-1280 Billing
  • 410-125-0146 Supplemental Reimbursement for Public Academic Teach University Medical Practitioners
  • 410-125-0195 Outpatient Services In-State DRG Hospitals
  • 410-125-0196 Outpatient Hosptial Services in a Hospital Emergency Department

Managed Care

• Proposed Delivery System Changes Stakeholders Meeting  
  • Addendum to Delivery Systems Plan (PDF) 
  • Proposed Delivery System Changes - 4/14/06 (PDF) 
  • Proposed Managed Care Delivery System Changes (PDF) 
  • OHP MCO May 15, 2006 minutes (PDF) 
  • Non-OHP MCO May 16, 2006 minutes (PDF) 
• General Rules and OHP Managed Care Rules Advisory Committee  
  • Meeting Minutes 8/30/06 (PDF) 
• MMIS/MCO Workgroup Meeting
• Paid Claims Meeting  
  • Minutes - May 2006 (PDF)     
• See the OHP Public Meetings page for monthly OHP Contractors meetings

Other Meetings

• DHS Medicare/Medicaid Coordination

  The purpose of the DHS Medicare/Medicaid Coordination Workgroup is to share information and provide coordination and problem resolution on overlapping Medicare/Medicaid issues. DHS will have representatives from several Divisions and we will invite participants from managed care plans and CMS.

• 2007-09 Per Capita Cost meeting
  • Meeting agenda 3/15/06
• Oregon Healthy Kids Plan
  • Public Meeting Invitation - April/May 2006 (PDF) 
• DMAP Rules Advisory meetings
  • For administrative rules effective July 1, 2006, in General Rules, OHP/Managed Care, Medical-Surgical, FQHC-RHC, Dental, and American Indian/Alaska Native programs.Agenda 2/24/06 (PDF) 

Other stakeholder announcements

• Health Record Bank of Oregon project begins

  As announced in a DHS news release this November, Oregon has received a two-year, $5.5 million Medicaid transformation grant to create an electronic health records bank (Health Record Bank of Oregon). DMAP now has a Web site for the Health Record Bank of Oregon project where you can learn about the intended benefits, background information, and how the project is doing.

  • To go to the Health Record Bank of Oregon Web site, click here.
  • To receive e-mail updates about Health Record Bank of Oregon, make sure to eSubscribe.
• Process for Responding to Questions About the Per Capita Cost Report (PDF)
• 2007-09 Draft PCC Report (PDF)
• Questions and Answers  (PDF)
• Handouts from Aug. 29 PCC meeting
  • Comparison of Managed Care PCC Components - 2005-07 versus 2007-09 Summary (Excel)
  • Exhibit 11 - revised (Excel)
  • PCC Timeline (PDF)
  • PCC Powerpoint Slide Presentation (Powerpoint)
  • Bucketbook - version 30 (PDF)
• The 2007-09 DHS budget Policy Option Packages (POPs) are now available for review and comment. The comment period is open until August 17, 2006. You may e-mail your comments to DHS.budget-input@state.or.us. 
• DHS schedules public forums on framing 2007-09 budget proposal  
• Health Services Commission (HSC) Medical Director position available (PDF)  
• OMAP published in American Journal of Public Health -- posted 3/28/06 (PDF)