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Administrative Rules - Office for Oregon Health Policy and Research (OHPR)
Proposed Rule Revisions and Hearings

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There are no rulemaking notices at this time. 

 

Temporary Rules

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Adopt: 409-045-0105, 409-045-0110, 409-045-0115, 409-045-0120, 409-045-0125, 409-045-0130,
           and 409-045-0135
Effective dates: 1/1/2014 through 6/30/2014

 

Adopted Rules
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Chapter 409 (OHPR), Oregon Administrative Rules
 
Division 1 – PROCEDURAL RULES  
  
Rule Number
Division Title
Effective Date
409-001-0000
Notice of Proposed Rules
01/02/2002
409-001-0005
Model Rules of Procedure
01/02/2002
 
 
Division 15 – HEALTH CARE FACILITY FINANCIAL REPORTING   
 
Rule Number
Division Title
Effective Date
409-015-0005
Definitions
01/02/2002
409-015-0010
Report Forms
03/01/2011
409-015-0012
Filing Date
10/01/2010
409-015-0015
Reports Required
10/01/2010
409-015-0030
Modification of Reporting Requirements
03/25/1988
409-015-0035
Civil Penalties
10/23/1999
409-015-0040
Where to Address Communications to the Office
01/02/2002
  
 
Division 21 – ACCESS OF DATA AND FEES FOR DATA SEARCH   
 
Rule Number
Division Title
Effective Date
409-021-0005
Introduction
01/02/2002
409-021-0010
Definitions
02/01/2007
409-021-0115
Calculations of Fees
02/01/2007
409-021-0120
Inspection of Health Data
02/01/2007
409-021-0130
Requests to Obtain Copies of Public Use Health Data Files
02/01/2013
409-021-0140
Requests and Requirements to Obtain Restricted Health Data Sets 02/01/2007
403-021-0150
Denial of Requests to Inspect or Obtain Copies of Health Data 02/01/2007
  
 
Division 22 – REQUIREMENTS FOR SUBMISSION OF HEALTH CARE FACILITY UTILIZATION DATA; AMBULATORY SURGERY   
 
Rule Number
Division Title
Effective Date
409-022-0005
Annual Reports
01/02/2002
 
Ambulatory Surgical Data Reporting Program 
Rule Number
Division Title
Effective Date
409-022-0010
Definitions
01/01/2007
409-022-0020
Reporting Source of Ambulatory Surgical Center
01/01/2007
409-022-0030
Electronic File Transfer Schedule
01/01/2007
409-022-0040
Confidentiality and Data Security
01/01/2007
409-022-0050
Fees
02/24/2014
403-022-0060
Access to Health Data
01/01/2007
403-022-0070
Limited Data Sets with a Date Use Agreement
01/01/2007
403-022-0080
Exemptions, Extensions and Waivers
01/01/2007
  
 
Division 23 – HOSPITAL REPORTING      
 
Community Benefit Reporting Program
Rule Number
Division Title
Effective Date
409-023-0100
Definitions
07/01/2008
409-023-0105
Reporting
07/01/2008
 
 
Division 24 - CAPITOL PROJECT REPORTING PROGRAM
 
Rule Number
Division Title
Effective Date
409-024-0000
Definitions
07/01/2010
409-024-0110
Capitol Project Report
07/01/2010
409-024-0120
Public Comments
07/01/2010
409-024-0130
Civil Penalties
07/01/2010
  
  
Division 25 - ALL-PAYER HEALTHCARE CLAIMS DATA REPORTING PROGRAM

Rule Number
Division Title
Effective Date
409-025-0100
Definitions
07/09/2012
409-025-0110
General Reporting Requirements
07/09/2012
409-025-0120 Healthcare Claims Data File Layout, Format, and Coding Requirements 06/01/2012
409-025-0130
Healthcare Claims Data Submission Requirements
06/01/2012
409-025-0140
Waivers and Exceptions
03/01/2010
409-025-0150
Compliance and Enforcement
03/01/2010
409-025-0160
Limited and Public Use Data Sets
02/01/2013
409-025-0170 Public Disclosure 03/01/2010
 
 
Division 26 - OREGON HEALTHCARE WORKFORCE DATABASE

Rule Number
Division Title
Effective Date
409-026-0100
Definitions
01/01/2010
409-026-0110
Data Elements
01/01/2010
409-026-0120
Reporting Schedule and Format
01/01/2010
409-026-0130
Fees 
01/01/2010
409-026-0140
Data Access
01/01/2010

  

Division 30 – ADMINISTRATIVE REQUIREMENTS FOR HEALTH PROFESSION STUDENT CLINICAL TRAINING    

Rule Number
Division Title
Effective Date
409-030-0100
Purpose
07/01/2014
409-030-0110
Definitions
07/01/2014
409-030-0120
General applicability
07/01/2014
409-030-0130
Health Professional Disciplines 07/01/2014
409-030-0140
Clinical Settings
07/01/2014
403-030-0150
Exceptions
07/01/2014
403-030-0160
Regular Review of Clinical Standards
07/01/2014
403-030-0170
Administrative Requirements for Clinical Placemenet
07/01/2014
403-030-0180
Immunization Standards 07/01/2014
403-030-0190
Screening Standards
07/01/2014
​409-030-0200 ​Tuberculosis Screening

​07/01/2014

​409-030-0210 ​Drug Testing for Substance Abuse and Misuse

​07/01/2014

​409-030-0220 ​State and Nationwide Criminal Background Checks

​07/01/2014

​409-030-0230 ​Training Standards

​07/01/2014

​409-030-0240 ​Insurance and Liability Coverage

​07/01/2014

​409-030-0250 ​Information Sharing or Use of Data

​07/01/2014

Attachment (Table 1)

07/01/2014

  
 
Division 35 - PHYSICIAN VISA WAIVER PROGRAM

Rule Number
Division Title
Effective Date
409-035-0000
Purpose of the Physician Visa Waiver Program
01/01/2011
409-035-0010
Definitions
01/01/2011
409-035-0020
Health Care Facility Participation Requirements
02/01/2013
409-035-0030
Physician Participation Requirements
01/01/2011
409-035-0040
Application Review Process
01/01/2011
409-035-0050
Monitoring and Follow-up Requirements
01/01/2011
409-035-0060
Transfer of J-1 Waiver Physician Obligation
01/01/2011

  

 
Division 37 – MEDICAID PRIMARY CARE LOAN REPAYMENT PROGRAM    

Rule Number
Division Title
Effective Date
409-037-0000
Purpose
09/04/2013
409-037-0010
Definitions
​09/04/2013
409-037-0020
Participation and Application Requirements
09/04/2013
409-037-0030 Application and Review Process
                
09/04/2013
409-037-0040
Maximum Award Amounts
09/04/2013
403-037-0050
Transfer of Medicaid Loan Repayment Provider Service Obligation
09/04/2013
403-037-0060
Suspension or Waiver of Minimum Service Obligation 09/04/2013
403-037-0070
Failure to Comply; Penalties
09/04/2013
403-037-0080
Monitoring and Follow-up Requirements  09/04/2013
  
 
Division 40 - COMMUNITY-BASED HEALTH CARE IMPROVEMENT PROGRAM

Rule Number
Division Title
Effective Date
409-040-0100
Scope
01/01/2010
409-040-0105
Definitions
01/01/2010
409-040-0110
Community-based Health Care Improvement Requirements and Certification Process
01/01/2010
409-040-0115
Program Reporting Requirements
01/01/2010
  
 
Division 45 - PHYSICIAN CREDENTIALING
Rule Number
Division Title
Effective Date
409-045-0000
Physician Credentialing, Health Care Service Contractors
05/01/2012
Application Forms
Credentialing  /  Recredentialing 
05/01/2012
Note: For Telemedicine Provider Credentialing Requirements Rules, see above under Temporary Rules

Division 50 - PAIN MANAGEMENT COMMISSION
Rule Number
Division Title
Effective Date
409-050-0100
Purpose
02/01/2011
409-050-0110
Definitions
12/01/2011
409-050-0120
Commission Positions
12/01/2011
409-050-0130
Pain Management Education Program Requirements
12/22/2011
  
 
Division 55– PATIENT-CENTERED PRIMARY CARE HOME PROGRAM    
Rule Number
Division Title
Effective Date
409-055-0000
Purpose and Scope
03/01/2012
409-055-0010
Definitions
03/01/2012
409-055-0020
Program Administration
03/01/2012
409-055-0030
Practice Application and Recognition Process 
              
01/01/2014
409-055-0040
Recognition Criteria
01/01/2014
403-055-0050
Data Reporting Requirements for Recognized PCPCHs
01/01/2014
403-055-0060
Verification
01/01/2014
403-055-0070
Compliance
01/01/2014
403-055-0080
Insurance Carrier, Managed Care Plan, and Public Stakeholder Communication 03/01/2012
403-055-0090
Reimbursement Objectives
03/01/2012
Attachment (Tables 1 - 4) 01/01/2014

  

Division 60 – HEALTH EVIDENCE REVIEW COMMISSION (HERC)      
 
Evidence-based Reports 

 

Rule Number
Division Title
Effective Date
409-060-0100
Scope
02/01/2013
409-060-0110
Definitions 
02/01/2013
409-060-0120
Health Evidence Review Commissiion Process for Evidence-based Reports 02/01/2013
409-060-0130
Medical Technology Assessments
02/01/2013
409-060-0140
Evidence-based Guidelines
02/01/2013
403-060-0150
Coverage Guidelines 
02/01/2013

 

 

 Division 90 – OFFICE OF HEALTH POLICY ADMINISTRATION    
 

Rule Number
Division Title
Effective Date
409-090-0020
Copy Charges
01/02/2002
409-090-0030
Charges for Printed Office of the Oregon Health Plan Administrator Reports 01/02/2002
  
 
Contact Information:
Zarie Haverkate, Admin. Rules Coordinator
Oregon Health Policy and Research
1225 Ferry Street SE, 1st Floor
Salem, OR  97301
Phone:  503.373.1574
Email:   zarie.haverkate@state.or.us