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Administrative Rules - Chapter 409, Health Policy and Analytics
Temporary Rules  

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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 03/28/2016
409-015-0010 Report Forms 03/28/2016
409-015-0012 Filing Date 10/01/2010
409-015-0015 Reports Required 03/28/2016
409-015-0030 Modification of Reporting Requirements 03/28/2016
409-015-0035 Civil Penalties 03/28/2016
  
 
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 07/01/2015
409-022-0020 Reporting Source of Ambulatory Surgical Center 07/01/2015
403-022-0060 Access to Health Data 07/01/2015
403-022-0070 Limited Data Sets with a Date Use Agreement 07/01/2015
  
 
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 - CAPITAL PROJECT REPORTING PROGRAM 

Rule Number Division Title Effective Date
409-024-0000 Definitions 09/24/2015
409-024-0110 Capital Project Report 09/24/2015
409-024-0120 Public Comments 09/24/2015
409-024-0130 Civil Penalties 09/24/2015
  
  
Division 25 - ALL-PAYER ALL CLAIMS DATA REPORTING PROGRAM

Rule Number Division Title Effective Date
409-025-0100 Definitions 01/05/2016
409-025-0110 General Reporting Requirements 01/05/2016
409-025-0120 Data File Layout, Format, and Coding Requirements 01/05/2016
409-025-0130 Data Submission Requirements 01/05/2016
409-025-0140 Waivers and Exceptions 01/05/2016
409-025-0150 Compliance and Enforcement 01/05/2016
409-025-0160 Data Access and Release 01/05/2016
409-025-0170 Public Disclosure 01/05/2016
Appendices A - F and Schedule A
  Note: The above rule relates ends 12/31/2016. Link to OAR 409-025 effective 1/1/2017
 
Division 26 - OREGON HEALTHCARE WORKFORCE DATABASE

Rule Number Division Title Effective Date
409-026-0100 Definitions 03/25/2016
409-026-0110 Data Elements 03/25/2016
409-026-0120 Reporting Schedule and Format 03/25/2016
409-026-0130 Fees  03/25/2016
409-026-0140 Data Access 03/25/2016

  

Division 27 - PRIMARY CARE SERVICES REPORTING

Rule Number Division Title Effective Date
409-027-0005 Purpose and Scope 07/08/2016
409-026-0015 Definitions 07/08/2016
409-026-0025 Coordinated Care Organization (CCO) Reporting Requirements 07/08/2016
Non-Claims Based Expenditures Reporting Template
​Guidance document for Template

 

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 07/01/2015
409-030-0120 General applicability 07/01/2014
409-030-0130 Health Professional Disciplines 07/01/2014
409-030-0140 Clinical Settings 07/01/2015
403-030-0150 Exceptions 07/01/2015
403-030-0160 Regular Review of Clinical Standards 07/01/2015
403-030-0170 Administrative Requirements for Clinical Placement 07/01/2015
403-030-0180 Immunization Standards 07/01/2015
403-030-0190 Screening Standards 07/01/2015
​409-030-0200 ​Tuberculosis Screening ​07/01/2014
​409-030-0210 ​Drug Testing for Substance Abuse and Misuse ​07/01/2015
​409-030-0220 ​State and Nationwide Criminal Background Checks ​07/01/2015
​409-030-0230 ​Training Standards ​07/01/2015
​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 04/22/2016
409-035-0030 Physician Participation Requirements 01/01/2011
409-035-0040 Application Review Process 02/01/2015
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 45 - HEALTH CARE PRACTITIONER CREDENTIALING

Rule Number Division Title Effective Date
409-045-0025 Definitions 07/01/2014
​409-045-0030 ​​Oregon Common Credentialing Program ​07/01/2014
​409-045-0035 ​Oregon Practitioner Credentialing Program​ ​07/01/2014
​409-045-0040 ​Credentialing Information Verifications 07/01/2014​
​409-045-0045 ​Health Care Regulatory Board Participation​ ​07/01/2014
​409-045-0050 Credentialing Organization Participation​ ​07/01/2014
​409-045-0055 ​Health Care Practitioner Participation ​07/01/2014
​409-045-0060 ​Use of Health Care Practitioner Information 07/01/2014​
409-045-0065 ​Common Credentialing Advisory Group ​07/01/2014
​409-045-0070 ​Imposition of Fees ​07/01/2014
​409-045-0075 Complaints​ ​07/01/2014
Application Forms Credentialing  /  Recredentialing  05/01/2012

 

Credentialing Requirements for Telemedicine Providers

Rule Number Division Title Effective Date
409-045-0115 General Applicability 07/01/2014
​409-045-0120 ​​Standard List of Credentialing Documents ​07/01/2014
​409-045-0125 ​Distant-Site Hospital Agreements​ ​07/01/2014
​409-045-0130 ​Hold Harmless Clause 07/01/2014​
​409-045-0135 ​Information Sharing or Use of Data​ ​07/01/2014



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 05/13/2016
409-055-0010 Definitions 05/13/2016
409-055-0020 Program Administration 05/13/2016
409-055-0030 Practice Application and Recognition Process  05/13/2016
409-055-0040 Recognition Criteria 05/13/2016
​409-055-0045 ​5 STAR Designation ​05/13/2016
403-055-0050 Data Reporting Requirements for Recognized PCPCHs 05/13/2016
403-055-0060 Verification 05/13/2016
403-055-0070 Compliance 05/13/2016
403-055-0080 Insurance Carrier, Managed Care Plan, and Public Stakeholder Communication 05/13/2016
403-055-0090 Reimbursement Objectives 05/13/2016
Attachment (Tables 1 - 4) 05/13/2016

  

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  04/19/2016
409-060-0120 Health Evidence Review Commission Process for Evidence-based Reports 04/19/2016
409-060-0130 Medical Technology Assessments 02/01/2013
409-060-0140 Evidence-based Guidelines 02/01/2013
403-060-0150 Coverage Guidelines  04/19/2016

 

 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, Administrative Rules Coordinator
Health Policy and Analytics, Business Supports
Oregon Health Authority
500 Summer Street NE, E-65 
Salem, OR  97301
Phone:  503-931-6420
Email:   zarie.haverkate@state.or.us