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DMAP Notices of Proposed Rulemaking and rulemaking hearings

OHP Notices of Proposed Rulemaking and rulemaking hearings

Oregon ​Administrative Rules adm​inistered by the Health Systems Division

Receive OHP rulemaking notices and hearings updates by e-mail  - Please specify which program(s) you are interested in; otherwise, you will receive updates for all programs.

 

Rulemaking process overview 

Before these notices are filed, the following meetings are held to discuss upcoming proposed rule changes. Meeting dates, locations and times are posted on the OHP meetings calendar:

Unless otherwise specified, the division holds rulemaking hearings at the Barbara Roberts Human Services Building, 500 Summer St NE, Salem. Visitors have several paid and metered parking options.

 

Questions?

Contact the Rules Coordinator (503-945-6430) to ask about proposed rule status and submitting public comment.

 

Rulemaking Hearing Notices

Click on the table header names to sort or filter the notices list.

  
Program Name
  
File Description
  
Nprm-120-061917General Rules
410-120-0006
Align with Department of Human Services OAR Chapter 461 Rules
This is not a rulemaking hearing.
Last opportunity for written public comments: June 19, 2017. Send comments to: hsd.rules@state.or.us
6/19/2017
Nprm-121-0040-06152017Pharmaceutical Services
410-121-0040
Amending Prior Authorization Approval Criteria Guide
Rulemaking Hearing: June 15, 2017, 10:30 a.m., Room 137B
Last Opportunity for Public Comment: June 19, 2017, 5 p.m.
Send Comments to: hsd.rules@state.or.us
6/15/2017
Nprm-123-06152017Dental
OAR 410-123-1220, 410-123-1260: Updates the Covered and Non-Covered Dental Services and Clarifies Timeframes for Partial Denture Replacement
Rulemaking Hearing June 15, 2017, 10:30 a.m., Room 137B
Last Opportunity for Written Public Comment: June 19, 2017, by 5 p.m.
Send Comments to: hsd.rules@state.or.us
6/15/2017
Nprm-121-0030-06152017Pharmaceutical Services
OAR 410-121-0030: Amending PDL January 26, 2017 DUR/P&T Action
Rulemaking Hearing June 15, 2017, 10:30 a.m., Room 137B
Last Opportunity for Written Public Comment: June 19, 2017, by 5 p.m.
Send Comments to: hsd.rules@state.or.us
6/15/2017
Nprm-121-061517Pharmaceutical Services
Comply with amended CFRs, revise reimbursement methodology, clarify vaccine reimbursement and remove copays
Rulemaking Hearing: June 15, 2017, 10:30 a.m., Room 137B
Last Opportunity for Public Comment: June 19, 2017, 5 p.m.
6/15/2017
Nprm-165-05162017Medicaid EHR Incentive Program
410-165-0000, 410-165-0020, 410-165-0040, 410-165-0060, 410-165-0080 and the repeal of OAR 410-165-0000(T), 410-165-0020(T), 410-165-0060(T), 410-165-0080(T)
Update Rules Governing Payment for the Medicaid EHR Incentive Program
Rulemaking Hearing: May 16, 2017, at 10:30 a.m. Room 137B
Last Opportunity for Public Comment: May 18, 2017, by 5 p.m.
Send comments to: hsd.rules@state.or.us.
5/16/2017
Nprm-129-131-05162017Physical and Occupational Therapy, Speech-Hearing
410-129-0020, 410-129-0070, 410-129-0100, 410-131-0040, 410-131-0080, 410-131-0120
Clearly Define Rehabilitative and Habilitative Therapies and Remove Client Copayment to Comply with Federal Requirements
Rulemaking Hearing: May 16, 2017, 10:30 a.m., Room 137B
Last opportunity for public comment: May 18, 2017, by 5 p.m.
Send comments to: hsd.rules@state.or.us
5/16/2017
Nprm-141-3160-05162017OHP (MCO and CCO)
410-141-3160
CCOs Ensure Discharge of Members from Extended/Long-Term Psychiatric Programs as Soon As Reasonably Possible
Rulemaking Hearing: May 16, 2017, 10:30 a.m., Room 137B
Last Opportunity for Public Comment: May 18, 2017, 5 p.m.
Send Comments to: hsd.rules@state.or.us
5/16/2017
Nprm-120-0040-05162017Pharmaceutical Services
410-121-0040
Amending Prior Authorization Approval Criteria Guide
Rulemaking Hearing: May 16, 2017, 10:30 a.m., Room 137B
Last Opportunity for Public Comment: May 18, 2017, 5 p.m.
Send Comments to: hsd.rules@state.or.us
5/16/2017
Nprm-200-0315-04202017OCCS
410-200-0315. Income eligibility guidelines for MAGI Medicaid/CHIP. No rulemaking hearing. Last day for public comment: April 20, 2017, by 5 p.m.
4/20/2017
Nprm-138-03172017Targeted Case Management
410-138-0000, 410-138-0005, 410-138-0007, 410-138-0009, 410-138-0020, 410-138-0040, 410-138-0060, 410-138-0080, 410-138-0390, and 410-138-0420
Expanding Services in State Plan for Babies First!, CaCoon TCM Approved by CMS Effective January 1, 2017
No rulemaking hearing.
Last opportunity for public written comments: March 17, 2017, by 5 p.m.
Send comments to: hsd.rules@state.or.us.
3/17/2017
Nprm-121-0040-03152017Pharmaceutical Services
410-121-0040
Amending Prior Authorization Approval Criteria Guide
Rulemaking Hearing: March 15, 2017, at 10:30 a.m.
Last Opportunity for Public Written Comment: March 17, 2017, by 5 p.m.
Send comments to: hsd.rules@state.or.us.
3/15/2017
Nprm-172-03152017Behavioral Health
410-172-0650, 410-172-0760, 410-172-0770 - Aligning Applied Behavior Analysis rules with licensing, HERC and Mental Health Parity regulations.
Rulemaking Hearing: March 15, 2017, 10:30 a.m., Room 137B
Last day for public comment: March 17, 2017, by 5 p.m.
Send comments to: hsd.rules@state.or.us.
3/15/2017
Nprm-141-12202016OHP (MCO and CCO)
410-141-3015, 410-141-3145, 410-141-3260, and 410-141-3300
Amending Rules to Comply with Amended CFR's, Gender Identity and Provider Enrollee Communications
Rulemaking Hearing: December 20, 2016, 10:30 a.m., Room 160
Last Opportunity for Public Comment: December 22, 2016, by 5 p.m.
Send Comments to: hsd.rules@state.or.us.
12/20/2016
Nprm-120-1230-12202016General Rules
410-120-1230, 1230-1 Table
Client Copayment
Rulemaking Hearing: December 20, 2016, 10:30 a.m., Room 160
Last Opportunity for Public Comment: December 22, 2016, by 5 p.m.
Send comments to: hsd.rules@state.or.us.
12/20/2016
Nprm-141-3070-3300-3395-12202016OHP (MCO and CCO)
410-141-3070, 410-141-3300, and 410-141-3395
Compliance with a January 28, 2016 CMS Informational Bulletin Requiring Alternate Benefit Changes in OHP
Rulemaking Hearing: December 20, 2016, 10:30 a.m., Room 160
Last Opportunity for Public Comment: December 22, 2016, by 5 p.m.
Send comments to: hsd.rules@state.or.us.
12/20/2016
Nprm-141-0520-11172016OHP (MCO and CCO)
410-141-0520
Prioritized List Effective October 1, 2016
This is not a rulemaking hearing.
Last Opportunity for Public Comment: November 17, 2016, by 5 p.m.
Send comments to: hsd.rules@state.or.us.
11/17/2016
Nprm-121-0030-11152016Pharmaceutical Services
410-121-0030
Amending PDL March 31, May 26, 2016 DUR/P&T Action
Rulemaking Hearing: November 15, 2016, 10:30 a.m., Room 160
Last Opportunity for Public Comment: November 17, 2016, by 5 p.m.
Send Comments to: hsd.rules@state.or.us.
11/15/2016
Nprm-141-3435-11152016OHP (MCO and CCO)
410-141-3435
Deletes Redundant Liability Limits for Coordinated Care Organizations (Deletes the former section (4), not the entire rule.)
Rulemaking Hearing: November 15, 2016, 10:30 a.m., Room 160
Last Opportunity for Public Comment: November 17, 2016, by 5 p.m.
Send Comments to: hsd.rules@state.or.us.
11/15/2016
Nprm-170-0110-11152016BRS
410-170-0110
Updating Rate Table Incorporated by Reference
Rulemaking Hearing: November 15, 2016, 10:30 a.m., Room 160
Last Opportunity for Written Public Comment: November 17, 2016, by 5 p.m.
Send Comments to: hsd.rules@state.or.us
11/15/2016
Nprm-120-0040-11152016Pharmaceutical Services
410-121-0040
Amending Prior Authorization Approval Criteria Guide
Rulemaking Hearing: November 15, 2016, 10:30 a.m., Room 160
Last opportunity for public comment: November 17, 2016, 5 p.m.
Send comments to: hsd.rules@state.or.us.
11/15/2016
Nprm-121-0040-10182016Pharmaceutical Services
410-121-0040
Amending Prior Authorization Approval Criteria Guide
Rulemaking Hearing: October 18, 2016, 10:30 a.m., Room 137D
Last Opportunity for Public Comment: October 20, 2016, by 5 p.m.
Send Comments to: hsd.rules@state.or.us.
10/18/2016
Nprm-123-1220-09192016Dental
410-123-1220
Update the Covered and Non-Covered Dental Services According to the Prioritized List
This is rulemaking and not a rulemaking hearing.
The last opportunity for public written comment is September 19, 2916, by 5 p.m.
Send comments to: HSD.rules@state.or.us.
9/19/2016
Nprm-120-0006-09192016General Rules
410-120-0006
Align with Department of Human Services OAR Chapter 461 Rules
This is not a rulemaking hearing.
Last opportunity for written public comments: September 19, 2016, by 5 p.m.
Send comments to: hsd.rules@state.or.us.
9/19/2016
Nprm-121-0030-08162016Pharmaceutical Services
410-121-0030
Amending PDL March 31, 2016 DUR/P&T Action
Rulemaking Hearing: 10:30 a.m., August 16, 2016, Room 160
Last opportunity for written public comment: August 18, 2016, by 5 p.m.
Send comments to: dmap.rules@state.or.us and HSB.Rules@state.or.us by the end of July 2016.
8/16/2016
Nprm-121-0040-08162016Pharmaceutical Services
410-121-0040
Amending Prior Authorization Approval Criteria Guide
Rulemaking Hearing: 10:30 a.m., August 16, 2016, Room 160
Last opportunity for public comment: August 18, 2016, by 5 p.m.
Send comments to: dmap.rules@state.or.us and HSB.Rules@state.or.us by the end of July 2016.
8/16/2016
Nprm-120-changes-08162016General Rules
410-120-0045, 410-120-1230 Table 120-1230-1
Applications for Medical Assistance at Provider Locations and a Clarification to the Drug Copay Table
Rulemaking Hearing: 10:30 a.m., August 16, 2016, Room 160
Last Opportunity for Public Comment: August 18, 2016, by 5 p.m.
Send written comments to hsd.rules@state.or.us.
8/16/2016
Nprm-129-131-07212016Physical and Occupational Therapy, Speech-Hearing
410-129-0020, 410-129-0040, 410-129-0060, 410-129-0065, 410-129-0070, 410-129-0080, 410-129-0100, 410-129-0180, 410-129-0220, 410-129-0260, 410-131-0040, 410-131-0080, 410-131-0100, 410-131-0120 and 410-131-0160
Caption: Clearly Define Maintenance to Comply with Federal Requirements and General Language Cleanup
This is not a rulemaking hearing as the changes are mandated by federal regulations.
Last opportunity for public comment: July 21, 2016, by 5 p.m.
Send comments to: dmap.rules@state.or.us.
7/21/2016
Nprm-050-0861-07192016Tax Rules
410-050-0861
Hospital Assessment Rate Decrease
Rulemaking Hearing: July 19, 2016, 10:30 a.m., Room 160
Last opportunity for public comment: July 21, 2016, by 5 p.m.
Send comments to: dmap.rules@state.or.us.
7/19/2016
Nprm-133-06172016School-Based Health Services
410-133-0000, 410-133-0040, 410-133-0060, 410-133-0080, 410-133-0100, 410-133-0120, 410-133-0140, 410-133-0200, 410-133-0300, 410-133-0320
Clarify Services, Billing, Qualifications for Providing IDEA Services to Children with Disabilities in Public Schools
This is rulemaking and no rulemaking hearing.
Last Opportunity for Public Comment: June 17, 2016, by 5 p.m.
Send Comments to: dmap.rules@state.or.us
6/17/2016
Nprm-165-06172016Medicaid EHR Incentive Program
410-165-0000, 410-165-0020, 410-165-0040, 410-165-0060, 410-165-0080, 410-165-0100, 410-165-0120, and 410-165-0140
EHR IP Rule Updates Following Federal Rule Update
This is not a rulemaking hearing.
Last Opportunity for Public Comment: June 17, 2016, by 5 p.m.
Send Comments to: dmap.rules@state.or.us.
6/17/2016
Nprm-141-3110-061516OHP (MCO and CCO)
410-141-3110
CCO Substance Use Disorder Provider, Treatment and Facility Certification and Licensure
Rulemaking Hearing: June 15, 2016, 10:30 a.m. Room 137B
Last opportunity for public comment: June 17 by 5 p.m.
Send comments to: dmap.rules@state.or.us
6/15/2016
Nprm-141-3262-061516OHP (MCO and CCO)
410-141-3262
Requirements for CCO Appeal
Rulemaking Hearing: June 15, 2016, 10:30 a.m., Room 137B
Last opportunity for public comment: June 17, 2016, by 5 p.m.
Send comments to: dmap.rules@state.or.us
6/15/2016
Nprm-141-3070-06152016OHP (MCO and CCO)
410-141-3070
Preferred Drug List Requirements
Rulemaking Hearing: June 15, 2016, 10:30 a.m., Room 137B
Last opportunity for comments: June 17, 2016, by 5 p.m.
Send comments to dmap.rules@state.or.us
6/15/2016
Nprm-123-1510-06152016Dental
410-123-1510
Timeframes for Seeing, Referring or Providing Services to OHP Fee-for-Service Pregnant Clients
Rulemaking Hearing: June 15, 2016, 10:30 a.m., Room 137B
Last Opportunity for Public Comment: June 17, 2016, 5 p.m.
Send Comments: dmap.rules@state.or.us
6/15/2016
Nprm-121-0030-06152016Pharmaceutical Services
410-121-0030
Amending PDL November 19, 2015, January 28, 2016 DUR/P&T Action
Rulemaking Hearing: June 15, 2016, 10:30 a.m., Room 137B
Last Opportunity for Public Comments: June 17, 2016, 5 p.m.
Send Comments to: dmap.rules@state.or.us
6/15/2016
Nprm-121-0040-06152016Pharmaceutical Services
410-121-0040
Amending Prior Authorization Approval Criteria Guide
Rulemaking Hearing: June 15, 2016, 10:30 a.m., Room 137B
Last Opportunity for Public Comment: June 17, 2016, 5 p.m.
Send Comments to: dmap.rules@state.or.us
6/15/2016
Nprm-125-06152016Hospital
410-125-0080, 410-125-0141, and 410-125-0400, 410-120-0000
Enroll and Reimburse Specialty Hospitals Classified as Long-Term Acute Care Hospitals
Rulemaking Hearing: June 15, 2016, 10:30 a.m., Room 137B
Last Opportunity for Public Comment: June 17, 2016, by 5 p.m.
Send Comments to: dmap.rules@state.or.us.
6/15/2016
Nprm-123-1060-06152016Dental
410-123-1060
Defines Medicament in the Context of Dental Rules
Rulemaking Hearing: June 15, 2016, 10:30 a.m., Room 137B
Last Opportunity for Public Comment: June 17, 2016 by 5 p.m.
Send Comments to: dmap.rules@state.or.us.
6/15/2016
Nprm-123-1260-06152016Dental
410-123-1260
Update Reference to Current Covered and Non-Covered Dental Services Document, Incorporate Changes and Corrections
Rulemaking Hearing: June 15, 2016, 10:30 a.m., Room 137B
Last Opportunity for Public Comment: June 17, 2016, by 5 p.m.
Send Comments to: dmap.rules@state.or.us.
6/15/2016
Nprm-141-061516OHP (MCO and CCO)
410-141-3060 and 410-141-3080
Amend CCO Enrollment and Disenrollment Rules Aligning Current Practices and Pregnancy Enrollment Exemption Processes
Rulemaking Hearing: June 15, 2016, 10:30 a.m. Room 137B
Last Opportunity for Public Comments: June 17, 2016, by 5 p.m.
Send Comments to: dmap.rules@state.or.us.
6/15/2016
Nprm-141-0000-06152016OHP (MCO and CCO)
410-141-0000
Definition Addition of Managed Care Entity (MCE)
Rulemaking Hearing: June 15, 2016, 10:30 a.m. Room 137B
Last Opportunity for Public Comment: June 17, 2016, by 5 p.m.
Send Comments to: dmap.rules@state.or.us.
6/15/2016
Nprm-141-3420-06152016OHP (MCO and CCO)
410-141-3420 and repeal 410-141-0420
Managed Care Entity (MCE) Billing and Payment
Rulemaking Hearing: June 15, 2016, 10:30 a.m., Room 137B
Last Opportunity for Public Comment: June 17, 2016, by 5 p.m.
Send Comments to: dmap.rules@state.or.us.
6/15/2016
Nprm-200-0407-05172016OCCS
410-200-0407
Former Foster Care Youth Medical--Specific Requirements
Rulemaking Hearing: May 17, 2016, 10:30 a.m. Room 160
Last Opportunity for Public Comment: May 19, 2016, by 5 p.m.
Send Comments to: dmap.rules@state.or.us
5/17/2016
Nprm-200-05172016OCCS
OAR 410-200-0015; 410-200-0100; 410-200-0105; 410-200-0110; 410-200-0111; 410-200-0115; 410-200-0120; 410-200-0125; 410-200-0130; 410-200-0135; 410-200-0140; 410-200-0200; 410-200-0215; 410-200-0230; 410-200-0235; 410-200-0240; 410-200-0310; 410-200-0415; 410-200-0425; 410-200-0440; 410-200-0505; 410-200-0510
Rulemaking Hearing: May 17, 2016, 10:30 a.m. Room 160
Last Opportunity for Public Comment: May 19, 2016, by 5 p.m.
Send Comments to: dmap.rules@state.or.us
5/17/2016
Nprm-200-0315-04212016OCCS
410-200-0315
Income Eligibility Guidelines for OCCS Medical Programs
There is no hearing for this rule change since OARs must be amended to reflect the federally released FPLs as quickly as possible.
Last day for public comment: April 21, 2016 by 5 p.m.
Send comments to dmap.rules@state.or.us.
4/21/2016
Nprm-130-0220-04212016Medical-Surgical
410-130-0220
Incorporate Code Set and HERC Changes into List of Billing Codes Not Covered by OHP
There is no hearing for this rulemaking. The changes were made by CMS and HERC.
The public comment period ends April 21, 2016, at 5 p.m.
Send comments to dmap.rules@state.or.us.
4/21/2016
Nprm-141-3020-04212016OHP (MCO and CCO)
410-141-3020
Administration of Oregon Integrated and Coordinated Health Care Delivery System Regulation and Rule Precedence
This is a notice of proposed rulemaking with no hearing.
The last day for public comment is April 21, 2016, by 5 p.m.
Send comments to dmap.rules@state.or.us.
4/21/2016
Nprm-121-0040-03152016Pharmaceutical Services
410-121-0040
Amending Prior Authorization Approval Criteria Guide
Rulemaking Hearing: March 15, 2016, 10:30 a.m. Room 160
Last opportunity for public comment: March 17, 2016, by 5 p.m.
Send comments to: dmap.rules@state.or.us
3/15/2016
Nprm-141-0520-021916OHP (MCO and CCO)
410-141-0520
Prioritized List, Effective 1/1/16, including Modifications Effective 10/1/15 and Biennial Changes January 1, 2016-December 31, 2017
This is a rulemaking, not a rulemaking hearing.
Last opportunity for public comment is February 19, 2016 at 5 p.m.
Send comments to dmap.rules@state.or.us.
2/19/2016
Nprm-121-0040-02172016Pharmaceutical Services
410-121-0040
Amending Prior Authorization Approval Criteria Guide
Rulemaking Hearing: February 17, 2016, 10:30 a.m. Room 160
Last Opportunity for Public Comment: February 19, 2016, by 5 p.m.
Send Comments: dmap.rules@state.or.us
2/17/2016
Nprm-121-0030-02172016Pharmaceutical Services
410-121-0030
Amending PDL November 19, 2015 DUR/P&T Action
Rulemaking Hearing: February 17, 2016, 10:30 a.m. Room 160
Last Opportunity for Public Comment: February 19, 2016 by 5 p.m.
Send Comments: dmap.rules@state.or.us
2/17/2016
Nprm-140-01202016Visual
410-140-0020, 410-140-0040, 410-140-0050, 410-140-0080, 410-140-0120, 410-140-0140, 410-140-0160, 410-140-0200, 410-140-0260, 410-140-0280, 410-140-0300 and repeal of 410-140-0400
Removing Prior Authorization (PA) Requirement on Deluxe Frames (V2025) and Removing Outdated Language
Rulemaking Hearing: January 20, 2016 at 10:30 a.m. in Room 160
Last Opportunity for Public Comment: January 22, 2016 at 5 p.m.
Send Comments to: dmap.rules@state.or.us
1/20/2016
Nprm-141-3345-01202016OHP (MCO and CCO)
410-141-3345
General Financial Reporting and Financial Solvency Matters; CCO Reporting Method
Rulemaking Hearing: January 20, 2016 at 10:30 a.m. Room 160
Last Opportunity for Public Comment: January 22, 2016 by 5 p.m.
Send Comments to: dmap.rules@state.or.us
1/20/2016
Nprm-123-1240-11172015Dental
410-123-1240
Update Reference to Current ADA Dental Claim Form
There is no rulemaking hearing.
The last opportunity for public comment is October 17, 2015 by 5 p.m.
Send comments to dmap.rules@state.or.us.
10/17/2015
Nprm-123-10172015Dental
410-123-1220 and 410-123-1260
Update Reference to Current Covered and Non-Covered Dental Services Document; Incorporate Changes to Prioritized List
This is not a rulemaking hearing.
Last opportunity for public comment: October 17, 2015 by 5 p.m.
Send comments to dmap.rules@state.or.us.
10/17/2015
Nprm-148-06162015Home EPIV
410-148-0260
Clarifying Women, Infants and Children (WIC) and Oregon Health Plan (OHP) Payer Responsibility of Enteral Nutritional Formula
Rulemaking Hearing: June 16, 2015, 10:30 a.m., Room 160
Last Opportunity for Public Comment: June 18, 2015 by 5 p.m.
Send Comments to: dmap.rules@state.or.us
6/16/2015
Nprm-143-021915HIV/AIDS Prevention
410-143-80020, 410-143-0040, 410-143-0060
Repeal Outdated HIV/AIDS Prevention Program Rules Now Administered by Public Health in Chapter 333
There will be no rulemaking hearing.
Last Opportunity for Public Comment: February 19, 2015 by 5 p.m.
Send Comments to: dmap.rules@state.or.us
2/19/2015
Nprm-140-041614Visual Services
410-140-0020, 0040, 0050, 0120, 0140, 0160, 0200, 0260, 0280, 0300, and 0400 and repealing 410-140-0060, 0110, 0180, 0210, 0220, 0240, 0320 and 0380.
Reorganize Rule Text for Clarity and Amend Rule Ensuring Consistency with Division Reimbursement Methodology
Rulemaking Hearing: April 16, 2014, at 10:30 a.m., Conference Room 137B.
Last opportunity for public comment: 04/18/04 by 5 p.m.
Send comments to: dmap.rules@state.or.us
4/16/2014
Nprm-130-0255-021814Medical-Surgical Services
410-130-0255 Immunization, Vaccines for Children and Immune Glogulins Rule Rewritten Clarifying Language and Removing Table
Rulemaking Hearing: February 18, 2014 at 10:30 a.m. Room 137B
Last opportunity for public comment: February 20, 2014 by 5:00 p.m.
2/18/2014
Nprm-200-021814Client and Community Services Medical
Adopt 410-200-0010 through 410-200-0510 and Repeal 410-200-0505(T) and 410-200-0406(T)
Eligibility Requirements for the Authority's Office of Client and Community Services Medical Programs
Rulemaking Hearing: February 18, 2014 at 10:30 a.m., Room 137B
Last opportunity for public comment: February 20, 2014 by 5:00 p.m.
2/18/2014
nprm-141-0520-011514Oregon Health Plan (MCO and CCO)
410-141-0520 - Amendment of HERC Prioritized List of Health Services reflecting approved modifications effective October 1, 2013

Rulemaking hearing:  1/15/14 at 10:30 a.m. Room 137C
Last opportunity for public comment: 1/17/14 by 5:00 p.m.
1/15/2014
Nprm-141-011514Oregon Health Plan (MCO and CCO)
410-141-0065 and 410-141-3065
Rules related to Substance Use Disorder Residential Treatment Managed Care Enrollment Process and Procedures
Rulemaking Hearing: January 15, 2014, 10:30 a.m., Room 137C
Last opportunity for public comment: January 17, 2014, by 5 p.m.
E-mail Rules Coordinator: sandy.c.cafourek@dhsoha.state.or.us
1/15/2014
Nprm-130-0015-121713Medical-Surgical Services
410-130-0015 Payment process for doula services provided at the time of labor and delivery
Rulemaking Hearing: 12/17/2013 at 10:30 am., Room 137C
Last opportunity for public comment: 12/19/2013 by 5:00 p.m.
12/17/2013
Nprm-123-1260-120613Dental Services
410-123-1260 Expand age for varnish in medical setting and update language for dental integration. Revises language based on Health Evidence Review Commission's Prioritized List changes for October 1, 2013. Clarifies billing to avoid ambiguity regarding the responsibility of Coordinated Care Organizations (CCO).

Rulemaking public comment: Written public comment period extended to December 6, 2013, by 5:00 p.m.
12/6/2013
nprm-123-1260-111513Dental Services
410-123-1260 – Expand age for varnish in medical setting and update language for dental integration

Rulemaking hearing:  11/15/13 at 10:30 a.m. Room 137C
Last opportunity for public comment: 11/18/13 by 5:00 p.m.
11/15/2013
nprm-170-101513Behavior Rehabilitation Services
OAR 410-170-0000, 410-170-0010, 410-170-0020, 410-170-0030, 410-170-0040, 410-170-0050, 410-170-0060,
410-170-0070, 410-170-0080, 410-170-0090, 410-170-0100, 410-170-0110 and 410-170-0120 - Describe program requirements for Behavior Rehabilitation Services Program

Rulemaking hearing: 10/15/13 at 10:30 a.m. Room 137C
Last opportunity for public comment: 10/17/13 by 5:00 p.m.
Proposed effective date: 1/1/14
10/15/2013
nprm-141-101513Oregon Health Plan (MCO and CCO)
–  410-141-0262, 410-141-0263, 410-141-0265, 410-141-0420,410-141-3260, 410-141-3263, 410-141-3395
and 410-141-3420 - Rules related to client appeals/hearings, provider requirements related to billing clients for non-covered services

Rulemaking hearing: 10/15/13 at 10:30 a.m. Room 137C
Last opportunity for public comment: 10/17/13 by 5:00 p.m.
10/15/2013
nprm-125-0450-081613Hospital Services
410-125-0450 - Revise Health Care-Acquired Conditions policy to include Critical Access Hospitals.

Rulemaking hearing: 8/16/2013, 10:30 a.m., Room 137C
Last opporutnity for public comment: 8/19/2013, 5 p.m.
8/16/2013
nprm-141-081613Oregon Health Plan (MCO and CCO)
410-141-0262 and 410-141-3262 - Amend rules to be consistent with 42 CFR 438.408

Rulemaking hearing: 8/16/2013, 10:30 a.m., Room 137C
Last opportunity for public comment: 8/19/2013, 5 p.m.
8/16/2013
nprm-141-DCO-081613Oregon Health Plan (MCO and CCO)
410-141-3060, 410-141-3080, 410-141-3320, 410-141-3420 - Add DCO language for dental integration

Rulemaking hearing: 8/16/2013, 10:30 a.m., Room 137C
Last opportunity for rulemaking hearing: 8/19/2013, 5 p.m.
8/16/2013