Or. Admin. R. 137-084-0010

Current through Register Vol. 63, No. 6, June 1, 2024

Section 137-084-0010 - Claims Processing

(1) A victim of a sexual assault who wants the Fund to pay for a medical examination, collection of forensic evidence using the Oregon State Police SAFE Kit, or other services provided in conjunction with the sexual assault exam, must indicate to the medical service provider that they wish for the provider to submit a completed Application Form to the Department.

(2) To obtain payment from the Fund, an eligible medical services provider must submit the Application Form to the Department within one year of the date the medical services are provided. At the Department's discretion, the Department may choose to pay claims that are received after one year of the date the medical services are provided.

(3) All medical services invoices must include an itemized billing statement and must be submitted by the eligible medical services provider with the Application Form.

(4) To be paid for by the Fund, a complete medical assessment using the Oregon State Police SAFE Kit must be completed within 84 hours (three and one-half days) of the sexual assault. The Kit must have been released to appropriate law enforcement personnel in a timely manner after its use for collection of information.

(5) To be paid for by the Fund, a partial medical assessment must be completed within 168 hours (seven days) of the sexual assault of the victim.

(6) Completed Application Forms submitted with medical services invoices will be processed for payment by the Fund within 60 days of submission.

Or. Admin. R. 137-084-0010

DOJ 3-2004, f. & cert. ef. 1-29-04; DOJ 13-2007, f. & cert. ef. 12-11-07; DOJ 12-2016, f. & cert. ef. 10/24/2016; DOJ 7-2019, amend filed 06/27/2019, effective 7/1/2019

Forms referenced are available from the agency.

Statutory/Other Authority: 2003 OL Ch. 789 (SB 752)

Statutes/Other Implemented: 2003 OL Ch. 789 (SB 752)