Or. Admin. Code § 409-036-0110

Current through Register Vol. 63, No. 10, October 1, 2024

Section 409-036-0110 - Monitoring and Follow-up Requirements

(1) To maintain participation in the program, a provider must:

(a) Notify the Authority immediately upon beginning work at a qualifying practice site.

(b) Promptly submit semi-annual reports signed by the provider and the administrator of the qualifying practice site verifying the provider's employment, or licensed business (in the case of a sole provider), and providing any additional information as requested by the Authority, including but not limited to:

(A) Site's and Provider's caseload (panel size or equivalent);

(B) Site's and Provider's Medicaid caseload and Medicare caseload;

(C) Provider full-time equivalent (FTE) status; and

(D) Number and percentages of practice site's patients whose health care is covered by Medicaid and by Medicare, and the number of patients at the practice site who are uninsured.

(2) The first report is due six months after employment begins, and every six months thereafter, until the term of the contract is complete.

(3) A provider participating in the program must notify the Authority immediately of any change in employment or practice status.

Or. Admin. Code § 409-036-0110

OHP 4-2017, adopt filed 12/23/2017, effective 1/2/2018; OHP 15-2019, minor correction filed 07/25/2019, effective 7/25/2019

Statutory/Other Authority: ORS 676.454

Statutes/Other Implemented: ORS 676.454