Or. Admin. Code § 409-045-0025

Current through Register Vol. 63, No. 11, November 1, 2024

Section 409-045-0025 - Definitions

The following definitions apply to OAR 409-045-0025 to 409-045-0135:

(1) "Authority" means the Oregon Health Authority.

(2) "Credentialing" means a standardized process of inquiry undertaken by credentialing organizations to validate specific information that confirms a health care practitioner's identity, background, education, competency, and qualifications related to a specific set of established standards or criteria.

(3) "Credentialing information" means information necessary to credential or recredential a health care practitioner.

(4) "Credentialing organization" means a health care organization that credentials health care practitioners. This includes, but is not limited to the following:

(a) Ambulatory surgical centers;

(b) Coordinated care organizations;

(c) Self-insured health plans;

(d) Third-party administrators;

(e) Worker's compensation health plans;

(f) Dental plan issuers;

(g) Health plan issuers;

(h) Hospitals;

(i) Independent practice associations as defined in ORS 743B.001;

(j) Health care practitioner organizations; and

(k) Other health care facilities or organizations that are required to credential health care practitioners.

(5) "Delegated credentialing agreement" means a written agreement between credentialing organizations that delegates the responsibility to perform specific activities related to the credentialing and recredentialing of health care practitioners. For telemedicine credentialing, delegated credentialing agreement has the meaning given that term in ORS 442.015.

(6) "Distant-site" means the hospital or health care facility where a telemedicine provider, at the time the telemedicine provider is providing telemedicine services, is practicing as an employee or under contract.

(7) "Health care facility" has the meaning given that term in ORS 442.015.

(8) "Health care practitioner" means an individual authorized to practice a profession related to the provision of health care services in this state for which the individual must be credentialed. This may include, but is not limited to individuals licensed as:

(a) Acupuncturists;

(b) Audiologists;

(c) Certified Registered Nurse Anesthetists;

(d) Chiropractic Physicians;

(e) Clinical Nurse Specialists;

(f) Doctors of Dental Medicine;

(g) Doctors of Dental Surgery;

(h) Doctors of Medicine;

(i) Doctors of Osteopathic Medicine;

(j) Doctors of Podiatric Medicine;

(k) Licensed Clinical Social Workers;

(l) Licensed Dietitians;

(m) Licensed Marriage and Family Therapists;

(n) Licensed Massage Therapists;

(o) Licensed Professional Counselors;

(p) Naturopathic Physicians;

(q) Nurse Practitioners;

(r) Occupational Therapists;

(s) Optometrists;

(t) Oral and Maxillofacial Surgeons;

(u) Pharmacists;

(v) Physical Therapists;

(w) Physician Assistants;

(x) Psychologist Associates;

(y) Psychologists;

(z) Registered Nurse First Assistants; and

(aa) Speech-Language Pathologists.

(9) "Hospital" has the meaning given that term in ORS 442.015.

(10) "Originating-site" means a hospital or health care facility in which a patient is located while receiving telemedicine services.

(11) "Primary source verification" means the verification of a health care practitioner's reported qualifications from the original source.

(12) "Telemedicine" has the meaning given that term in ORS 442.015.

Or. Admin. Code § 409-045-0025

OHP 3-2014, f. 6-30-14, cert. ef. 7-1-14; OHP 1-2018, temporary amend filed 01/18/2018, effective 01/18/2018 through 07/16/2018; OHP 6-2018, amend filed 06/27/2018, effective 7/1/2018; OHP 3-2022, amend filed 03/15/2022, effective 3/15/2022

Statutory/Other Authority: ORS 413.042, 441.056 & 441.223

Statutes/Other Implemented: ORS 441.056, 441.223 & 442.015