Or. Admin. Code § 409-060-0150

Current through Register Vol. 63, No. 12, December 1, 2024

Section 409-060-0150 - Coverage Guidances

(1) A Subcommittee shall develop coverage guidances based on evidence searches using scope statements approved by the EbGS or HTAS after a seven-day public comment period. These evidence searches may be supplemented as necessary to provide additional contextual, economic, clinical or policy information based on questions which arise during the development of the coverage guidance. Coverage guidances shall be developed according to the process described in OAR 409-060-0120 except as described in this section.

(2) OAR 409-060-0120(3) does not apply to this section. Instead, if the Subcommittee responsible for development of the report determines that it lacks sufficient expertise in the relevant field, or a request is received from an interested outside party, the Subcommittee shall solicit one or more ad hoc experts to provide additional information. Requests from interested parties to appoint ad hoc experts must be submitted within fourteen days after the public notice announcing the subcommittee's first review of the initial draft coverage guidance. The subcommittee may solicit ad hoc experts at any time thereafter if the committee determines such expertise is necessary. Candidates wishing to serve as ad hoc experts shall disclose conflicts of interest according to HERC bylaws. Ad hoc experts, if needed, shall be appointed by the Authority. The Authority shall select experts that best meet the needs of the state, considering any conflicts of interest, and shall not be limited to those who have volunteered to serve. Ad hoc experts shall answer technical questions and provide clinical context during the review of the evidence.

OHP 4-2013, f. & cert. ef. 2-1-13; OHP 5-2016, f. & cert. ef. 4/19/2016; OHP 17-2016, f. & cert. ef. 12/22/2016

Stat. Auth.: ORS 414.695 & 413.042

Stats. Implemented: 414.695 & 414.698