Division 141 - OREGON HEALTH PLAN
- Section 410-141-0000 - [Repealed]
- Section 410-141-0010 - [Repealed]
- Section 410-141-0020 - [Repealed]
- Section 410-141-0050 - [Repealed]
- Section 410-141-0060 - [Repealed]
- Section 410-141-0065 - [Repealed]
- Section 410-141-0070 - [Repealed]
- Section 410-141-0080 - [Repealed]
- Section 410-141-0085 - [Repealed]
- Section 410-141-0120 - [Repealed]
- Section 410-141-0140 - [Repealed]
- Section 410-141-0160 - [Repealed]
- Section 410-141-0180 - [Repealed]
- Section 410-141-0200 - [Repealed]
- Section 410-141-0220 - [Repealed]
- Section 410-141-0260 - [Repealed]
- Section 410-141-0261 - [Repealed]
- Section 410-141-0262 - [Repealed]
- Section 410-141-0263 - [Repealed]
- Section 410-141-0264 - [Repealed]
- Section 410-141-0265 - [Repealed]
- Section 410-141-0266 - [Repealed]
- Section 410-141-0270 - [Repealed]
- Section 410-141-0280 - [Repealed]
- Section 410-141-0300 - [Repealed]
- Section 410-141-0320 - [Repealed]
- Section 410-141-0340 - [Repealed]
- Section 410-141-0400 - [Repealed]
- Section 410-141-0405 - [Repealed]
- Section 410-141-0407 - [Repealed]
- Section 410-141-0410 - [Repealed]
- Section 410-141-0420 - Repealed
- Section 410-141-0440 - [Repealed]
- Section 410-141-0480 - [Repealed]
- Section 410-141-0500 - [Repealed]
- Section 410-141-0520 - [Repealed]
- Section 410-141-0660 - Repealed
- Section 410-141-0680 - Repealed
- Section 410-141-0700 - Repealed
- Section 410-141-0720 - Repealed
- Section 410-141-0740 - Repealed
- Section 410-141-0760 - Repealed
- Section 410-141-0780 - Repealed
- Section 410-141-0800 - Repealed
- Section 410-141-0820 - Repealed
- Section 410-141-0840 - Repealed
- Section 410-141-0860 - [Repealed]
- Section 410-141-3000 - [Repealed]
- Section 410-141-3010 - [Repealed]
- Section 410-141-3015 - [Repealed]
- Section 410-141-3020 - [Repealed]
- Section 410-141-3025 - [Repealed]
- Section 410-141-3030 - [Repealed]
- Section 410-141-3040 - [Repealed]
- Section 410-141-3041 - [Repealed]
- Section 410-141-3050 - [Repealed]
- Section 410-141-3060 - [Repealed]
- Section 410-141-3061 - [Repealed]
- Section 410-141-3065 - [Repealed]
- Section 410-141-3066 - [Repealed]
- Section 410-141-3070 - [Repealed]
- Section 410-141-3080 - [Repealed]
- Section 410-141-3110 - [Repealed]
- Section 410-141-3120 - [Repealed]
- Section 410-141-3140 - [Repealed]
- Section 410-141-3145 - [Repealed]
- Section 410-141-3150 - [Repealed]
- Section 410-141-3160 - [Repealed]
- Section 410-141-3170 - [Repealed]
- Section 410-141-3180 - [Repealed]
- Section 410-141-3200 - [Repealed]
- Section 410-141-3220 - [Repealed]
- Section 410-141-3225 - [Repealed]
- Section 410-141-3230 - [Repealed]
- Section 410-141-3235 - [Repealed]
- Section 410-141-3240 - [Repealed]
- Section 410-141-3245 - [Repealed]
- Section 410-141-3246 - [Repealed]
- Section 410-141-3247 - [Repealed]
- Section 410-141-3248 - [Repealed]
- Section 410-141-3250 - [Repealed]
- Section 410-141-3255 - [Repealed]
- Section 410-141-3258 - [Repealed]
- Section 410-141-3259 - [Repealed]
- Section 410-141-3260 - [Repealed]
- Section 410-141-3261 - [Repealed]
- Section 410-141-3262 - [Repealed]
- Section 410-141-3263 - [Repealed]
- Section 410-141-3264 - [Repealed]
- Section 410-141-3267 - [Repealed]
- Section 410-141-3268 - [Repealed]
- Section 410-141-3269 - [Repealed]
- Section 410-141-3270 - [Repealed]
- Section 410-141-3280 - [Repealed]
- Section 410-141-3300 - [Repealed]
- Section 410-141-3320 - [Repealed]
- Section 410-141-3340 - [Repealed]
- Section 410-141-3345 - [Repealed]
- Section 410-141-3350 - [Repealed]
- Section 410-141-3355 - [Repealed]
- Section 410-141-3360 - [Repealed]
- Section 410-141-3365 - [Repealed]
- Section 410-141-3370 - [Repealed]
- Section 410-141-3375 - [Repealed]
- Section 410-141-3380 - [Repealed]
- Section 410-141-3385 - [Repealed]
- Section 410-141-3390 - [Repealed]
- Section 410-141-3395 - [Repealed]
- Section 410-141-3420 - [Repealed]
- Section 410-141-3430 - [Repealed]
- Section 410-141-3435 - [Repealed]
- Section 410-141-3440 - [Repealed]
- Section 410-141-3445 - [Repealed]
- Section 410-141-3450 - [Repealed]
- Section 410-141-3455 - [Repealed]
- Section 410-141-3460 - [Repealed]
- Section 410-141-3465 - [Repealed]
- Section 410-141-3470 - [Repealed]
- Section 410-141-3475 - [Repealed]
- Section 410-141-3480 - [Repealed]
- Section 410-141-3485 - [Repealed]
- Section 410-141-3500 - Definitions
- Section 410-141-3501 - Administration of Oregon Integrated and Coordinated Health Care Delivery System Regulation; Rule Precedence
- Section 410-141-3505 - Use of Subcontractors
- Section 410-141-3510 - Provider Contracting and Credentialing
- Section 410-141-3515 - Network Adequacy
- Section 410-141-3520 - Record Keeping and Use of Health Information Technology
- Section 410-141-3525 - Outcome and Quality Measures
- Section 410-141-3530 - Sanctions
- Section 410-141-3531 - Sanctions for Failure to Comply with State or Federal Information Security or Privacy Laws
- Section 410-141-3540 - Member Protections
- Section 410-141-3545 - Coordinated Care Organization Behavioral Health Provider, Treatment and Facility Certification and Licensure
- Section 410-141-3550 - Resolving Disputes between MCEs and the Authority
- Section 410-141-3555 - Resolving Disputes between Health Care Entities and CCOs that Concern CCO Contact Award
- Section 410-141-3560 - Resolving Contract Disputes Between Health Care Entities and CCOs
- Section 410-141-3565 - Managed Care Entity Billing
- Section 410-141-3566 - Telemedicine and Telehealth Delivered Health Service and Reimbursement Requirements
- Section 410-141-3570 - Managed Care Entity Encounter Claims Data Reporting
- Section 410-141-3575 - MCE Member Relations: Marketing
- Section 410-141-3580 - MCE Member Relations: Potential Member Information
- Section 410-141-3585 - MCE Member Relations: Education and Information
- Section 410-141-3590 - MCE Member Relations: Member Rights and Responsibilities
- Section 410-141-3591 - MCE Interoperability Requirements
- Section 410-141-3600 - MCE Assessment: Definitions
- Section 410-141-3601 - MCE Assessment: General Administration
- Section 410-141-3605 - MCE Assessment: Disclosure of Information
- Section 410-141-3610 - MCE Assessment: Calculation, Report, Due Date, Verification
- Section 410-141-3615 - MCE Assessment: Filing an Amended Report
- Section 410-141-3620 - MCE Assessment: Determining the Date Filed
- Section 410-141-3625 - MCE Assessment: Authority to Audit Records
- Section 410-141-3630 - MCE Assessment: Determining Assessment Liability on Failure to File
- Section 410-141-3635 - MCE Assessment: Financial Penalty for Failure to File a Report or Failure to Pay Assessment When Due
- Section 410-141-3640 - MCE Assessment: Notice of Proposed Action
- Section 410-141-3645 - MCE Assessment: Hearing Process
- Section 410-141-3650 - MCE Assessment: Final Order of Payment
- Section 410-141-3655 - Assessment: Remedies Available after Final Order of Payment
- Section 410-141-3700 - CCO Application and Contracting Procedures
- Section 410-141-3705 - Criteria for CCOs
- Section 410-141-3710 - Contract Termination and Close-Out Requirements
- Section 410-141-3715 - CCO Governance; Public Meetings and Transparency
- Section 410-141-3720 - Service Area Change for Existing CCOs
- Section 410-141-3725 - CCO Contract Renewal Notification
- Section 410-141-3730 - Community Health Assessment and Community Health Improvement Plans
- Section 410-141-3735 - Social Determinants of Health and Equity; Health Equity
- Section 410-141-3740 - Traditional Health Workers
- Section 410-141-3800 - CCO Enrollment for Children Receiving Health Services
- Section 410-141-3805 - Mandatory MCE Enrollment Exceptions
- Section 410-141-3810 - Disenrollment from MCEs
- Section 410-141-3815 - CCO Enrollment for Temporary Out-of-Area Behavioral Health Treatment Services
- Section 410-141-3820 - Covered Services
- Section 410-141-3826 - Responsibility for Particular Covered Services Based on Plan Type
- Section 410-141-3825 - Excluded Services and Limitations
- Section 410-141-3830 - [Effective until 3/29/2025] Prioritized List of Health Services
- Section 410-141-3830 - [Effective 3/29/2025] Prioritized List of Health Services
- Section 410-141-3835 - MCE Service Authorization
- Section 410-141-3840 - Emergency and Urgent Care Services
- Section 410-141-3845 - Health-Related Services
- Section 410-141-3850 - Transition of Care
- Section 410-141-3855 - Pharmaceutical Services
- Section 410-141-3860 - Care Coordination: Administration, Systems and Infrastructure
- Section 410-141-3865 - Care Coordination: Identification of Member Needs
- Section 410-141-3870 - Care Coordination: Service Coordination
- Section 410-141-3875 - MCE Grievances And Appeals: Definitions and General Requirements
- Section 410-141-3880 - Grievances & Appeals: Grievance Process Requirements
- Section 410-141-3885 - Grievances And Appeals: Notice of Action/Adverse Benefit Determination
- Section 410-141-3890 - Grievances And Appeals: Appeal Process
- Section 410-141-3895 - Grievances & Appeals: Expedited Appeal
- Section 410-141-3900 - Grievances And Appeals: Contested Case Hearings
- Section 410-141-3905 - Grievances & Appeals: Expedited Contested Case Hearings
- Section 410-141-3910 - Grievances And Appeals: Continuation of Benefits
- Section 410-141-3915 - Grievances & Appeals: System Recordkeeping
- Section 410-141-3920 - Transportation: NEMT General Requirements
- Section 410-141-3925 - Transportation: Vehicle Equipment and Driver Standards
- Section 410-141-3930 - Transportation: Out-of-Service Area and Out-of-State Transportation
- Section 410-141-3935 - Transportation: Attendants for Child and Special Needs Transports
- Section 410-141-3940 - Transportation: Secured Transports
- Section 410-141-3945 - Transportation: Ground and Air Ambulance Transports
- Section 410-141-3955 - Transportation: Member Service Modifications and Rights
- Section 410-141-3960 - Transportation: Member Reimbursed Mileage, Meals, and Lodging
- Section 410-141-3965 - Reports and Documentation
- Section 410-141-4000 - [Repealed]
- Section 410-141-4005 - [Repealed]
- Section 410-141-4010 - [Repealed]
- Section 410-141-4020 - [Repealed]
- Section 410-141-4030 - [Repealed]
- Section 410-141-4040 - [Repealed]
- Section 410-141-4050 - [Repealed]
- Section 410-141-4060 - [Repealed]
- Section 410-141-4070 - [Repealed]
- Section 410-141-4080 - [Repealed]
- Section 410-141-4090 - [Repealed]
- Section 410-141-4100 - [Repealed]
- Section 410-141-4110 - [Repealed]
- Section 410-141-4120 - [Repealed]
- Section 410-141-5000 - FINANCIAL SOLVENCY REGULATION: Definitions
- Section 410-141-5005 - FINANCIAL SOLVENCY REGULATION: CCO Financial Solvency Requirements
- Section 410-141-5010 - FINANCIAL SOLVENCY REGULATION: Procedure for General Financial Reporting and for Determining Financial Solvency Matters
- Section 410-141-5015 - FINANCIAL SOLVENCY REGULATION: Financial Statement Reporting
- Section 410-141-5020 - FINANCIAL SOLVENCY REGULATION: Annual Audited Financial Statements and Auditor's Report
- Section 410-141-5025 - FINANCIAL SOLVENCY REGULATION: Qualifications of Independent Certified Public Accountant
- Section 410-141-5030 - FINANCIAL SOLVENCY REGULATION: Notification of Adverse Financial Condition
- Section 410-141-5035 - FINANCIAL SOLVENCY REGULATION: Accountant's Letter of Qualifications
- Section 410-141-5040 - FINANCIAL SOLVENCY REGULATION: Independent Certified Public Accountants Workpapers
- Section 410-141-5045 - FINANCIAL SOLVENCY REGULATION: Corporate Governance Annual Disclosure Filing
- Section 410-141-5050 - FINANCIAL SOLVENCY REGULATION: Requirements for Reinsurance
- Section 410-141-5060 - FINANCIAL SOLVENCY REGULATION: Qualified Trust Agreements
- Section 410-141-5065 - FINANCIAL SOLVENCY REGULATION: Letters of Credit; Other Security
- Section 410-141-5070 - FINANCIAL SOLVENCY REGULATION: Assets, Liabilities, Reserves
- Section 410-141-5075 - FINANCIAL SOLVENCY REGULATION: Disallowance of Certain Reinsurance Transactions
- Section 410-141-5055 - FINANCIAL SOLVENCY REGULATION: Requirements for Obtaining Credit for Reinsurance
- Section 410-141-5080 - FINANCIAL SOLVENCY REGULATION: Transparency
- Section 410-141-5085 - ASSET VALUATION AND PERMITTED INVESTMENTS: Definitions
- Section 410-141-5090 - ASSET VALUATION AND PERMITTED INVESTMENTS: Calculation of Value; Books and Records
- Section 410-141-5095 - ASSET VALUATION AND PERMITTED INVESTMENTS: Assets Other Than Securities; Bonds; Real Property; Mortgages; Compensating Balances
- Section 410-141-5100 - ASSET VALUATION AND PERMITTED INVESTMENTS: Investments Used to Provide Compensating Balances
- Section 410-141-5105 - ASSET VALUATION AND PERMITTED INVESTMENTS: Investment of Required Capitalization
- Section 410-141-5110 - ASSET VALUATION AND PERMITTED INVESTMENTS: Investment in Mortgage Loans
- Section 410-141-5115 - ASSET VALUATION AND PERMITTED INVESTMENTS: Investment in Real Property
- Section 410-141-5120 - ASSET VALUATION AND PERMITTED INVESTMENTS: Investment in Corporate Stocks
- Section 410-141-5125 - ASSET VALUATION AND PERMITTED INVESTMENTS: Loans; Security; Limitations
- Section 410-141-5130 - ASSET VALUATION AND PERMITTED INVESTMENTS: Investments; Certain Obligations, Property, Loans and Other Specified Items
- Section 410-141-5135 - ASSET VALUATION AND PERMITTED INVESTMENTS: Personal Property; Protection of Investment Property; Custom
- Section 410-141-5140 - ASSET VALUATION AND PERMITTED INVESTMENTS: "Prudent Investor" Standard
- Section 410-141-5145 - ASSET VALUATION AND PERMITTED INVESTMENTS: Prohibited Conduct by Directors, Trustees, Officers, Agents or Employees
- Section 410-141-5150 - ASSET VALUATION AND PERMITTED INVESTMENTS: Investment of Funds in Obligations That Are Not Investment Quality; Percentage of Assets
- Section 410-141-5155 - ASSET VALUATION AND PERMITTED INVESTMENTS: Approval by Board
- Section 410-141-5160 - ASSET VALUATION AND PERMITTED INVESTMENTS: Record of Investments
- Section 410-141-5165 - ASSET VALUATION AND PERMITTED INVESTMENTS: Prohibited Investments
- Section 410-141-5170 - CAPITALIZATION: Capital and Surplus
- Section 410-141-5175 - CAPITALIZATION: Impaired Capital and Surplus
- Section 410-141-5180 - CAPITALIZATION: Dividend and Distribution Restrictions
- Section 410-141-5185 - CAPITALIZATION: Restricted Reserve Account
- Section 410-141-5186 - CAPITALIZATION: Restricted Reserve Account-Permitted Investments in Obligations with Political Subdivisions; Public Supported Housing
- Section 410-141-5190 - CAPITALIZATION: Surplus Notes
- Section 410-141-5195 - CAPITALIZATION: Risk-based Capital (RBC) Definitions
- Section 410-141-5200 - CAPITALIZATION: RBC Reports
- Section 410-141-5205 - CAPITALIZATION: Company Action Level Event
- Section 410-141-5210 - CAPITALIZATION: Regulatory Action Level Event
- Section 410-141-5215 - CAPITALIZATION: Authorized Control Level Event
- Section 410-141-5220 - CAPITALIZATION: Mandatory Control Level Event
- Section 410-141-5225 - REPORTING AND APPROVAL OF CERTAIN TRANSACTIONS: Extraordinary Dividends and Other Distributions
- Section 410-141-5230 - REPORTING AND APPROVAL OF CERTAIN TRANSACTIONS: Reports of Material Acquisitions And Dispositions Of Assets, and Changes to Ceded Reinsurance Agreements; Assumption Reinsurance
- Section 410-141-5235 - REPORTING AND APPROVAL OF CERTAIN TRANSACTIONS: Reports of Material Materiality and Reporting Standards for Asset Acquisitions and Dispositions
- Section 410-141-5240 - REPORTING AND APPROVAL OF CERTAIN TRANSACTIONS: Materiality and Reporting Standards for Changes in Ceded Reinsurance Agreements
- Section 410-141-5245 - EXAMINATIONS: CCO Production of Books and Records
- Section 410-141-5250 - EXAMINATIONS: Authority Examinations of CCOs
- Section 410-141-5255 - CCO ACQUISITIONS AND MERGERS: Purpose; Definitions
- Section 410-141-5260 - CCO ACQUISITIONS AND MERGERS: Activities Prohibited Unless Certain Provisions Satisfied
- Section 410-141-5265 - CCO ACQUISITIONS AND MERGERS: Procedure For Acquiring Controlling Interest
- Section 410-141-5270 - CCO ACQUISITIONS AND MERGERS: Information to Be Included in Form A
- Section 410-141-5275 - CCO ACQUISITIONS AND MERGERS: Hearing, Request, Notice
- Section 410-141-5280 - CCO ACQUISITIONS AND MERGERS: Determination Concerning Proposed Activity, Time For Decision, Grounds For Refusal
- Section 410-141-5285 - CCO HOLDING COMPANY REGULATION: Definitions
- Section 410-141-5290 - CCO HOLDING COMPANY REGULATION: Members of Holding Company Systems; Registration Requirements
- Section 410-141-5295 - CCO HOLDING COMPANY REGULATION: Form and Contents of Registration Statement
- Section 410-141-5300 - CCO HOLDING COMPANY REGULATION: Registration Statement Filing
- Section 410-141-5305 - CCO HOLDING COMPANY REGULATION: Information Required to Be Disclosed
- Section 410-141-5310 - CCO HOLDING COMPANY REGULATION: Presumption of Control; Rebuttal
- Section 410-141-5315 - CCO HOLDING COMPANY REGULATION: Disclaimer of Affiliation
- Section 410-141-5320 - CCO HOLDING COMPANY REGULATION: Transactions Within Holding Company
- Section 410-141-5325 - CCO HOLDING COMPANY REGULATION: Director and Officer Liability; Effect of Control of CCO Subject to Registration; Board of Directors
- Section 410-141-5330 - CCO HOLDING COMPANY REGULATION: Annual Enterprise Risk Report
- Section 410-141-5335 - CCO HOLDING COMPANY REGULATION: Disclaimers and Termination of Registration
- Section 410-141-5340 - CCO HOLDING COMPANY REGULATION: Forms; General Requirements
- Section 410-141-5345 - CCO HOLDING COMPANY REGULATION: Forms; Incorporation by Reference, Summaries, And Omissions
- Section 410-141-5350 - CCO HOLDING COMPANY REGULATION: Forms; Information Unknown or Unavailable and Extension of Time to Furnish
- Section 410-141-5355 - CCO HOLDING COMPANY REGULATION: Forms; Additional Information; Amendments
- Section 410-141-5360 - CCO INSOLVENCY AND DISSOLUTION: Access to Funds and Transition of Members and Records
- Section 410-141-5365 - CCO INSOLVENCY AND DISSOLUTION: Hazardous Operations
- Section 410-141-5370 - CCO INSOLVENCY AND DISSOLUTION: Recovery From Parent Corporation Or Holding Company In The Event Of Liquidation Or Rehabilitation
- Section 410-141-5375 - CCO INSOLVENCY AND DISSOLUTION: Voluntary Dissolution; Approval of Plan
- Section 410-141-5380 - CIVIL PENALTIES