Or. Admin. R. 945-020-0040

Current through Register Vol. 63, No. 5, May 1, 2024

Section 945-020-0040 - QHP Addendum for Indian Health Care Providers

(1) If a health insurer contracts with a Tribal Health Provider in the state of Oregon for services provided through a Marketplace QHP, the insurer shall:

(a) Use the QHP Addendum for Indian Health Care Providers, Exhibit 1 to this rule, to supplement and amend its existing provider contract, and

(b) Notify the Marketplace in writing of the contractual relationship by emailing the information to info.marketplace@Oregon.gov.

(2) The Marketplace may amend the QHP Addendum for Indian Health Care Providers using the rulemaking process. Contracted carriers and tribes will be required to amend their contracts to reflect any change to the QHP Addendum for Indian Health Care Providers within 90 days of adoption of the change.

Exhibit 1: "QHP Addendum for Indian Health Care Providers"

Or. Admin. R. 945-020-0040

OHIE 4-2013, f. & cert. ef. 7-9-13; OHIE 3-2015, f. & cert. ef. 10/15/2015; OHIE 4-2015, f. & cert. ef. 11/6/2015

Exhibit referenced is not included in rule text. Click here for PDF copy of exhibit.

Stat. Auth.: ORS 741.002

Stats. Implemented: ORS 741.310