17 chapters · 1,565 sections in this title.
ORS 743.029 Uniform standards for health care financial and administrative transactions; rules
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(1) The Department of Consumer and Business Services may adopt by rule uniform standards applicable to persons listed in subsection (2) of this section for health care financial and administrative transactions, including uniform standards for: (a) Eligibility inquiry and response…
ORS 743.031 Stakeholder work group to recommend uniform standards
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(1) The Oregon Health Authority shall convene a stakeholder work group to recommend uniform standards for health care financial and administrative transactions, including, to the extent allowed by law, standards applicable to commercial health insurance plans, self-funded plans a…
ORS 743.034 Coordination with Oregon Health Authority concerning uniform standards; Department of Human Services to be subject to standards
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(1) The Department of Consumer and Business Services and the Oregon Health Authority shall confer before the department finalizes rules implementing uniform standards under ORS 743.029, for the purpose of reconciling any differences between the department’s and the authority’s re…
ORS 743.035 Uniform prior authorization form for prescription drug benefits; consultation with Oregon Health Authority; rules
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(1) The Department of Consumer and Business Services, in consultation with the Oregon Health Authority, shall develop by rule a form that providers in this state shall use to request prior authorization for prescription drug benefits. The form must: (a) Be uniform for all provide…