PROCEDURAL RULES

409-001-0005  Model Rules of Procedure

HEALTH CARE FACILITY FINANCIAL REPORTING

409-015-0005  Definitions

409-015-0010  Report Forms

409-015-0012  Filing Date

409-015-0015  Reports Required

409-015-0022  Instructions to Form RR-4

409-015-0030  Modification of Reporting Requirements

409-015-0035  Civil Penalties

DENTAL SERVICES : UNDERSERVED POPULATIONS

409-017-0121  Dental Therapy Definition of Underserved Populations

ACCESS OF DATA AND FEES FOR DATA SEARCH

409-021-0005  Introduction

409-021-0010  Definitions

409-021-0115  Calculation of Fees

409-021-0120  Inspection of Health Data

409-021-0130  Requests to Obtain Copies of Public Use Health Data Files

409-021-0140  Requests and Requirements to Obtain Restricted Health Data Sets

409-021-0150  Denial of Requests to Inspect or Obtain Copies of Health Data

HEALTH CARE FACILITY UTILIZATION AND DISCHARGE DATA SUBMISSION REQUIREMENTS

409-022-0010  Definitions

409-022-0015  Health Care Facility Annual Reports

409-022-0020  Hospital Reporting Requirements

409-022-0025  Ambulatory Surgical Centers Requirements

409-022-0035  Ambulatory Surgical Center Fees

409-022-0070  Health Care Facility Utilization and Discharge Data Use and Disclosure

COMMUNITY BENEFIT REPORTING

409-023-0100  Definitions

409-023-0105  Community Benefit Reporting

409-023-0110  Community Benefit Minimum Spending Floor

409-023-0115  Annual reports of financial assistance policies and nonprofit status

CAPITAL PROJECT REPORTING PROGRAM

409-024-0000  Definitions

409-024-0110  Capital Project Report

409-024-0120  Public Comments

409-024-0130  Civil Penalties

ALL PAYER ALL CLAIMS DATA REPORTING PROGRAM

409-025-0100  Definitions

409-025-0110  General Reporting Requirements

409-025-0120  Data File Layout, Format, and Coding Requirements

409-025-0125  Payment Arrangement Reporting: File Layout, Format, and Coding Requirements

409-025-0130  Data Submission Requirements

409-025-0140  Waivers, Exemptions and Extensions

409-025-0150  Compliance and Enforcement

409-025-0160  Data Access and Release

409-025-0170  Public Disclosure

409-025-0180  APAC Technical Advisory Group

409-025-0190  Data Review Committee

OREGON HEALTHCARE WORKFORCE DATABASE

409-026-0100  Definitions

409-026-0110  Data Elements

409-026-0120  Reporting Schedule and Format

409-026-0130  Fees

409-026-0140  Data Access

PRIMARY CARE PAYMENTS

409-028-0000  Purpose and Scope

409-028-0010  Definitions

409-028-0020  Coordinated Care Organization Reporting Requirements

HEALTH PROFESSION STUDENT CLINICAL TRAINING ADMINISTRATIVE REQUIREMENTS

409-030-0100  Purpose

409-030-0110  Definitions

409-030-0120  General applicability

409-030-0130  Health Professional Disciplines

409-030-0140  Clinical Settings

409-030-0150  Exceptions

409-030-0160  Regular Review of Clinical Placement Standards

409-030-0170  Administrative Requirements for Clinical Placement

409-030-0180  Immunization Standards

409-030-0190  Screening Standards

409-030-0200  Tuberculosis Screening

409-030-0210  Drug Testing for Substance Abuse and Misuse

409-030-0220  State and Nationwide Criminal Background Checks

409-030-0230  Training Standards

409-030-0240  Insurance and Liability Coverage

409-030-0250  Information Sharing or Use of Data

PHYSICIAN VISA WAIVER PROGRAM

409-035-0000  Purpose of the Physician Visa Waiver Program

409-035-0010  Definitions

409-035-0020  Health Care Facility Participation Requirements

409-035-0030  Physician Participation Requirements

409-035-0040  Application Review Process

409-035-0050  Monitoring and Follow-up Requirements

409-035-0060  Transfer of J-1 Waiver Physician Obligation

HEALTH CARE PROVIDER INCENTIVE PROGRAM

409-036-0000  Purpose and Scope

409-036-0010  Definitions

409-036-0020  Types of Incentives Offered Under the Program

409-036-0030  Eligibility Criteria specific to Loan Repayment Subsidies

409-036-0040  Eligibility Criteria specific to Scholarships for Students in Health Professional Training Programs at Other Institutions of Higher Learning

409-036-0050  Eligibility Criteria and Program Requirements specific to Medical Malpractice Insurance Premium Subsidies

409-036-0060  Participation and Application Requirements

409-036-0070  Application and Review Process

409-036-0080  Maximum Award Amounts

409-036-0090  Transfer of Provider Service Obligation to Another Site

409-036-0100  Suspension or Waiver of Minimum Service Obligation

409-036-0110  Monitoring and Follow-up Requirements

409-036-0120  Failure to Comply; Penalties & Appeals

409-036-0130  Contributions to the Health Care Provider Incentive Fund

409-036-0140  Program Integrity

409-036-0150  Data Sharing

HEALTH CARE PRACTITIONER CREDENTIALING

409-045-0025  Definitions

409-045-0035  Oregon Practitioner Credentialing Application

409-045-0115  Telemedicine Providers General Applicability Credentialing Requirements

409-045-0120  Telemedicine Providers Standard List of Credentialing Documents

409-045-0125  Telemedicine Providers Distant-Site Hospital Agreements

409-045-0135  Telemedicine Providers Information Sharing or Use of Data

PAIN MANAGEMENT

409-050-0100  Purpose

409-050-0110  Definitions

409-050-0120  Commission Positions

409-050-0130  Pain Management Education Program Requirements

PATIENT-CENTERED PRIMARY CARE HOME PROGRAM

409-055-0000  Purpose and Scope

409-055-0010  Definitions

409-055-0020  Program Administration

409-055-0030  Practice Application and Recognition Process

409-055-0040  Recognition Criteria

409-055-0045  Health Equity Designation

409-055-0050  Data Reporting Requirements for Recognized PCPCHs

409-055-0060  Verification

409-055-0070  Compliance

409-055-0080  Insurance Carrier, Managed Care Plan, and Public Stakeholder Communication

409-055-0090  Reimbursement Objectives

HEALTH EVIDENCE REVIEW COMMISSION

409-058-0100  Scope

409-058-0110  Health Evidence Review Commission Bylaws

HEALTH EVIDENCE REVIEW COMMISSION MEDICAL TECHNOLOGY ASSESSMENTS

409-060-0100  Scope

409-060-0110  Definitions

409-060-0120  Health Evidence Review Commission Process for Evidence-based Reports

409-060-0130  Medical Technology Assessments

409-060-0140  Evidence-based Guidelines

409-060-0150  Coverage Guidances

VALUE-BASED BENEFITS SUBCOMMITTEE

409-062-0100  Purpose

409-062-0110  VbBS Meeting Material Requirements

409-062-0120  Notice and Comment Process

SUSTAINABLE HEALTH CARE COST GROWTH TARGET PROGRAM

409-065-0000  Purpose

409-065-0005  Definitions

409-065-0010  General Reporting Requirements

409-065-0015  Data Submission Requirements

409-065-0020  Waivers

409-065-0025  Compliance and Enforcement

409-065-0030  Data Access and Disclosure

HEALTH CARE MARKET OVERSIGHT PROGRAM

409-070-0000  Scope and Purpose

409-070-0005  Definitions

409-070-0010  Covered Transactions

409-070-0015  Materiality Standard

409-070-0020  Excluded Transactions

409-070-0022  Emergency and Exempt Transactions

409-070-0025  Acquisition of Control; Presumptions and Disclaimers

409-070-0030  Requirement to File a Notice of Material Change Transaction

409-070-0035  Material Change Transaction Involving a Domestic Health Insurer

409-070-0040  Material Change Transaction Involving a Charitable Organization or Hospital

409-070-0042  Optional Application for Determination of Covered Transaction Status

409-070-0045  Form and Contents of Notice of Material Change Transaction

409-070-0050  Retention of Outside Advisors

409-070-0055  Preliminary 30-Day Review of a Notice of Material Change Transaction

409-070-0060  Comprehensive Review of a Notice of a Material Change Transaction

409-070-0062  Community Review Board

409-070-0065  Conditional Approval; Suspension of Proposed Material Change Transaction

409-070-0070  Confidentiality

409-070-0075  Contested Case Hearings

409-070-0080  Compliance with Conditions; Information Requests

409-070-0085  Effective Date; Implementation