Oregon Health Plan (MCO and CCO) program
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Oregon Health Plan (MCO and CCO) program updates by e-mail
Oregon Administrative Rules
Chapter 410, Division 141 - Currently on file with Oregon Secretary of State
Recent rule revisions
- 04/26/2013 (P) - 410-141-3260 - Amend CCO rules to include Authority's intent for member's options to file grievance or complaint
- 04/23/2013 (P) - 410-141-3080 - Authority requirements for approving transfer of 500 or more members from one CCO to another.
- 03/21/2013 (P) - 410-141-0520 (Amendment of HERC Prioritized List of Health Services reflecting approved modifications effective 10/1/2012)
- 02/07/2013 (T) - 410-141-3060 (Correct the Authority’s intent to exempt newly eligible third trimester women from mandatory enrollment)
- 01/04/2013 (T) - 410-141-3160 (Supported Employment Services Definitions and Provider Requirements and Fidelity Reviews)
Administrative rulebooks
11/15/2012 - 11/01/2012 - 10/16/2012 - 09/23/2012 - 08/09/2012 - 08/04/2012 - 08/01/2012
04/01/2012 - 03/26/2012 - 03/22/2012 - 03/20/2012 - 03/16/2012 - 02/01/2012 - 01/01/2012
12/23/2011 - 11/21/2011 - 10/20/2011 - 10/01/2011 - 07/01/2011 - 01/01/2011
Zip files of rulebooks for 2009-2010 - 2007-2008 - 2005-2006 - 2003-2004Supplemental information
Prioritized List of Health Services
Capitation rates and per capita cost information
OHA Provider Discrimination Review Request - Process and form (Word or PDF)
Managed care hospital rates
| Cost-to-charge ratios for payment to Type A and B hospitals | Reimbursement rates for FCHP non-contracted DRG hospitals |
| Oct. 1, 2011 - Refer to the Hospital Services program Type A and B interim rates | Oct. 1, 2011 - See OAR 410-120-1295 |
| Jan. 1, 2011 - Sep. 30, 2011 | |
| Jan. 1, 2010 - Dec. 31, 2010 | |
| Jan. 1, 2009 - Dec. 31, 2009 | Oct. 1, 2009 - 78 percent of Medicare's rate. See OAR 410-120-1295 |
| Jan. 1, 2008 - Dec. 31, 2008 | |
Who to call for help
Provider Services 800-336-6016
Address
and telephone contacts