ࡱ>  nHbjbjUU 4T??(dI ''';;;8s<;C3Kaaa@D C C C C C C CEH CQ'" Caac]C.!!!^8a'a C! C!!6t=@a2;^T>BC<Cp>I@I8@@I'@! C CFCI : OHA Provider Discrimination Review Request To:DMAP Provider Services 500 Summer St NE, E44, Salem OR 97301Fax: 503-945-6873 E-mail:  HYPERLINK "mailto:dmap.providerservices@state.or.us" dmap.providerservices@state.or.us Providers: According to Senate Bill 1509 (2012), a fully capitated health plan, physician care organization or coordinated care organization may not discriminate in the participation of any health care provider based on the providers license or certification. The plan or organization must give written notice containing the reasons for its action if the plan or organization declines the participation of any provider or group of providers. Use this form to request OHA review of possible discrimination by a plan or organization as outlined in Oregon Administrative Rule (OAR) 410-141-3120. Only complete this form if you have done the following: Applied to a Fully Capitated Health Plan, Physician Care Organization or Coordinated Care Organization for participation in their provider network; Been denied participation and received a written notice of the plan or organizations denial; and Appealed the decision through the plan or organization. Please attach a copy of the decision notice(s) you received from the plan or organization. You may also attach any other information you feel is pertinent to your request for review. Provider information: Provider name and credentials  FORMTEXT      Provider specialty  FORMTEXT      License or certificate number  FORMTEXT      National Provider Identifier (if applicable)  FORMTEXT      Types of health care services provided  FORMTEXT      Service location  FORMTEXT      Please tell us the following about your request for review: Have you applied for and been denied participation in an Oregon Medicaid managed care plan or Coordinated Care Organization? FORMCHECKBOX Yes FORMCHECKBOX NoHave you appealed to the plan or organization to reconsider their decision? FORMCHECKBOX Yes FORMCHECKBOX NoPlease describe the outcome of your appeal to the plan or organization:  FORMTEXT      Did you receive notice of the outcome in writing from the plan or organization? (If Yes, please attach copy)  FORMCHECKBOX Yes FORMCHECKBOX NoDo you have other information that we should consider in this review? (If Yes, please describe below and attach pertinent documentation)  FORMTEXT       FORMCHECKBOX Yes FORMCHECKBOX No OHA Provider Discrimination Review Process Within the scope of Oregons integrated and coordinated care delivery system, a fully capitated health plan, physician care organization or coordinated care organization may not discriminate in the participation of any health care provider based on the providers license or certification. Senate Bill 1509 (2012) requires the Oregon Health Authority (OHA) to establish, and promulgate in rule (OAR 410-141-3120), a process for resolving claims of discrimination from providers who have received a denial of participation from a plan or organization. If a plan or organization declines to include an individual or group of providers in its network, it must give the affected providers written notice of the reason for its decision. Before requesting a review from OHA, providers must first appeal the decision through any internal review process the plan or organization has. Contact for provider discrimination review requests The Division of Medical Assistance Programs (DMAP) will coordinate the discrimination review process. Providers who want OHA review of a plan or organizations decision to deny participation must first contact DMAP Provider Services Unit by phone, fax or e-mail. E-mails should indicate Provider Discrimination Review in the subject line. Toll free phone: 800-336-6016 Fax: 503-945-6873 E-mail:  HYPERLINK "mailto:dmap.providerservices@state.or.us" dmap.providerservices@state.or.us Mailing address: 500 Summer St NE, E44, Salem OR 97301 PSU staff will confirm that provider has received a written denial of participation from the plan or organization and provide information on the review process. Process steps for provider discrimination review Required informationIf the provider has already appealed the denial decision with the plan or organization, PSU will ask the provider to submit the following information: A completed Provider Discrimination Review Request Form. Forms may be submitted electronically by e-mail, fax, or mail; and A copy of the denial letter from the plan or organization. Providers will have the opportunity to submit other materials they feel are pertinent to OHA review.Coordination with plan or organizationWhen PSU receives all required information, DMAP will notify the affected plan or organization about the review request. This notification provides an opportunity for the plan or organization to submit relevant information for OHA to consider. DMAP m,./IKq    8 9 < N O [ ƿ˞|uqujc\ hOh hOhJ hOhoih / hOh&9 hh>>h>> hhJh&9hphIQhJ hoi5h>>h>>0Jjh>>h>>Uh>>h>>5 h>>h>> h>>5hoih>>5hvhv5CJaJh('5CJ$aJ$ hLh(' jhLh('UmHnHu!-./3Kqyyyy $Ifgd>> $Ifgdoix<gd"EXkd/$$Ifl0$ >+2 " t644 la^yt) $$Ifa$gd('$If  t  k [ lgggg___gg & Fgdgdoikd$$IflF4P+{% t0+6    44 layt) [ ` u & E e j Z [ q   246JLNXZ246@ǸǭǸǔǸljzjAhJUh)jhJUjhJUjhJUmHnHuj[hJUjhJU hJhJhJh>>hJ5h>>hoi5h>>h5hhoi hOhoi hOh hOh0[ q 4\^Ds}kdC$$Ifl0rP+ t0644 laytrO $IfgdJgdJ @BF~z|fhHJL`bd~jhJUjhJUj4hJUj%hJUjhJUhJjh)Ujh)UmHnHuj?h)Ujh)Uh) hJh) hJhJjhJU1DFxxoo $IfgdJ $Ifgd)}kd$$Ifl0rP+ t0644 laytrOzsjjj $IfgdJgdJl}kd'$$Ifl0rP+ t0644 laytC_ fqhhh $IfgdJkd$$IflF#'P+H$ t06    44 laytrOJrqhh $IfgdJkd$$IflF#'P+H$ t06    44 laytrOdnpNRTprtz|~24HI߶߫ߙ㤕{t h :hhmHnHu jh :hUmHnHuhjhJU hhJjhJUj/hJUj hJUjhJUhrOhJ6hJ hJhJjhJUjhJUmHnHu,rtR| $IfgdJjkd+$$Ifl*P++ t0644 laytrO4qhhhhh $IfgdJkd$$IflF#'P+H$ t06    44 laytrOIlmrsSoje`````eYxgdgdgdgdJkd$$IflF#'P+H$ t06    44 laytrO Ik{}~qs3BRS4;Boqz{   $(@ABCžŷŷŋhehh^Jhh5^Jh&h0JjhUh h*yh h'^rh hhh*yh5 hzhh / hOh&9 hOhh&9hph hh6SB`r  BC & F$IfgdR\T $Ifgdr>C $Ifgdgd & F gdR\TgdJDsjaTT & F $IfgdR\T $Ifgdr>C $Ifgdkd*$$Ifl0p*p,"  t 044 lalp ytIJD{DDDDDDDDD=EHEPE\E]E^ElEuEEEEEEEE F FkFFFG6GHGGGGGGGGGGGGGGGGGG꾺h&9CJaJhfjhfU hhJhhCJ h!#hh&9hph / hOh&9 hOhhe h*yhhh^JUh hhhh5^J8ay also request specific information, such as documentation of the plan or organizations capacity and access to services, and any quality concerns or other reasons for denial.Review An OHA Provider Discrimination Review Committee (PDRC), comprising DMAP Executive Staff and clinical staff, will meet regularly to review all requests received. The PDRC will determine whether denial of participation was appropriate, or if there was discrimination, based on requirements outlined in OAR 410-141-3120.CommunicationDMAP will communicate PDRC determinations using decision letters signed by the DMAP Administrator in order to: Notify the individual or provider group about determinations in favor of the plan or organization; and Notify the plan or organization about determinations in favor of the provider or group, and communicate an expectation that it reconsider the providers or groups application in compliance with Senate Bill 1509 (2012).      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