Questions?

Contact DMAP's Rules Coordinator (503-945-6430).

See also:

Current rulebooks for the most up-to-date administrative rules for your program.

How to read rule revisions

Underscoring - Text is being added.

[Strikethrough] - Text is being deleted.

New Rule or Adopt - Text is a new rule to be adopted.

Rule Rewritten - Because of the number of changes, text additions and deletions are not marked.

Rule Deleted - The entire rule (rule number and text) is being deleted.

Rule Recodified - The all or part of the text has been renumbered/ relettered.

Rule Renumbered - The rule number (i.e., 410-120-1220) has been changed.

 

 

DMAP Oregon Administrative Rules

Temporary rules

Receive temporary certificates and rules updates by e-mail

New! 4/1/2014 - Eliminate OHP Standard; Expand Age Fluoride in Medical Setting; Incorporate Changes to Prioritized List

Dental Services Program

Amend: 410-123-1200 and 410-123-1260

Effective dates: 4/1/2014 through 6/30/2014

New! 4/1/2014 - Amendment of HERC Prioritized List of Health Services Reflecting Approved Modifications Effective April 1, 2014 and Allow for CCOs to Pay for Outpatient and Physician Administered Medications

Oregon Health Plan (MCO and CCO) Program

Amend: 410-141-0520 and 410-141-3070

Effective dates: 4/1/2014 through 9/28/2014

New! 3/21/2014 - Amending Prior Authorization Guide and Amending Preferred Drug List (May 23, July 25, September 26, 2013 and January 30, 2014 DUR/P and T Action and SR Contract Updates)

Pharmaceutical Services Program

Amend: 410-121-0040 and 410-121-0030

Effective dates: 3/21/2014 through 9/17/2014

2/28/2014 - Expand Age for Topical Fluoride Varnish in Medical Setting and Update Language for Dental Integration

Dental Services Program

Amend: 410-123-1260

Effective dates: 2/28/2014 through 8/29/2014

2/1/2014 - Add Without Cause to CCO, FCHP, PCO and DCO Disenrollment Criteria Pursuant to Federal Regulations

Oregon Health Plan (MCO and CCO) Program

Amend: 410-141-0080, 410-141-3080

Effective dates: 2/1/2014 through 7/31/2014

2/1/2014 - Adopt and Incorporate by Reference Rules Established in OAR Chapter 461

General Rules Program

Amend: 410-120-0006

Effective dates: 2/1/2014 through 3/31/2014

2/1/2014 - Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) reimbursement levels

DMEPOS Program

Amend: 410-122-0186

Effective dates: 2/1/2014 through 7/31/2014

1/10/2014 - Amending Preferred Drug List per the Supplemental Rebate Contracts for 2014

Pharmaceutical Services Program

Amend: 410-121-0030

Effective dates: 1/10/2014 through 7/9/2014

1/1/2014 - Elimination of Oregon Health Plan Standard Benefit Plan Effective January 1, 2014

General Rules Program; Dental Services Program; Hospital Services Program; Medical-Surgical Services Program; Home Health Services Program; Physical and Occupational Therapy Services Program; Speech-Language Pathology, Audiology and Hearing Aid Services Program; Targeted Case Management; Oregon Health Plan (MCO and CCO) Program; Hospice Services Program; Private Duty Nursing Services Program; American Indian/Alaskan Native Services Program; FQHC-RHC Program; Home EP/IV Services Program; DMEPOS Program

Amend: 410-120-0030, 410-120-1210, 410-120-1230, 410-123-1060, 410-123-1200, 410-410-123-1260, 410-123-1540, 410-125-0020, 410-125-0080, 410-125-0085, 410-130-0240, 410-131-0120, 410-138-0000, 410-138-0007, 410-138-0009, 410-141-0860, 410-142-0040

Repeal: 410-122-0055, 410-123-1670, 410-125-0047, 410-127-0050, 410-129-0195, 410-130-0163, 410-132-0055, 410-146-0022, 410-146-0380, 410-147-0125, 410-148-0090

Effective dates: 1/1/2014 through 6/30/2014

1/1/2014 - Amending Preferred Drug List and Prior Authorization Guide May 25, July 25, and September 26, 2013 DUR/P&T Action

Pharmaceutical Services Program

Amend: 410-121-0030 and 410-121-0040

Effective dates: 1/1/2014 through 6/30/2014

1/1/2014 - Extends deadline for Coordinated Care Organizations to start non-emergent medical transportation; makes technical changes.

Medical Transportation Services Program

Amend: 410-136-3000, 410-136-3020, 410-136-3060, 410-136-3140, 410-136-3220, 410-136-3240

Effective dates: 1/1/2014 through 6/30/2014

1/1/2014 - Add arbitration language for HCE and CCO Contracting Disputes

Oregon Health Plan (MCO and CCO) Program

Amend: 410-141-3268

Effective dates: 1/1/2014 through 6/30/2014

12/30/13 - Annual Relative Value Unit (RVU) weight update

General Rules Program

Amend: 410-120-1340

Effective dates: 12/30/2013 through 6/28/2014

11/1/13 - Rules related to Substance Use Disorder Residential Treatment Managed Care Enrollment Process and Procedures

Oregon Health Plan (MCO and CCO) Program

Adopt: OAR 410-141-0065, 410-141-3065

Effective dates: 11/1/2013 through 4/30/2014

10/30/13 - Amends Modifications Based on Client Circumstances to Medical Transportation for Recipients of Medical Assistance Programs

Medical Transportation Services Program

Amend: 410-136-3260

Effective dates: 10/30/2013 through 4/28/2014