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

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New! 7/15/2014 - PDL March 27, 2014 DUR/P&T Action and Prior Authorization Guide – March 27, May 29, 2014 DUR/P&T Action

Pharmaceutical Services Program

Amend: 410-121-0030; 410-121-0040

Effective dates: 7/15/2014 through 1/15/2015

7/1/2014 - Remove the Sunset Date from the "Third Trimester Pregnancy Enrollment Exemption"; PHP and CCO Payment Methodologies for A and B Hospitals

Oregon Health Plan (MCO and CCO) Program

Amend: 410-141-3060; 410-141-0420, 410-141-3420

Effective dates: 7/1/2014 through 12/27/2014

4/14/2014 - Income Eligibility Guidelines for OCCS Medical Programs

Office of Client and Community Services (OCCS)

Amend: 410-200-0315

Effective dates: 4/14/2014 through 10/11/2014

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

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 - 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