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

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Oregon Health Plan policies

Administered by the Division of Medical Assistance Programs (DMAP)

Temporary administrative rules

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NEW!1/31/12 -Adoption of rules governing the Rural Medical Practitioners Insurance Subsidy Program
New Program: Rural Medical Practitioners Insurance Subsidy Program (non-Medicaid)
OAR 410-500-0000 through 410-500-0060
Effective dates: 1/31/12 through 7/28/12

NEW!2/1/12 Adopts Attorney General's model rules with the exception to the postmark date
General Rules Program
OAR 410-120-1860

Effective dates: 2/1/12 through 7/4/12

NEW!2/1/12 -Align with OAR chapter 461, division 155 medical eligibility rules
General Rules Program
OAR 410-120-0006

Effective dates: 2/1/12 through 7/10/12

NEW!1/31/12 -Align with OAR chapter 461, division 155 medical eligibility rules
General Rules Program
OAR 410-120-0006

Effective dates: 1/31/12 through 7/10/12

NEW!1/26/12 -Align with OAR chapter 461, division 155 medical eligibility rules
General Rules Program
OAR 410-120-0006

Effective dates: 1/26/12 through 7/10/12

1/13/12 -Align with OAR chapter 461, division 155 medical eligibility rules
General Rules Program
OAR 410-120-0006

Effective dates: 1/13/12 through 7/10/12

Implement and Outpatient DRG hospital methodology
Combined: Hospital Services & OHP Program
OAR 410-125-0195
OAR 410-141-0420
Effective dates: 1/1/12 through 6/25/12

Non-payment for Provider Preventable Conditions for outpatient services
Hospital Services Program
OAR 410-125-0450

Effective dates: 1/1/12 through 6/25/12

Prioritized List of Health Services - Commission name and funding line changes
Oregon Health Plan (OHP or Managed Care) Program

OAR 410-141-0520

Effective dates: 1/1/12 through 6/25/12

Managed Care disenrollment from Prepaid Health Plan
Oregon Health Plan (OHP or Managed Care) Program
OAR 410-141-0080
Effective dates: 1/1/12 through 6/28/12

Managed Care Fully Capitated Health Plan and Physician Care Organization Pharmaceutical Drug List Requirements
Oregon Health Plan (OHP or Managed Care) Program
OAR 410-141-0070

Effective dates: 11/21/11through 5/15/12

Non-participating Provider retroactive reimbursement change
General Rules Program
OAR 410-120-1295

Effective dates: 10/20/11through 3/25/12

Patient Centered Primary Care Home (PCPCH)
OHP - division 141
AI/AN - division 146
FQHC - division 147

Multiple rules for the Patient Centered Primary Care Home (PCPCH)

Effective dates: 10/1/11through 3/23/12

Legislatively mandated implementation of Pharmacy & Therapeutics (P&T) Committee
Pharmaceutical Services Program
OAR 410-121-0110, Pharmacy and Therapeutics Committee

Effective dates: 10/1/11through 3/15/12