New! 2/7/13 – Correct the Authority’s intent to exempt newly eligible third trimester women from mandatory enrollment.

OHP (MCO and CCO) Program

Amend: OAR 410-141-3060

Effective dates: 2/7/13 through 6/29/13

1/30/13 – Align with OAR chapter 461, division 155 medical eligibility rules

General Rules Program

Amend: OAR 410-120-0006

Effective dates: 1/30/13 through 6/29/13

1/8/13 – Align with OAR chapter 461, division 155 medical eligibility rules

General Rules Program

Amend: OAR 410-120-0006

Effective dates: 1/8/13 through 6/29/13

1/4/13 -  Supported Employment Services Definitions and Provider Requirements and Fidelity Reviews

OHP (MCO and CCO) Program

Amend: OAR 410-141-3160

Effective dates: 1/4/13 through 7/2/13

1/1/13 – Change in coverage to Part D Medicare for certain drugs

General Rules Program

Amend: OAR 410-120-1210

Effective dates: 1/1/13 through 6/29/13

1/1/13 -  Change method of payment to FQHC and RHC Out Station Outreach Worker Activities

FQHC & RHC Program

Amend: OAR 410-147-0400

Effective dates: 1/1/13 through 6/29/13

1/1/13 -  Amending to add exemption from mandatory CCO enrollment for women in third trimester of pregnancy

OHP (MCO and CCO) Program

Amend: OAR 410-141-3060

Effective dates: 1/1/13 through 6/29/13

1/1/13 -  Align with OAR chapter 461, division 155 medical eligibility rules

General Rules Program

Amend: OAR 410-120-0006

Effective dates: 1/1/13 through 6/29/13

12/28/12 - Change in Clozaril Monitoring coding and re-write rule for clarity

Pharmaceutical Services Program

Amend: 410-121-0190

Effective dates: 12/28/12 through 6/25/13

12/28/12 - Align with other rules referenced; establish clarity, and change in coding for pharmacy clozaril monitoring

Medical-Surgical Services Program

Amend: OAR 410-130-0180 & 410-130-0240

Effective dates: 12/28/12 through 6/25/13

12/1/12 -  Align with OAR chapter 461, division 155 medical eligibility rules

General Rules Program
Amend:  OAR 410-120-0006
Effective dates: 12/1/12 through 4/1/13

11/15/12 -  Authority requirements for approving transfer of 500 or more members from one CCO to another.

OHP (MCO and CCO) Program
Amend:  OAR 410-141-3080
Effective dates: 11/15/12 through 4/13/13

10/31/12 - Targeted Case Management Retroactive Payments

Targeted Case Management Program
Amend: OAR 410-138-0390
Effective dates: 10/31/12 through 4/28/13

11/1/12 - Amend Coordinated Care Organizations rules to include the Authority’s intent for member's options to file a grievance or complaint.

OHP (MCO and CCO) Program
Amend: OAR 410-141-3260
Effective dates: 11/1/12 through 4/29/13

9/23/12 - Amendment of HERC Prioritized List of Health Services reflecting approved modifications effective October 1, 2012

Oregon Health Plan (OHP or Managed Care) Program
OAR 410-141-0520
Effective dates: 9/23/12 through 3/21/13