ORS 413.241 Enhanced federal match for Indian health care providers

As used in this section:

“Eligible claim” means a claim for reimbursement of the cost of a health care item or service that is:

Covered by the state medical assistance program; and

Within the scope of a written care coordination agreement between an Indian health care provider and a nontribal health care provider.

“Enhanced federal match” means 100 percent federal matching funds under 42 U.S.C. 1396d(b).

“Indian health care provider” means an:

Urban Indian organization as defined in 25 U.S.C. 1603(29); or

Indian Health Service facility as referenced in 42 U.S.C. 1396d(b).

If enhanced federal match is available to this state under 42 U.S.C. 1396d(b), the Oregon Health Authority shall:

Maintain a process to identify eligible claims for items or services that:

Are furnished by nontribal health care providers that are enrolled in the state medical assistance program; and

Qualify for enhanced federal match under rules or guidance issued by the Centers for Medicare and Medicaid Services; and

Establish a mechanism to return a portion of the enhanced federal match to the Indian health care provider that has a written care coordination agreement with the nontribal health care provider to furnish the item or service.

Assembly but was not added to or made a part of ORS chapter 413 or any series therein by legislative action. See Preface to Oregon Revised Statutes for further explanation.