Oregon Law
Law as of Jan 1, 2026
Chapter contents
414.001[Repealed by 1953 c.378 §2] 414.002[Repealed by 1953 c.378 §2] 414.003[Repealed by 1953 c.378 §2] 414.004[Repealed by 1953 c.378 §2] 414.005[Repealed by 1953 c.378 §2] 414.006[Repealed by 1953 c.378 §2] 414.007[Repealed by 1953 c.378 §2] 414.008[Repealed by 1953 c.378 §2] 414.009[Repealed by 1953 c.378 §2] 414.010[Repealed by 1953 c.378 §2] 414.011[Repealed by 1953 c.378 §2] 414.012[Repealed by 1953 c.378 §2] 414.013[Repealed by 1953 c.378 §2] 414.014[Repealed by 1953 c.378 §2] 414.015[Repealed by 1953 c.30 §2] 414.016[Repealed by 1953 c.30 §2] 414.017[Repealed by 1953 c.30 §2] 414.018Legislative intent; findings 414.019[1993 c.815 §2; 1999 c.547 §4; 2005 c.22 §284; repealed by 2009 c.595 §1204] 414.020[Repealed by 1953 c.204 §9] 414.021[1993 c.815 §3; 1995 c.727 §19; 1997 c.683 §14; 1999 c.547 §5; 2003 c.47 §1; 2003 c.784 §6; repealed by 2009 c.595 §1204] 414.022[1993 c.815 §29; 1995 c.806 §3; 1995 c.807 §4; 1999 c.835 §1; 2001 c.900 §100; repealed by 2009 c.595 §1204] 414.023[1993 c.815 §30; 1997 c.249 §128; repealed by 2009 c.595 §1204] 414.024[1993 c.815 §31; 1997 c.683 §15; 1999 c.547 §6; repealed by 2009 c.595 §1204] 414.025Definitions for ORS chapters 411, 413 and 414 414.026[2001 c.980 §2; renumbered 414.420 in 2005] 414.027[2001 c.980 §3; renumbered 414.422 in 2005] 414.028[Formerly 414.305; renumbered 414.426 in 2005] 414.029[2003 c.76 §1; renumbered 414.428 in 2005] 414.030[Repealed by 1953 c.204 §9] 414.031[2003 c.784 §9; repealed by 2009 c.595 §1204] 414.032[1967 c.502 §4; 1985 c.747 §10; repealed by 2009 c.595 §1204] 414.033Expenditures for medical assistance authorized 414.034Acceptance of federal billing, reimbursement and reporting forms 414.035[1965 c.556 §1; repealed by 1967 c.502 §21] 414.036[1983 c.415 §2; 1989 c.836 §1; 1991 c.753 §1; repealed by 2009 c.595 §1204] 414.037[1967 c.502 §5; repealed by 1975 c.509 §2 (414.038 enacted in lieu of 414.037)] 414.038[1975 c.509 §§3,4 (enacted in lieu of 414.037); repealed by 2009 c.595 §1204] 414.039[1985 c.747 §12; 1989 c.31 §1; 1991 c.66 §7; 1997 c.581 §23; repealed by 2009 c.595 §1204] 414.040[1953 c.204 §2; renumbered 414.810 and then 566.310] 414.041Simplified application process; outreach and enrollment 414.042[1967 c.502 §6; 1971 c.503 §1; 1989 c.836 §20; 1991 c.66 §8; 1991 c.753 §2; 1993 c.815 §20; 1995 c.807 §2; 1997 c.581 §24; 2007 c.861 §21; 2009 c.595 §269; 2009 c.867 §42; renumbered 411.404 in 2009] 414.044Notice to Department of Veterans’ Affairs of information regarding applications for health care coverage by uniformed service members and veterans; rules 414.045[1965 c.556 §3; repealed by 1967 c.502 §21] 414.047[1967 c.502 §7; 1969 c.68 §8; 1971 c.779 §46; 1991 c.66 §9; 2003 c.14 §189; renumbered 411.400 in 2009] 414.049[2003 c.810 §17; 2009 c.595 §272; renumbered 411.402 in 2009] 414.050[1953 c.204 §2; renumbered 414.820 and then 566.320] 414.051[1979 c.296 §2; 1991 c.66 §10; 2009 c.595 §273; renumbered 411.459 in 2009] 414.055[1965 c.556 §4; 1971 c.734 §45; 1971 c.779 §47; 1991 c.66 §11; renumbered 411.408 in 2009] 414.057[1967 c.502 §8; 1971 c.779 §48; 1991 c.66 §12; renumbered 411.406 in 2009] 414.060[1953 c.204 §3; renumbered 414.830 and then 566.330] 414.065Determination of health services covered; quality measures; reimbursement; cost sharing; payments by Oregon Health Authority as payment in full; rules 414.066Billing patient for services covered by medical assistance prohibited 414.067Coordinated care organization assumption of costs; reports to Legislative Assembly 414.070[1953 c.204 §4; renumbered 414.840 and then 566.340] 414.071Timely payment for dental services 414.072Prior authorization data and reports 414.073[1971 c.188 §2; 1991 c.66 §14; 2009 c.595 §277; renumbered 411.463 in 2009] 414.074Timely prior authorization determinations for repair of complex rehabilitation technology 414.075Payment of deductibles imposed under federal law 414.080[1953 c.204 §5; renumbered 414.850 and then 566.350] 414.085[1965 c.556 §10; 1991 c.66 §15; repealed by 2009 c.595 §1204] 414.090[1953 c.204 §6; renumbered 414.860 and then 566.360] 414.095Exemptions applicable to payments 414.105[1965 c.556 §12; 1967 c.502 §15; 1969 c.507 §2; 1971 c.334 §1; 1973 c.334 §1; part renumbered 416.280; 1975 c.386 §4; 1985 c.522 §4; 1991 c.66 §16; 1993 c.249 §5; 1995 c.642 §1; 2001 c.620 §5; 2001 c.900 §223; 2007 c.70 §191; 2009 c.595 §278; renumbered 416.350 in 2009] 414.106[1995 c.642 §2; 2001 c.900 §224; 2009 c.595 §279; renumbered 416.351 in 2009] 414.107[1991 c.753 §5a; 1993 c.815 §15; repealed by 2009 c.595 §1204] 414.109Oregon Health Plan Fund 414.115Medical assistance by insurance or service contracts; rules 414.117Premium assistance for health insurance coverage 414.125Rates on insurance or service contracts; requirements for insurer or contractor 414.135Contracts relating to direct providers of care and services 414.145Implementation of ORS 414.115, 414.125 or 414.135 414.150Purpose of ORS 414.150 to 414.153 414.151[1991 c.337 §2; 1993 c.18 §100; 2001 c.900 §101; 2009 c.595 §285; renumbered 411.435 in 2009] 414.152Duty of state agencies to work with local health departments 414.153Services provided by local health departments 414.205[1967 c.502 §18; 1981 c.825 §1; repealed by 1995 c.727 §48] 414.210[1957 c.692 §1; repealed by 1963 c.631 §2] 414.211Medicaid Advisory Committee 414.215[1967 c.502 §19; 1991 c.66 §21; repealed by 1995 c.727 §48] 414.220[1957 c.692 §2; repealed by 1963 c.631 §2] 414.221Duties of committee 414.225Oregon Health Authority to consult with committee 414.227Application of public meetings law to advisory committees 414.229[Formerly 414.751; 2011 c.602 §38; repealed by 2015 c.318 §56] 414.230[1957 c.692 §5; repealed by 1963 c.631 §2] 414.231Eligibility for Cover All People program; 12-month continuous enrollment; verification of eligibility 414.240[1957 c.692 §3; repealed by 1963 c.631 §2] 414.241Oregon Health Authority to administer bridge program 414.245Bridge Program Fund 414.250[1957 c.692 §4; repealed by 1963 c.631 §2] 414.260[1957 c.692 §6; repealed by 1963 c.631 §2] 414.270[1957 c.692 §7(1); repealed by 1963 c.631 §2] 414.280[1957 c.692 §7(2); repealed by 1963 c.631 §2] 414.290[1957 c.692 §7(3); repealed by 1963 c.631 §2] 414.300[1957 c.692 §8; repealed by 1963 c.631 §2] 414.305[1969 c.507 §3; 1971 c.33 §1; 1977 c.384 §5; 1991 c.66 §23; 2001 c.900 §102; renumbered 414.028 in 2001] 414.310[1957 c.692 §9; 1961 c.130 §2; repealed by 1963 c.631 §2] 414.312Oregon Prescription Drug Program 414.314Application and participation in Oregon Prescription Drug Program; prescription drug charges; fees 414.316[2003 c.714 §3; 2007 c.697 §19; 2009 c.595 §293; repealed by 2015 c.318 §56] 414.318Prescription Drug Purchasing Fund 414.320Rules 414.324Prohibition on requiring prior authorization or step therapy for human immunodeficiency virus drugs 414.325Prescription drugs; use of legend or generic drugs; prior authorization; rules 414.326Supplemental rebates from pharmaceutical manufacturers 414.327Electronically transmitted prescriptions; rules 414.328Synchronization of prescription drug refills 414.329Prescription drug benefits for certain persons who are eligible for Medicare Part D prescription drug coverage; rules 414.330Legislative findings on prescription drugs 414.332Policy for Practitioner-Managed Prescription Drug Plan 414.334Practitioner-Managed Prescription Drug Plan for medical assistance program 414.336[2003 c.810 §22; repealed by 2009 c.827 §14] 414.337Limitation on rules regarding Practitioner-Managed Prescription Drug Plan 414.338[2001 c.869 §1; 2009 c.595 §301; repealed by 2011 c.720 §228] 414.340[2001 c.869 §3; 2005 c.381 §15; repealed by 2009 c.263 §1] 414.342[2001 c.869 §4; repealed by 2009 c.263 §1] 414.344[2001 c.869 §10; repealed by 2009 c.263 §1] 414.346[2001 c.869 §8; repealed by 2009 c.263 §1] 414.348[2001 c.869 §6; 2005 c.22 §285; repealed by 2009 c.263 §1] 414.350[1993 c.578 §1; 2009 c.595 §302; repealed by 2011 c.720 §228] 414.351Definitions for ORS 414.351 to 414.414 414.353Committee established; membership 414.354Meetings; advisory committees; public notice and testimony 414.355[1993 c.578 §2; 2009 c.595 §303; repealed by 2011 c.720 §228] 414.356Executive session 414.359Mental Health Clinical Advisory Group 414.360[1993 c.578 §6; 2003 c.70 §1; 2009 c.595 §304; repealed by 2011 c.720 §228] 414.361Committee to advise and make recommendations on drug utilization review standards and interventions; preferred drug list 414.364Intervention approaches 414.365[1993 c.578 §7; 2009 c.595 §305; repealed by 2011 c.720 §228] 414.369Prospective drug use review program 414.370[1993 c.578 §8; 2003 c.70 §2; repealed by 2011 c.720 §228] 414.371Retrospective drug use review program 414.372Pharmacy lock-in program; rules 414.375[1993 c.578 §13; 2009 c.595 §306; repealed by 2011 c.720 §228] 414.380[1993 c.578 §12; 2009 c.595 §307; repealed by 2011 c.720 §228] 414.381Annual reports; educational materials; procedures to protect confidential information 414.382Requirements for annual report 414.385[1993 c.578 §11; repealed by 2011 c.720 §228] 414.390[1993 c.578 §10; 2009 c.595 §308; repealed by 2011 c.720 §228] 414.395[1993 c.578 §14; repealed by 2011 c.720 §228] 414.400[1993 c.578 §4; 2001 c.900 §103; repealed by 2011 c.720 §228] 414.410[1993 c.578 §5; 2009 c.595 §309; repealed by 2011 c.720 §228] 414.414Use and disclosure of confidential information 414.415[1993 c.578 §9; repealed by 2011 c.720 §228] 414.420[Formerly 414.026; 2009 c.595 §309a; renumbered 411.443 in 2009] 414.422[Formerly 414.027; renumbered 411.445 in 2009] 414.424[2005 c.494 §2; 2007 c.70 §193; 2009 c.414 §1; renumbered 411.439 in 2009] 414.426Payment of cost of medical care for institutionalized persons 414.428Coverage for American Indian and Alaska Native beneficiaries 414.430Access to dental care for pregnant medical assistance recipients; rules 414.432Reproductive health services for noncitizens 414.434Eligibility for individuals under age 26 who have aged out of foster care in Oregon or another state 414.436Oregon Health Authority to review rules and contracts to ensure timely access to services for individuals under 21 years of age 414.440[2011 c.207 §1; 2013 c.640 §1; renumbered 411.447 in 2013] 414.500Findings regarding medical assistance for persons with hemophilia 414.510Definitions 414.520Hemophilia services 414.530When payments not made for hemophilia services 414.532Definitions for ORS 414.534 to 414.538 414.534Treatment for breast or cervical cancer; eligibility criteria for medical assistance; rules 414.536Presumptive eligibility for medical assistance for treatment of breast or cervical cancer 414.538Prohibition on coverage limitations; priority to low-income women 414.540Rules 414.550Definitions for ORS 414.550 to 414.565 414.555Findings regarding medical assistance for persons with cystic fibrosis 414.560Cystic fibrosis services 414.565When payments not made for cystic fibrosis services 414.570System established 414.572Coordinated care organizations; rules 414.575Community advisory councils 414.577Community health assessment and adoption of community health improvement plan; rules 414.578Community health improvement plan to address health of children and youth 414.581Tribal Advisory Council established; membership; terms 414.584Meetings of coordinated care organization governing body to be open to public; recording and taking of minutes required 414.590Coordinated care organization contracts; terms and amendments; 60 days’ advance notice; refusal to renew 414.591Coordinated care organization contracts; financial reporting; rules 414.592Requirements for contracts between authority and providers; alignment with behavioral quality health metrics and incentives 414.593Reporting and public disclosure of expenditures by coordinated care organizations 414.595External quality reviews of coordinated care organizations; limits on documentation and reporting requirements 414.598Alternative payment methodologies 414.605Consumer and provider protections 414.607Use and disclosure of member information; access by member to personal health information 414.609Network adequacy; member transfers 414.610[1983 c.590 §1; 1985 c.747 §8; repealed by 2011 c.602 §§64,70, 2012 c.8 §23 and 2015 c.792 §2] 414.611Transfer of 500 or more members of coordinated care organization 414.613Discrimination based on scope of practice prohibited; appeals; rules 414.615[Formerly 414.640; 2017 c.356 §34; repealed by 2011 c.602 §§64,70, 2012 c.8 §23 and 2015 c.792 §2] 414.618[Formerly 414.630; 2014 c.45 §39; 2017 c.356 §35; repealed by 2011 c.602 §§64,70, 2012 c.8 §23 and 2015 c.792 §2] 414.619Coordination between Oregon Health Authority and Department of Human Services 414.620[1983 c.590 §2; 1985 c.747 §2; 2011 c.602 §2; 2015 c.798 §10; renumbered 414.570 in 2019] 414.625[2011 c.602 §4; 2012 c.8 §20; 2013 c.535 §3; 2015 c.798 §11; 2017 c.101 §25; 2017 c.273 §6; 2017 c.429 §1; 2017 c.489 §§1,14; 2018 c.49 §§3,4; 2019 c.358 §§7,8; 2019 c.364 §§1,2; 2019 c.478 §§57,58; 2019 c.529 §§6,7; renumbered 414.572 in 2019] 414.627[2012 c.8 §13; 2013 c.535 §§4,5; 2017 c.82 §1; 2019 c.529 §8; renumbered 414.575 in 2019] 414.628Innovator agents 414.629[2013 c.598 §1; 2015 c.402 §3; 2019 c.529 §10; renumbered 414.578 in 2019] 414.630[1983 c.590 §3; 1991 c.66 §24; 2003 c.794 §275; 2009 c.595 §317; 2011 c.602 §40; renumbered 414.618 in 2011] 414.631Mandatory enrollment in coordinated care organization; exemptions 414.632Services to individuals who are dually eligible for Medicare and Medicaid 414.635[2011 c.602 §§8,9; 2012 c.8 §5; 2013 c.27 §1; 2017 c.618 §4; 2019 c.364 §3; renumbered 414.605 in 2019] 414.637[2014 c.55 §6; renumbered 414.772 in 2019] 414.638[2011 c.602 §10; 2012 c.8 §21; 2015 c.389 §10; 2023 c.584 §13; renumbered 413.022 in 2023] 414.640[1983 c.590 §4; 1991 c.66 §25; 2003 c.794 §276; 2009 c.595 §318; renumbered 414.615 in 2011] 414.645[2011 c.417 §2; 2015 c.27 §43; renumbered 414.609 in 2019] 414.646[2012 c.80 §4; 2012 c.80 §5; renumbered 414.613 in 2019] 414.647[2011 c.417 §3; 2013 c.234 §1; 2015 c.27 §44; renumbered 414.611 in 2019] 414.650[1983 c.590 §7; 1987 c.660 §19; 1989 c.513 §1; 1991 c.66 §26; repealed by 1995 c.727 §48] 414.651[Formerly 414.725; 2015 c.792 §6; 2019 c.478 §59; renumbered 414.591 in 2019] 414.652[2013 c.535 §2; 2015 c.799 §1; 2016 c.79 §1; 2018 c.49 §5; 2019 c.478 §60; 2019 c.529 §9; renumbered 414.590 in 2019] 414.653[2011 c.602 §5; 2015 c.798 §12; 2017 c.489 §4; renumbered 414.598 in 2019] 414.654Persons served by prepaid managed care health services organizations; funding of health information technology 414.655Utilization of patient centered primary care homes and behavioral health homes by coordinated care organizations 414.660[1983 c.590 §5; 1985 c.747 §3; 1991 c.66 §27; 2009 c.11 §57; repealed by 2009 c.595 §1204] 414.661[2015 c.552 §1; renumbered 414.595 in 2019] 414.665Traditional health workers utilized by coordinated care organizations; rules 414.667Definitions for ORS 414.667 to 414.671 414.668Access to services provided by doulas, lactation counselors and lactation educators 414.669Payment for doula, lactation counselor and lactation educator services 414.670[1983 c.590 §6; 1985 c.747 §3a; 1991 c.66 §28; repealed by 2009 c.595 §1204] 414.671Report on status of doulas 414.672Tribal-based practices for mental health and substance abuse prevention, counseling and treatment 414.679[2011 c.602 §12; 2015 c.389 §11; 2019 c.280 §9; renumbered 414.607 in 2019] 414.685[2011 c.602 §15; 2017 c.17 §34; renumbered 414.619 in 2019] 414.686Health assessments for foster children 414.688Commission established; membership 414.689Members; meetings 414.690Prioritized list of health services 414.694Commission review of covered reproductive health services 414.695Medical technology assessment 414.698Comparative effectiveness of medical technologies 414.701Commission to rely on range of research; research referencing quality of life in general measure under limited circumstances 414.704Advisory committee 414.705[1989 c.836 §2; 1991 c.753 §4; 2003 c.735 §1; 2003 c.810 §7; repealed by 2011 c.602 §§64,70] 414.706Persons eligible for medical assistance; rules 414.707[2003 c.735 §4; 2009 c.595 §319; 2009 c.867 §44; 2011 c.602 §42; 2011 c.720 §143; repealed by 2013 c.688 §98] 414.708[2003 c.735 §11; 2005 c.381 §16; 2007 c.70 §194; 2009 c.595 §320; 2011 c.720 §144; repealed by 2013 c.688 §98] 414.709Adjustment of population of eligible persons in event of insufficient resources prohibited 414.710Services not subject to prioritized list 414.712Health services for certain eligible persons 414.715[1989 c.836 §4; 1991 c.753 §12; 2009 c.469 §1; repealed by 2011 c.720 §228] 414.717Palliative care program; rules 414.719Housing navigation services and social determinants of health; rules 414.720[1989 c.836 §4a; 1991 c.753 §6; 1991 c.916 §2a; 1993 c.754 §1; 1993 c.815 §19; 1997 c.245 §2; 2003 c.735 §10; 2003 c.810 §8; 2009 c.595 §324; 2011 c.545 §48; repealed by 2011 c.720 §228] 414.721[2009 c.867 §16; 2009 c.828 §50; repealed by 2015 c.70 §18] 414.722Post-hospital extended care benefit 414.723Telemedicine services; rules 414.725[1989 c.836 §6; 1991 c.753 §8; 2003 c.14 §194; 2003 c.735 §13; 2003 c.794 §277; 2003 c.810 §4; 2005 c.806 §8; 2007 c.458 §1; 2009 c.595 §325; 2009 c.795 §3; 2011 c.602 §26; renumbered 414.651 in 2011] 414.726Requirement to use certified or qualified health care interpreters; reimbursement; rules 414.727[1997 c.642 §2; 1999 c.546 §2; 2005 c.806 §2; 2009 c.595 §326; 2013 c.688 §79; repealed by 2015 c.792 §14] 414.728Reimbursement of rural hospitals on fee-for-service basis 414.730[1989 c.836 §7; 1995 c.79 §209; 2005 c.22 §286; 2011 c.720 §148; renumbered 414.704 in 2011] 414.735Reduction in scope of health services in event of insufficient resources; approval of Legislative Assembly or Emergency Board; notice to providers 414.736[2003 c.810 §2; 2009 c.595 §329; 2009 c.867 §47; 2009 c.886 §6; 2011 c.417 §4; 2011 c.602 §45; 2011 c.720 §150; 2013 c.688 §80; 2015 c.3 §46; 2015 c.27 §45; 2015 c.792 §7; 2015 c.798 §13; 2017 c.273 §7; 2017 c.618 §7; repealed by 2011 c.602 §§64,70, 2012 c.8 §23 and 2015 c.792 §2] 414.737[2003 c.810 §3; 2007 c.751 §8; 2009 c.595 §§330,331; 2011 c.602 §§27,28; renumbered 414.631 in 2011] 414.738[2003 c.810 §5; 2009 c.595 §332; 2015 c.318 §23; repealed by 2011 c.602 §§64,70, 2012 c.8 §23 and 2015 c.792 §2] 414.739[2003 c.810 §5a; 2009 c.595 §333; 2015 c.318 §24; repealed by 2011 c.602 §§64,70, 2012 c.8 §23 and 2015 c.792 §2] 414.740[2003 c.810 §6; 2009 c.595 §334; 2012 c.8 §26; 2013 c.688 §81; 2015 c.3 §47; 2015 c.798 §14; 2017 c.273 §8; 2017 c.618 §8; repealed by 2011 c.602 §§64,70; 2012 c.8 §23 and 2015 c.792 §2] 414.741[2003 c.810 §9; 2009 c.595 §335; repealed by 2011 c.720 §228] 414.742Payment for mental health drugs 414.743Payment to noncontracting hospital by coordinated care organization; rules 414.744[2003 c.810 §13; repealed by 2009 c.595 §1204] 414.745Liability of health care providers and plans 414.746[2009 c.867 §15; 2009 c.828 §49; 2011 c.602 §48; 2013 c.608 §11; repealed by 2013 c.608 §12] 414.747[2003 c.810 §15; renumbered 414.326 in 2011] 414.750[1989 c.836 §18; 1991 c.753 §11; 2009 c.595 §340; repealed by 2013 c.688 §98] 414.751[1997 c.683 §35; 2001 c.69 §2; 2009 c.595 §341; renumbered 414.229 in 2009] 414.755Payment for hospital services 414.756Payments to Oregon Health and Science University 414.760Payment for patient centered primary care home and behavioral health home services 414.761Payment for bilateral cochlear implants, hearing aids and hearing assistive technology systems for minors 414.762Payment for child abuse assessment 414.763Payment for dispensing of 12-month supply of prescription contraceptives 414.764Payment for services provided by pharmacy or pharmacist 414.765Periodic surveys of pharmacists regarding costs of dispensing prescription drugs 414.766Behavioral health treatment; rules 414.767Survey of medical assistance recipients regarding experience with behavioral health care and services 414.768[2017 c.281 §3; renumbered 414.669 in 2019] 414.769Payment for gender-affirming treatment; rules 414.770Participants in clinical trials 414.771Payment for certain registered nurse services without order from primary care provider 414.772Limits on use of step therapy 414.773Certain conditions on reimbursement of claims for behavioral health services prohibited; assignment of CCO member to primary care provider 414.774Payment for private duty nursing services for medically fragile children; rules 414.775Payment for COVID-19 testing and treatment 414.776Payment for behavioral health services provided by licensed art therapists, licensed certified art therapists and provisional licensed art therapists 414.780Coordinated care organization reporting of data to assess compliance with mental health parity requirements; annual assessment 414.781Fee-for-service reimbursement of co-occurring mental health and substance use disorder treatment services 414.782Reimbursement to ensure access to addiction treatment statewide 414.805Liability of individual for medical services received while in custody of law enforcement officer 414.807Oregon Health Authority to pay for medical services related to law enforcement activity; certification of injury 414.810[Formerly 414.040; renumbered 566.310] 414.815Law Enforcement Medical Liability Account; limited liability; rules; report 414.820[Formerly 414.050; renumbered 566.320] 414.821[2001 c.898 §1; 2003 c.14 §196; repealed by 2003 c.735 §5] 414.823[2001 c.898 §2; 2003 c.14 §197; repealed by 2003 c.735 §5] 414.825[2001 c.898 §3; 2003 c.14 §198; repealed by 2013 c.365 §9 and 2013 c.640 §16] 414.826[2009 c.867 §30; 2011 c.700 §1; 2013 c.681 §49; 2015 c.3 §48; repealed by 2013 c.365 §9 and 2013 c.640 §16] 414.827[2001 c.898 §4; 2003 c.14 §199; repealed by 2003 c.735 §5] 414.828[2009 c.867 §31; 2013 c.681 §50; repealed by 2013 c.365 §9 and 2013 c.640 §16] 414.829[2001 c.898 §5; 2003 c.14 §200; repealed by 2003 c.684 §13 and 2003 c.735 §5] 414.830[Formerly 414.060; renumbered 566.330] 414.831[2001 c.898 §5a; 2003 c.14 §201; 2003 c.684 §6; 2005 c.744 §37; repealed by 2013 c.681 §65 and 2013 c.640 §21] 414.833[2001 c.898 §6; 2003 c.14 §202; repealed by 2003 c.735 §5] 414.834[2001 c.898 §7; 2003 c.14 §203; repealed by 2003 c.735 §5] 414.835[2001 c.898 §8; 2003 c.14 §204; repealed by 2003 c.735 §5] 414.837[2001 c.898 §10; 2003 c.14 §205; repealed by 2003 c.735 §5] 414.839[2001 c.898 §11; 2003 c.14 §206; 2003 c.684 §7; 2003 c.735 §9; 2009 c.595 §344a; 2009 c.867 §38; 2013 c.365 §2; 2013 c.681 §51; renumbered 414.117 in 2019] 414.840[Formerly 414.070; renumbered 566.340] 414.841[Formerly 735.720; 2011 c.70 §1; 2011 c.700 §2; repealed by 2013 c.681 §65 and 2013 c.640 §21] 414.842[Formerly 735.722; 2011 c.70 §2; 2011 c.700 §6; repealed by 2013 c.681 §65 and 2013 c.640 §21] 414.844[Formerly 735.724; 2011 c.70 §3; repealed by 2013 c.681 §65 and 2013 c.640 §21] 414.846[Formerly 735.726; repealed by 2013 c.681 §65 and 2013 c.640 §21] 414.848[Formerly 735.728; repealed by 2013 c.681 §65 and 2013 c.640 §21] 414.850[Formerly 414.080; renumbered 566.350] 414.851[Formerly 735.730; 2011 c.700 §4; repealed by 2013 c.681 §65 and 2013 c.640 §21] 414.852[Formerly 735.731; repealed by 2013 c.681 §65 and 2013 c.640 §21] 414.853Definitions 414.854[Formerly 735.732; repealed by 2013 c.681 §65 and 2013 c.640 §21] 414.855Hospital assessment; rates; rules 414.856[Formerly 735.733; repealed by 2013 c.681 §65 and 2013 c.640 §21] 414.857Reduction in rate required by federal law 414.858[Formerly 735.734; repealed by 2013 c.681 §65 and 2013 c.640 §21] 414.860[Formerly 414.090; renumbered 566.360] 414.861[Formerly 735.736; repealed by 2013 c.681 §65 and 2013 c.640 §21] 414.862[Formerly 735.738; repealed by 2013 c.681 §65 and 2013 c.640 §21] 414.863Refund of hospital assessment; right to contested case hearing 414.864[Formerly 735.740; 2011 c.70 §4; repealed by 2013 c.681 §65 and 2013 c.640 §21] 414.865Audits 414.866[Formerly 735.750; 2011 c.70 §5; repealed by 2013 c.681 §65, 2013 c.640 §21 and 2013 c.688 §98] 414.867Deposit of assessments collected to Hospital Quality Assurance Fund 414.868[Formerly 735.752; 2011 c.70 §6; repealed by 2013 c.681 §65, 2013 c.640 §§20,21, 2013 c.688 §98 and 2013 c.698 §42] 414.869Establishment of Hospital Quality Assurance Fund 414.870[Formerly 735.754; repealed by 2013 c.681 §65, 2013 c.640 §21 and 2013 c.688 §98] 414.871Applicability of hospital assessment 414.872[Formerly 735.756; repealed by 2013 c.681 §65, 2013 c.640 §§20,21, 2013 c.688 §98 and 2013 c.698 §42] 414.880Managed care organization assessment; rate 414.882Refund of managed care organization assessment; right to contested case hearing 414.884Applicability of managed care organization assessment 414.900Hospital assessment; penalties 414.902Managed care organization assessment; penalties

Chapter 414 — Medical Assistance

ORS 414.371 Retrospective drug use review program

The retrospective drug use review program must use:

(1)

Guidelines established by the Oregon Health Authority that are based on the recommendations of the Pharmacy and Therapeutics Committee; and

(2)

The mechanized drug claims processing and information retrieval system to analyze claims data on drug use against explicit predetermined standards that are based on compendia and other sources to monitor the following:

(a)

Therapeutic appropriateness.

(b)

Overutilization or underutilization.

(c)

Fraud and abuse.

(d)

Therapeutic duplication.

(e)

Drug-disease contraindications.

(f)

Drug-drug interactions.

(g)

Incorrect drug dosage or duration of drug treatment.

(h)

Clinical abuse and misuse.

Note: See note under 414.351.

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