ORS 414.771 Payment for certain registered nurse services without order from primary care provider

The Oregon Health Authority may not require a primary care provider to order a covered care management service, as listed in the schedule developed under subsection (2) of this section, as a condition of reimbursing the costs of the service when:

The service is provided to a medical assistance recipient by a registered nurse licensed under ORS 678.010 to 678.415;

The service is within the nurse’s authorized scope of practice; and

The patient does not have a primary care provider.

The authority shall, in consultation with stakeholders:

Develop and maintain a schedule of covered care management services for which a registered nurse may seek reimbursement under this section; and

Establish billing and documentation protocols to protect program integrity, including the use of national provider identifiers by registered nurses seeking reimbursement under this section.