§ 414.706 Persons eligible for medical assistance; rules
§ 414.709 Adjustment of population of eligible persons in event of insufficient resources prohibited
§ 414.710 Services not subject to prioritized list
§ 414.712 Health services for certain eligible persons
§ 414.717 Palliative care program; rules
§ 414.719 Housing navigation services and social determinants of health; rules
§ 414.723 Telemedicine services; rules
§ 414.726 Requirement to use certified or qualified health care interpreters; reimbursement; rules
§ 414.728 Reimbursement of rural hospitals on fee-for-service basis
§ 414.735 Reduction in scope of health services in event of insufficient resources; approval of Legislative Assembly or Emergency Board; notice to providers
§ 414.742 Payment for mental health drugs
§ 414.743 Payment to noncontracting hospital by coordinated care organization; rules
§ 414.745 Liability of health care providers and plans
§ 414.755 Payment for hospital services
§ 414.756 Payments to Oregon Health and Science University
§ 414.760 Payment for patient centered primary care home and behavioral health home services
§ 414.761 Payment for bilateral cochlear implants, hearing aids and hearing assistive technology systems for minors
§ 414.762 Payment for child abuse assessment
§ 414.763 Payment for dispensing of 12-month supply of prescription contraceptives
§ 414.764 Payment for services provided by pharmacy or pharmacist
§ 414.765 Periodic surveys of pharmacists regarding costs of dispensing prescription drugs
§ 414.766 Behavioral health treatment; rules
§ 414.767 Survey of medical assistance recipients regarding experience with behavioral health care and services
§ 414.769 Payment for gender-affirming treatment; rules
§ 414.770 Participants in clinical trials
§ 414.772 Limits on use of step therapy
§ 414.773 Certain conditions on reimbursement of claims for behavioral health services prohibited; assignment of CCO member to primary care provider
§ 414.774 Payment for private duty nursing services for medically fragile children; rules

Terms Used In Oregon Statutes > Chapter 414 > Scope of Covered Health Services

  • Alternative payment methodology: means a payment other than a fee-for-services payment, used by coordinated care organizations as compensation for the provision of integrated and coordinated health care and services. See Oregon Statutes 414.025
  • Amendment: A proposal to alter the text of a pending bill or other measure by striking out some of it, by inserting new language, or both. Before an amendment becomes part of the measure, thelegislature must agree to it.
  • Behavioral health assessment: means an evaluation by a behavioral health clinician, in person or using telemedicine, to determine a patient's need for immediate crisis stabilization. See Oregon Statutes 414.025
  • Behavioral health crisis: means a disruption in an individual's mental or emotional stability or functioning resulting in an urgent need for immediate outpatient treatment in an emergency department or admission to a hospital to prevent a serious deterioration in the individual's mental or physical health. See Oregon Statutes 414.025
  • Behavioral health home: means a mental health disorder or substance use disorder treatment organization, as defined by the Oregon Health Authority by rule, that provides integrated health care to individuals whose primary diagnoses are mental health disorders or substance use disorders. See Oregon Statutes 414.025
  • Category of aid: means assistance provided by the Oregon Supplemental Income Program, aid granted under ORS § 411. See Oregon Statutes 414.025
  • Contract: A legal written agreement that becomes binding when signed.
  • Coordinated care organization: means an organization meeting criteria adopted by the Oregon Health Authority under ORS § 414. See Oregon Statutes 414.025
  • Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
  • Gender identity: means an individual's gender-related identity, appearance, expression or behavior, regardless of whether the identity, appearance, expression or behavior differs from that associated with the gender assigned to the individual at birth. See Oregon Statutes 174.100
  • Health services: means at least so much of each of the following as are funded by the Legislative Assembly based upon the prioritized list of health services compiled by the Health Evidence Review Commission under ORS § 414. See Oregon Statutes 414.025
  • Medical assistance: includes any care or services for any individual who is a patient in a medical institution or any care or services for any individual who has attained 65 years of age or is under 22 years of age, and who is a patient in a private or public institution for mental diseases. See Oregon Statutes 414.025
  • Patient centered primary care home: means a health care team or clinic that is organized in accordance with the standards established by the Oregon Health Authority under ORS § 414. See Oregon Statutes 414.025
  • Person: includes individuals, corporations, associations, firms, partnerships, limited liability companies and joint stock companies. See Oregon Statutes 174.100
  • Prepaid managed care health services organization: means a managed dental care, mental health or chemical dependency organization that contracts with the authority under ORS § 414. See Oregon Statutes 414.025
  • Sexual orientation: means an individual's actual or perceived heterosexuality, homosexuality or bisexuality. See Oregon Statutes 174.100
  • Trial: A hearing that takes place when the defendant pleads "not guilty" and witnesses are required to come to court to give evidence.
  • United States: includes territories, outlying possessions and the District of Columbia. See Oregon Statutes 174.100