Oregon Statutes 414.632 – Services to individuals who are dually eligible for Medicare and Medicaid
(1) Subject to the Oregon Health Authority obtaining any necessary authorization from the Centers for Medicare and Medicaid Services, coordinated care organizations that meet the criteria adopted under ORS § 414.572 are responsible for providing covered Medicare and Medicaid services, other than Medicaid-funded long term care services, to members who are dually eligible for Medicare and Medicaid in addition to medical assistance recipients.
Terms Used In Oregon Statutes 414.632
- Coordinated care organization: means an organization meeting criteria adopted by the Oregon Health Authority 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
(2) An individual who is dually eligible for Medicare and Medicaid shall be permitted to enroll in and remain enrolled in a:
(a) Program of all-inclusive care for the elderly, as defined in 42 C.F.R. § 460.6; and
(b) Medicare Advantage plan, as defined in 42 C.F.R. § 422.2, until the plan is fully integrated into a coordinated care organization.
(3) Except for the enrollment in coordinated care organizations of individuals who are dually eligible for Medicare and Medicaid, the rights and benefits of Medicare beneficiaries under Title XVIII of the Social Security Act shall be preserved. [2011 c.602 § 7; 2012 c.8 § 25]
[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]
[2014 c.55 § 6; renumbered 414.772 in 2019]
[2011 c.602 § 10; 2012 c.8 § 21; 2015 c.389 § 10; 2023 c.584 § 13; renumbered 413.022 in 2023]
[1983 c.590 § 4; 1991 c.66 § 25; 2003 c.794 § 276; 2009 c.595 § 318; renumbered 414.615 in 2011]
[2011 c.417 § 2; 2015 c.27 § 43; renumbered 414.609 in 2019]
[2012 c.80 § 4; 2012 c.80 § 5; renumbered 414.613 in 2019]
[2011 c.417 § 3; 2013 c.234 § 1; 2015 c.27 § 44; renumbered 414.611 in 2019]
[1983 c.590 § 7; 1987 c.660 § 19; 1989 c.513 § 1; 1991 c.66 § 26; repealed by 1995 c.727 § 48]
[Formerly 414.725; 2015 c.792 § 6; 2019 c.478 § 59; renumbered 414.591 in 2019]
[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]
[2011 c.602 § 5; 2015 c.798 § 12; 2017 c.489 § 4; renumbered 414.598 in 2019]