§ 414.570 System established
§ 414.572 Coordinated care organizations; rules
§ 414.575 Community advisory councils
§ 414.577 Community health assessment and adoption of community health improvement plan; rules
§ 414.578 Community health improvement plan
§ 414.581 Tribal Advisory Council established; membership; terms
§ 414.584 Meetings of coordinated care organization governing body to be open to public; recording and taking of minutes required
§ 414.590 Coordinated care organization contracts; terms and amendments; 60 days advance notice; refusal to renew
§ 414.591 Coordinated care organization contracts; financial reporting; rules
§ 414.592 Requirements for contracts between authority and providers; alignment with behavioral quality health metrics and incentives
§ 414.593 Reporting and public disclosure of expenditures by coordinated care organizations
§ 414.595 External quality reviews of coordinated care organizations; limits on documentation and reporting requirements
§ 414.598 Alternative payment methodologies
§ 414.605 Consumer and provider protections
§ 414.607 Use and disclosure of member information; access by member to personal health information
§ 414.609 Network adequacy; member transfers
§ 414.611 Transfer of 500 or more members of coordinated care organization
§ 414.613 Discrimination based on scope of practice prohibited; appeals; rules
§ 414.619 Coordination between Oregon Health Authority and Department of Human Services
§ 414.628 Innovator agents
§ 414.631 Mandatory enrollment in coordinated care organization; exemptions
§ 414.632 Services to individuals who are dually eligible for Medicare and Medicaid
§ 414.654 Persons served by prepaid managed care health services organizations; funding of health information technology
§ 414.655 Utilization of patient centered primary care homes and behavioral health homes by coordinated care organizations
§ 414.665 Traditional health workers utilized by coordinated care organizations; rules
§ 414.667 Definition for ORS 414.667 to 414.669
§ 414.668 Access to doula services
§ 414.669 Payment for doula services
§ 414.672 Tribal-based practices for mental health and substance abuse prevention, counseling and treatment
§ 414.686 Health assessments for foster children

Terms Used In Oregon Statutes > Chapter 414 > Oregon Integrated and Coordinated Care Delivery System > Coordinated Care Organizations

  • Affidavit: A written statement of facts confirmed by the oath of the party making it, before a notary or officer having authority to administer oaths.
  • 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.
  • Appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
  • 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
  • Beneficiary: A person who is entitled to receive the benefits or proceeds of a will, trust, insurance policy, retirement plan, annuity, or other contract. Source: OCC
  • business of a nonalcoholic beverage manufacturer: means the operations and business of and the owner or operator thereof, who manufactures, makes, bottles, handles, distributes, holds for sale, or sells soda or soda waters, mineral waters, carbonated beverages and other nonalcoholic drinks or beverages otherwise known as soft drinks, except those that are exempt as not covered as provided in ORS § 635. See Oregon Statutes 635.015
  • Common law: The legal system that originated in England and is now in use in the United States. It is based on judicial decisions rather than legislative action.
  • Community health worker: means an individual who meets qualification criteria adopted by the authority under ORS § 414. See Oregon Statutes 414.025
  • Complaint: A written statement by the plaintiff stating the wrongs allegedly committed by the defendant.
  • 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
  • Department: means the State Department of Agriculture. See Oregon Statutes 635.015
  • Dependent: A person dependent for support upon another.
  • Equitable: Pertaining to civil suits in "equity" rather than in "law." In English legal history, the courts of "law" could order the payment of damages and could afford no other remedy. See damages. A separate court of "equity" could order someone to do something or to cease to do something. See, e.g., injunction. In American jurisprudence, the federal courts have both legal and equitable power, but the distinction is still an important one. For example, a trial by jury is normally available in "law" cases but not in "equity" cases. Source: U.S. Courts
  • 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.
  • exchange: means an American Health Benefit Exchange described in 42 U. See Oregon Statutes 414.025
  • Extradition: The formal process of delivering an accused or convicted person from authorities in one state to authorities in another state.
  • Fiscal year: The fiscal year is the accounting period for the government. For the federal government, this begins on October 1 and ends on September 30. The fiscal year is designated by the calendar year in which it ends; for example, fiscal year 2006 begins on October 1, 2005 and ends on September 30, 2006.
  • Fraud: Intentional deception resulting in injury to another.
  • 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
  • Global budget: means a total amount established prospectively by the Oregon Health Authority to be paid to a coordinated care organization for the delivery of, management of, access to and quality of the health care delivered to members of the coordinated care organization. See Oregon Statutes 414.025
  • Guardian: A person legally empowered and charged with the duty of taking care of and managing the property of another person who because of age, intellect, or health, is incapable of managing his (her) own affairs.
  • 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
  • Income: has the meaning given that term in ORS § 411. See Oregon Statutes 414.025
  • Indictment: The formal charge issued by a grand jury stating that there is enough evidence that the defendant committed the crime to justify having a trial; it is used primarily for felonies.
  • Integrated health care: means care provided to individuals and their families in a patient centered primary care home or behavioral health home by licensed primary care clinicians, behavioral health clinicians and other care team members, working together to address one or more of the following:

    (A) Mental illness. See Oregon Statutes 414.025

  • Jurisdiction: (1) The legal authority of a court to hear and decide a case. Concurrent jurisdiction exists when two courts have simultaneous responsibility for the same case. (2) The geographic area over which the court has authority to decide cases.
  • Liabilities: The aggregate of all debts and other legal obligations of a particular person or legal entity.
  • local government: means all cities, counties and local service districts located in this state, and all administrative subdivisions of those cities, counties and local service districts. See Oregon Statutes 174.116
  • 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
  • Obligation: An order placed, contract awarded, service received, or similar transaction during a given period that will require payments during the same or a future period.
  • Oversight: Committee review of the activities of a Federal agency or program.
  • 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
  • Peer support specialist: means any of the following individuals who meet qualification criteria adopted by the authority under ORS § 414. See Oregon Statutes 414.025
  • Peer wellness specialist: means an individual who meets qualification criteria adopted by the 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
  • Person centered care: means care that:

    (a) Reflects the individual patient's strengths and preferences;

    (b) Reflects the clinical needs of the patient as identified through an individualized assessment; and

    (c) Is based upon the patient's goals and will assist the patient in achieving the goals. See Oregon Statutes 414.025

  • Personal health navigator: means an individual who meets qualification criteria adopted by the authority under ORS § 414. See Oregon Statutes 414.025
  • Power of attorney: A written instrument which authorizes one person to act as another's agent or attorney. The power of attorney may be for a definite, specific act, or it may be general in nature. The terms of the written power of attorney may specify when it will expire. If not, the power of attorney usually expires when the person granting it dies. Source: OCC
  • 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
  • Probate: Proving a will
  • public notice: means any legal publication which requires an affidavit of publication as required in ORS § 193. See Oregon Statutes 174.104
  • Quorum: The number of legislators that must be present to do business.
  • Rescission: The cancellation of budget authority previously provided by Congress. The Impoundment Control Act of 1974 specifies that the President may propose to Congress that funds be rescinded. If both Houses have not approved a rescission proposal (by passing legislation) within 45 days of continuous session, any funds being withheld must be made available for obligation.
  • Restitution: The court-ordered payment of money by the defendant to the victim for damages caused by the criminal action.
  • Settlement: Parties to a lawsuit resolve their difference without having a trial. Settlements often involve the payment of compensation by one party in satisfaction of the other party's claims.
  • Sexual orientation: means an individual's actual or perceived heterosexuality, homosexuality or bisexuality. See Oregon Statutes 174.100
  • Statute: A law passed by a legislature.
  • Statute of limitations: A law that sets the time within which parties must take action to enforce their rights.
  • Summons: Another word for subpoena used by the criminal justice system.
  • Testimony: Evidence presented orally by witnesses during trials or before grand juries.
  • Transcript: A written, word-for-word record of what was said, either in a proceeding such as a trial or during some other conversation, as in a transcript of a hearing or oral deposition.
  • Tribal traditional health worker: means an individual who meets qualification criteria adopted by the authority under ORS § 414. See Oregon Statutes 414.025
  • United States: includes territories, outlying possessions and the District of Columbia. See Oregon Statutes 174.100