Oregon § 413.241 Enhanced federal match for Indian health care providers

Oregon Statutes

§ 413.241 — Enhanced federal match for Indian health care providers

Oregon § 413.241

Vol.11

Title 34Human Services; Juvenile Code; Corrections

Ch. 413Oregon Health Authority

This text of Oregon § 413.241 (Enhanced federal match for Indian health care providers) is published on Counsel Stack Legal Research, covering Oregon primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Or. Rev. Stat. § 413.241 (2026).

Text

(1)As used in this section:

(a)“Eligible claim” means a claim for reimbursement of the cost of a health care item or service that is:

(A)Covered by the state medical assistance program; and

(B)Within the scope of a written care coordination agreement between an Indian health care provider and a nontribal health care provider.

(b)“Enhanced federal match” means 100 percent federal matching funds under 42 U.S.C. 1396d(b).

(c)“Indian health care provider” means an:

(A)Urban Indian organization as defined in 25 U.S.C. 1603(29); or

(B)Indian Health Service facility as referenced in 42 U.S.C. 1396d(b).

(2)If enhanced federal match is available to this state under 42 U.S.C. 1396d(b), the Oregon Health Authority shall:

(a)Maintain a process to identify eligible claims for items or service

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(1) As used in this section:
(a) “Eligible claim” means a claim for reimbursement of the cost of a health care item or service that is:
(A) Covered by the state medical assistance program; and
(B) Within the scope of a written care coordination agreement between an Indian health care provider and a nontribal health care provider.
(b) “Enhanced federal match” means 100 percent federal matching funds under 42 U.S.C. 1396d(b).
(c) “Indian health care provider” means an:
(A) Urban Indian organization as defined in 25 U.S.C. 1603(29); or
(B) Indian Health Service facility as referenced in 42 U.S.C. 1396d(b).
(2) If enhanced federal match is available to this state under 42 U.S.C. 1396d(b), the Oregon Health Authority shall:
(a) Maintain a process to identify eligible claims for items or services that:
(A) Are furnished by nontribal health care providers that are enrolled in the state medical assistance program; and
(B) Qualify for enhanced federal match under rules or guidance issued by the Centers for Medicare and Medicaid Services; and
(b) Establish a mechanism to return a portion of the enhanced federal match to the Indian health care provider that has a written care coordination agreement with the nontribal health care provider to furnish the item or service.