§ 414.436 — Oregon Health Authority to review rules and contracts to ensure timely access to services for individuals under 21 years of age

Oregon § 414.436

• Jurisdiction: Oregon
• Vol.: 11
• Title 34: Human Services; Juvenile Code; Corrections
• Ch. 414: Medical Assistance

Text

(1) The Oregon Health Authority shall review, and amend as needed, current administrative rules and contracts to ensure that individuals receiving medical assistance who are under 21 years of age have timely access to the services described in subsection (2) of this section.
(2) The services described in subsection (1) of this section shall include:
(a) The medically necessary or medically appropriate medical assistance services necessary to:
(A) Prevent an individual who is under 21 years of age from needing an out-of-home placement, prevent the disruption of a current placement or prevent the need for the individual to move to a placement providing a higher level of care;
(B) Ensure the continuity of care for individuals under 21 years of age who are in out-of-home placements and move from one coordinated care organization to another coordinated care organization or are enrolled for the first time in a coordinated care organization; and
(C) Ensure, to individuals described in subparagraph (B) of this paragraph, undisrupted access to prescription medication, medical equipment and supplies;
(b) Assessments or evaluations necessary to establish eligibility for services and supports provided in the medical assistance program or by the Department of Education;
(c) Diabetic supplies; and
(d) Counseling, therapy or mental health or substance use disorder treatment with a provider with whom a child or youth has an established relationship.

Legislative History

2024 c.96 §7