§ 414.771 — Payment for certain registered nurse services without order from primary care provider

Oregon § 414.771

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

Text

(1) The Oregon Health Authority may not require a primary care provider to order a covered care management service, as listed in the schedule developed under subsection (2) of this section, as a condition of reimbursing the costs of the service when:
(a) The service is provided to a medical assistance recipient by a registered nurse licensed under ORS 678.010 to 678.415;
(b) The service is within the nurse’s authorized scope of practice; and
(c) The patient does not have a primary care provider.
(2) The authority shall, in consultation with stakeholders:
(a) Develop and maintain a schedule of covered care management services for which a registered nurse may seek reimbursement under this section; and
(b) Establish billing and documentation protocols to protect program integrity, including the use of national provider identifiers by registered nurses seeking reimbursement under this section.

Legislative History

2025 c.204 §2