OAR 333-004-4010: Definitions

As used in OAR 333-004-4000 through 333-004-4130, the following definitions apply: (1) “Abortion Access Plan” means the program, administered by the Reproductive Health Program (RH Program), under which authorized providers and agencies may bill and receive reimbursement for abortion services provided to eligible clients. (2) “Abortion services” means procedural abortions, medication abortions, anesthesia, and long-acting reversible contraceptive (LARC) insertions associated with abortion visits. (3) “Authorized agency” means an entity that has met the criteria outlined in OAR 333-004-4050. (4) “Authorized provider” means a provider who has met the criteria outlined in OAR 333-004-4050. (5) “ Claims form ” means the mechanism by which authorized providers bill the RH Program for abortion services provided to eligible clients. (6) “Eligible client” means a client who is enrolled in a health plan that excludes coverage for abortion services per ORS 743A.067(7)(e) and (9). (7) “Entity” means a business entity offering health care services that includes abortion services. (8) “Provider” means a health care provider licensed in the state in which they are practicing, with a scope of practice that includes the provision of the abortion services for which the provider is seeking reimbursement and who is qualified to perform the abortion services for which the provider is seeking reimbursement. (9) "Reproductive Health Program" or "RH Program" means the program within the Center for Prevention and Health Promotion (Center) of the Oregon Health Authority that administers the Abortion Access Plan.