OAR 410-147-0240: Administrative Medical Examinations and Reports

(1) The Division of Medical Assistance Programs (Division) does not reimburse Administrative Medical Examinations and Reports at a clinic’s encounter rate. Division reimburses providers for Administrative Examinations and Reports on a fee-for-service basis. (2) Refer to OAR 410 division 150, Administrative Examination and Billing Services, for specific requirements. See Administrative Exams Supplemental Information for more detailed information on procedure codes and descriptions.