OAR 411-200-0035: Consultative Examination (CE) and Related Charges for Consultants

(1) Except as provided in section (2) of this rule, the Department pays the lesser of the following fees for examinations and lab work when requested and pre-authorized by the Department: (a) The lowest fee for services that the consultant charges the general public or other state or federal agencies; or (b) The rate prescribed by HHS in the fee schedule. (2) With prior written approval by a DDS manager, the Department may exceed the fee described in section (1) of this rule when financial or human considerations outweigh the difference in cost. Such considerations may include examinations in a remote geographic area or logistical concerns. (3) No additional fees are reimbursed for certain scheduled services (e.g., blood work only, x-rays, lab tests, PFT’s, treadmill tests) where no preparation time is required.