OAR 410-125: Hospital Services

62 rules in Division 125, Chapter 410 (Oregon Health Authority, Health Systems Division: Medical Assistance Programs).

  1. OAR 410-125-0000: Determining When the Patient Has Medical Assistance
  2. OAR 410-125-0020: Retroactive Eligibility
  3. OAR 410-125-0030: Hospital Hold
  4. OAR 410-125-0040: Title XIX/Title XXI Clients
  5. OAR 410-125-0041: Non-Title XIX/XXI Clients
  6. OAR 410-125-0045: Temporary rule language in effect until 12/27/2026. Coverage and Limitations
  7. OAR 410-125-0050: Client Copayments
  8. OAR 410-125-0080: Inpatient Services
  9. OAR 410-125-0085: Outpatient Services
  10. OAR 410-125-0086: Prior Authorization for FCHP/MHO Clients
  11. OAR 410-125-0090: Inpatient Rate Calculations — Type A, Type B, and Critical Access Oregon Hospitals
  12. OAR 410-125-0095: Hospitals Providing Specialized Inpatient Services
  13. OAR 410-125-0101: Hospital-Based Nursing Facilities and Medicaid Swing Beds
  14. OAR 410-125-0102: Medically Needy Clients
  15. OAR 410-125-0103: Medicare Clients
  16. OAR 410-125-0115: Non-Contiguous Area Out-of-State Hospitals — Effective for services rendered on or after October 1, 2003
  17. OAR 410-125-0120: Transportation To and From Medical Services
  18. OAR 410-125-0121: Contiguous Area Out-of-State Hospitals
  19. OAR 410-125-0124: Retroactive Authorization
  20. OAR 410-125-0125: Free-Standing Inpatient Psychiatric Facilities
  21. OAR 410-125-0140: Prior Authorization Does Not Guarantee Payment
  22. OAR 410-125-0141: DRG Rate Methodology
  23. OAR 410-125-0142: Graduate Medical Education Reimbursement for Public Teaching Hospitals
  24. OAR 410-125-0146: Supplemental Reimbursement for Public Academic Teaching University Medical Practitioners
  25. OAR 410-125-0150: Disproportionate Share
  26. OAR 410-125-0155: Upper Limits on Payment of Hospital Claims
  27. OAR 410-125-0162: Hospital Transformation Performance Program
  28. OAR 410-125-0165: Transfers and Reimbursement
  29. OAR 410-125-0170: Death Occurring on Day of Admission
  30. OAR 410-125-0175: Hospitals Providing Specialized Outpatient Services
  31. OAR 410-125-0180: Public Rates
  32. OAR 410-125-0181: Non-Contiguous and Contiguous Area Out-of-State Hospitals — Outpatient Services
  33. OAR 410-125-0190: Outpatient Rate Calculations — Type A, Type B, and Critical Access Oregon Hospitals
  34. OAR 410-125-0195: Outpatient Services In-State DRG Hospitals
  35. OAR 410-125-0200: Time Limitation for Submission of Claims
  36. OAR 410-125-0201: Independent ESRD Facilities
  37. OAR 410-125-0210: Third Party Resources and Reimbursement
  38. OAR 410-125-0220: Temporary rule language in effect until 12/27/2026. Services Billed on the Electronic 837I or on the Paper UB-04 and Other Claim Forms
  39. OAR 410-125-0221: Payment in Full
  40. OAR 410-125-0230: Qualified Directed Payments
  41. OAR 410-125-0360: Definitions and Billing Requirements
  42. OAR 410-125-0400: Discharge
  43. OAR 410-125-0401: Definitions: Emergent, Urgent, and Elective Admissions
  44. OAR 410-125-0410: Readmission
  45. OAR 410-125-0450: Provider Preventable Conditions
  46. OAR 410-125-0550: X-Ray or EKG Procedures Furnished in Emergency Room
  47. OAR 410-125-0600: Non-Contiguous Out-of-State Hospital Services
  48. OAR 410-125-0620: Special Reports and Exams and Medical Records
  49. OAR 410-125-0640: Third Party Payers — Other Resources, Client Responsibility and Liability
  50. OAR 410-125-0641: Medicare
  51. OAR 410-125-0720: Adjustment Requests
  52. OAR 410-125-1020: Filing of Cost Statement
  53. OAR 410-125-1040: Accounting and Record Keeping
  54. OAR 410-125-1060: Fiscal Audits
  55. OAR 410-125-1070: Type A and Type B Hospitals
  56. OAR 410-125-1080: Documentation
  57. OAR 410-125-2000: Access to Records
  58. OAR 410-125-2020: Post Payment Review
  59. OAR 410-125-2030: Recovery of Payments
  60. OAR 410-125-2040: Provider Appeals — Administrative Review
  61. OAR 410-125-2060: Provider Appeals — Hearing Request
  62. OAR 410-125-2080: Administrative Errors