ORS 414.570: System established.
Edition: 2025 EditionEffective: 2026-01-01Last verified: 2026-09-07
(1) There is established the Oregon Integrated and Coordinated Health Care Delivery System. The system shall consist of state policies and actions that make coordinated care organizations accountable for care management and provision of integrated and coordinated health care for each organization’s members, primarily managed within fixed global budgets, by providing care so that efficiency and quality improvements reduce medical cost inflation while supporting the development of regional and community accountability for the health of the residents of each region and community, and while maintaining regulatory controls necessary to ensure quality and affordable health care for all Oregonians. (2) The Oregon Health Authority shall seek input from groups and individuals who are part of underserved communities, including ethnically diverse populations, geographically isolated groups, seniors, people with disabilities and people using mental health services, and shall also seek input from providers, coordinated care organizations and communities, in the development of strategies that promote person centered care and encourage healthy behaviors, healthy lifestyles and prevention and wellness activities and promote the development of patients’ skills in self-management and illness management. (3) The authority shall regularly report to the Oregon Health Policy Board, the Governor and the Legislative Assembly on the progress of payment reform and delivery system change including: (a) The achievement of benchmarks; (b) Progress toward eliminating health disparities; (c) Results of evaluations; (d) Rules adopted; (e) Customer satisfaction; (f) Use of patient centered primary care homes and behavioral health homes; (g) The involvement of local governments in governance and service delivery; and (h) Other developments with respect to coordinated care organizations. [Formerly 414.620; 2023 c.584 §20]
Administrative rules citing this section
- OAR 410-141-3505: Use of Subcontractors — implements
- OAR 410-141-3515: Network Adequacy — implements
- OAR 410-141-3525: Outcome and Quality Measures — implements
- OAR 410-141-3570: Managed Care Entity Encounter Claims Data Reporting — implements
- OAR 410-141-3575: MCE Member Relations: Marketing — implements
- OAR 410-141-3700: CCO Application and Contracting Procedures — implements
- OAR 410-141-3730: Community Health Assessment and Community Health Improvement Plans — implements
- OAR 410-141-3735: Social Determinants of Health and Equity; Health Equity — implements
- OAR 410-141-3855: Temporary rule language in effect until 10/27/2026. Pharmaceutical Services — implements
- OAR 410-141-3870: Care Coordination: Service Coordination — implements
- OAR 410-141-3900: Grievances & Appeals: Contested Case Hearings — implements
- OAR 410-141-5000: FINANCIAL SOLVENCY REGULATION: Definitions — implements
- OAR 410-141-5005: FINANCIAL SOLVENCY REGULATION: CCO Financial Solvency Requirements — implements
- OAR 410-141-5010: FINANCIAL SOLVENCY REGULATION: Procedure for General Financial Reporting and for Determining Financial Solvency Matters — implements
- OAR 410-141-5015: FINANCIAL SOLVENCY REGULATION: Financial Statement Reporting — implements
- OAR 410-141-5020: FINANCIAL SOLVENCY REGULATION: Annual Audited Financial Statements and Auditor’s Report — implements
- OAR 410-141-5025: FINANCIAL SOLVENCY REGULATION: Qualifications of Independent Certified Public Accountant — implements
- OAR 410-141-5030: FINANCIAL SOLVENCY REGULATION: Notification of Adverse Financial Condition — implements
- OAR 410-141-5035: FINANCIAL SOLVENCY REGULATION: Accountant's Letter of Qualifications — implements
- OAR 410-141-5040: FINANCIAL SOLVENCY REGULATION: Independent Certified Public Accountants Workpapers — implements
- OAR 410-141-5045: FINANCIAL SOLVENCY REGULATION: Corporate Governance Annual Disclosure Filing — implements
- OAR 410-141-5050: FINANCIAL SOLVENCY REGULATION: Requirements for Reinsurance — implements
- OAR 410-141-5055: FINANCIAL SOLVENCY REGULATION: Requirements for Obtaining Credit for Reinsurance — implements
- OAR 410-141-5060: FINANCIAL SOLVENCY REGULATION: Qualified Trust Agreements — implements
- OAR 410-141-5065: FINANCIAL SOLVENCY REGULATION: Letters of Credit; Other Security — implements
- OAR 410-141-5070: FINANCIAL SOLVENCY REGULATION: Assets, Liabilities, Reserves — implements
- OAR 410-141-5075: FINANCIAL SOLVENCY REGULATION: Disallowance of Certain Reinsurance Transactions — implements
- OAR 410-141-5080: FINANCIAL SOLVENCY REGULATION: Transparency — implements
- OAR 410-141-5085: ASSET VALUATION AND PERMITTED INVESTMENTS: Definitions — implements
- OAR 410-141-5090: ASSET VALUATION AND PERMITTED INVESTMENTS: Calculation of Value; Books and Records — implements
- OAR 410-141-5095: ASSET VALUATION AND PERMITTED INVESTMENTS: Assets Other Than Securities; Bonds; Real Property; Mortgages; Compensating Balances — implements
- OAR 410-141-5100: ASSET VALUATION AND PERMITTED INVESTMENTS: Investments Used to Provide Compensating Balances — implements
- OAR 410-141-5105: ASSET VALUATION AND PERMITTED INVESTMENTS: Investment of Required Capitalization — implements
- OAR 410-141-5110: ASSET VALUATION AND PERMITTED INVESTMENTS: Investment in Mortgage Loans — implements
- OAR 410-141-5115: ASSET VALUATION AND PERMITTED INVESTMENTS: Investment in Real Property — implements
- OAR 410-141-5120: ASSET VALUATION AND PERMITTED INVESTMENTS: Investment in Corporate Stocks — implements
- OAR 410-141-5125: ASSET VALUATION AND PERMITTED INVESTMENTS: Loans; Security; Limitations — implements
- OAR 410-141-5130: ASSET VALUATION AND PERMITTED INVESTMENTS: Investments; Certain Obligations, Property, Loans and Other Specified Items — implements
- OAR 410-141-5135: ASSET VALUATION AND PERMITTED INVESTMENTS: Personal Property; Protection of Investment Property; Custom — implements
- OAR 410-141-5140: ASSET VALUATION AND PERMITTED INVESTMENTS: “Prudent Investor” Standard — implements
- OAR 410-141-5145: ASSET VALUATION AND PERMITTED INVESTMENTS: Prohibited Conduct by Directors, Trustees, Officers, Agents or Employees — implements
- OAR 410-141-5150: ASSET VALUATION AND PERMITTED INVESTMENTS: Investment of Funds in Obligations That Are Not Investment Quality; Percentage of Assets — implements
- OAR 410-141-5155: ASSET VALUATION AND PERMITTED INVESTMENTS: Approval by Board — implements
- OAR 410-141-5160: ASSET VALUATION AND PERMITTED INVESTMENTS: Record of Investments — implements
- OAR 410-141-5165: ASSET VALUATION AND PERMITTED INVESTMENTS: Prohibited Investments — implements
- OAR 410-141-5170: CAPITALIZATION: Capital and Surplus — implements
- OAR 410-141-5175: CAPITALIZATION: Impaired Capital and Surplus — implements
- OAR 410-141-5180: CAPITALIZATION: Dividend and Distribution Restrictions — implements
- OAR 410-141-5185: CAPITALIZATION: Restricted Reserve Account — implements
- OAR 410-141-5186: CAPITALIZATION: Restricted Reserve Account—Permitted Investments in Obligations with Political Subdivisions; Public Supported Housing — implements
- OAR 410-141-5190: CAPITALIZATION: Surplus Notes — implements
- OAR 410-141-5195: CAPITALIZATION: Risk-based Capital (RBC) Definitions — implements
- OAR 410-141-5200: CAPITALIZATION: RBC Reports — implements
- OAR 410-141-5205: CAPITALIZATION: Company Action Level Event — implements
- OAR 410-141-5210: CAPITALIZATION: Regulatory Action Level Event — implements
- OAR 410-141-5215: CAPITALIZATION: Authorized Control Level Event — implements
- OAR 410-141-5220: CAPITALIZATION: Mandatory Control Level Event — implements
- OAR 410-141-5225: REPORTING AND APPROVAL OF CERTAIN TRANSACTIONS: Extraordinary Dividends and Other Distributions — implements
- OAR 410-141-5230: REPORTING AND APPROVAL OF CERTAIN TRANSACTIONS: Reports of Material Acquisitions And Dispositions Of Assets, and Changes to Ceded Reinsurance Agreements; Assumption Reinsurance — implements
- OAR 410-141-5235: REPORTING AND APPROVAL OF CERTAIN TRANSACTIONS: Reports of Material Materiality and Reporting Standards for Asset Acquisitions and Dispositions — implements
- OAR 410-141-5240: REPORTING AND APPROVAL OF CERTAIN TRANSACTIONS: Materiality and Reporting Standards for Changes in Ceded Reinsurance Agreements — implements
- OAR 410-141-5245: EXAMINATIONS: CCO Production of Books and Records — implements
- OAR 410-141-5250: EXAMINATIONS: Authority Examinations of CCOs — implements
- OAR 410-141-5255: CCO ACQUISITIONS AND MERGERS: Purpose; Definitions — implements
- OAR 410-141-5260: CCO ACQUISITIONS AND MERGERS: Activities Prohibited Unless Certain Provisions Satisfied — implements
- OAR 410-141-5265: CCO ACQUISITIONS AND MERGERS: Procedure For Acquiring Controlling Interest — implements
- OAR 410-141-5270: CCO ACQUISITIONS AND MERGERS: Information to Be Included in Form A — implements
- OAR 410-141-5275: CCO ACQUISITIONS AND MERGERS: Hearing, Request, Notice — implements
- OAR 410-141-5278: CCO ACQUISITIONS AND MERGERS: Confidentiality — implements
- OAR 410-141-5280: CCO ACQUISITIONS AND MERGERS: Determination Concerning Proposed Activity, Time For Decision, Grounds For Refusal — implements
- OAR 410-141-5283: CCO ACQUISITIONS AND MERGERS: Compliance with Conditions — implements
- OAR 410-141-5285: CCO HOLDING COMPANY REGULATION: Definitions — implements
- OAR 410-141-5290: CCO HOLDING COMPANY REGULATION: Members of Holding Company Systems; Registration Requirements — implements
- OAR 410-141-5295: CCO HOLDING COMPANY REGULATION: Form and Contents of Registration Statement — implements
- OAR 410-141-5300: CCO HOLDING COMPANY REGULATION: Registration Statement Filing — implements
- OAR 410-141-5305: CCO HOLDING COMPANY REGULATION: Information Required to Be Disclosed — implements
- OAR 410-141-5310: CCO HOLDING COMPANY REGULATION: Presumption of Control; Rebuttal — implements
- OAR 410-141-5315: CCO HOLDING COMPANY REGULATION: Disclaimer of Affiliation — implements
- OAR 410-141-5318: CCO Holding Company Regulation: Group Capital Calculation — implements
- OAR 410-141-5320: CCO HOLDING COMPANY REGULATION: Transactions Within Holding Company — implements
- OAR 410-141-5323: CCO HOLDING COMPANY REGULATION: Transaction Types Within Holding Company for Disclosure — implements
- OAR 410-141-5325: CCO HOLDING COMPANY REGULATION: Director and Officer Liability; Effect of Control of CCO Subject to Registration; Board of Directors — implements
- OAR 410-141-5330: CCO HOLDING COMPANY REGULATION: Annual Enterprise Risk Report — implements
- OAR 410-141-5335: CCO HOLDING COMPANY REGULATION: Disclaimers and Termination of Registration — implements
- OAR 410-141-5340: CCO HOLDING COMPANY REGULATION: Forms; General Requirements — implements
- OAR 410-141-5345: CCO HOLDING COMPANY REGULATION: Forms; Incorporation by Reference, Summaries, And Omissions — implements
- OAR 410-141-5350: CCO HOLDING COMPANY REGULATION: Forms; Information Unknown or Unavailable and Extension of Time to Furnish — implements
- OAR 410-141-5355: CCO HOLDING COMPANY REGULATION: Forms; Additional Information; Amendments — implements
- OAR 410-141-5360: CCO INSOLVENCY AND DISSOLUTION: Access to Funds and Transition of Members and Records — implements
- OAR 410-141-5365: CCO INSOLVENCY AND DISSOLUTION: Hazardous Operations — implements
- OAR 410-141-5370: CCO INSOLVENCY AND DISSOLUTION: Recovery From Parent Corporation Or Holding Company In The Event Of Liquidation Or Rehabilitation — implements
- OAR 410-141-5375: CCO INSOLVENCY AND DISSOLUTION: Voluntary Dissolution; Approval of Plan — implements
- OAR 410-141-5380: CIVIL PENALTIES — implements
This rule cites
No citations extracted.
Cited by
- ORS 413.011: Duties of board.
- ORS 413.032: Establishment of Oregon Health Authority.
- ORS 413.308: Duties of council.
- ORS 413.310: Oregon Health Information Technology program; fees; rules.
- ORS 414.572: Coordinated care organizations; rules.
- ORS 414.619: Coordination between Oregon Health Authority and Department of Human Services.
- ORS 414.855: Hospital assessment; rates; rules.
- ORS 415.012: Definitions for ORS 415.012 to 415.430.
- ORS 415.501: Procedures for review of material change transactions; rules.
- ORS 646.735: Exemption for coordinated care organizations; state action immunity; permitted activities.
- OAR 409-070-0000: Scope and Purpose
- OAR 410-141-3500: Definitions
- OAR 410-141-5255: CCO ACQUISITIONS AND MERGERS: Purpose; Definitions
Official source: https://www.oregonlegislature.gov/bills_laws/ors/ors414.html