ORS 414.771: Payment for certain registered nurse services without order from primary care provider.
Edition: 2025 EditionEffective: 2026-01-01Last verified: 2026-09-07
(1) The Oregon Health Authority may not require a primary care provider to order a covered care management service, as listed in the schedule developed under subsection (2) of this section, as a condition of reimbursing the costs of the service when: (a) The service is provided to a medical assistance recipient by a registered nurse licensed under ORS 678.010 to 678.415; (b) The service is within the nurse’s authorized scope of practice; and (c) The patient does not have a primary care provider. (2) The authority shall, in consultation with stakeholders: (a) Develop and maintain a schedule of covered care management services for which a registered nurse may seek reimbursement under this section; and (b) Establish billing and documentation protocols to protect program integrity, including the use of national provider identifiers by registered nurses seeking reimbursement under this section. [2025 c.204 §2]
This rule cites
- ORS 678.010 — resolved
- 678.415 — resolved
Cited by
No inbound citations found.
Official source: https://www.oregonlegislature.gov/bills_laws/ors/ors414.html