Or. Admin. R. ch. 333, div. 4 – Oregon Reproductive Health Program | Midpage

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Or. Admin. R. ch. 333, div. 4

Oregon Reproductive Health Program

Oregon Health Authority

3000Description of Oregon Reproductive Health Program (RH Program)3010Definitions 3020Agency Certification and Recertification Process 3030Agency Certification Requirements 3040Agency Responsibilities 3050Agency Termination 3060Purpose of RH Access Fund 3070Reproductive Health Access Fund Covered Services by Funding Source 3080Reproductive Health Access Fund Excluded Services by Funding Source 3090Client Eligibility for the RH Access Fund 3100Client Enrollment into the Reproductive Health Access Fund 3110Reproductive Health Access Fund Billing and Claims 3120Timely Submission of RH Access Fund Claims 3130Payment for RH Access Fund Claims 3140Use of Funds 3150RH Access Fund Requirements for Financial, Health, and Other Records 3160Reproductive Health Access Fund Reviews and Audits 3170RH Access Fund Claim Re-determination 3180Recovery of RH Access Fund Overpayments to Agencies Resulting from Review or Audit 3190Compliance with Federal and State Statutes 3200Grounds for Agency Sanctions; Sanctions 3210Agency Requests for Reconsideration 3220Agency Requests for Contested Case Hearings 3230Discretionary Use of Funds 4000Description of Abortion Access Plan 4010Definitions 4020Covered Services 4030Excluded Services 4040Client Eligibility 4050Eligibility for Reimbursement 4060Abortion Access Plan Billing and Claims 4070Timely Submission of Claims 4080Payment for Abortion Access Plan Claims 4090Review or Audit of Abortion Access Plan Claims 4100Claim Re-Determination 4110Recovery of Abortion Access Plan Overpayments Resulting from Review or Audit 4120Grounds for Sanctions; Sanctions 4130Requests for Reconsideration