This rule is retroactive and applies to services rendered on or after January 1, 2009.

1. (1) The Division uses abbreviations in the tables within this division.
2. (2) This rule explains the meaning of these abbreviations.
3. (3) PA — Prior authorization (PA): “PA” indicates that PA is required, even if the client has private insurance. See OAR 410-122-0040 for more information about PA requirements.
4. (4) PC — Purchase: “PC” indicates that purchase of this item is covered for payment by the Division.
5. (5) RT — Rent: “RT” indicates that the rental of this item is covered for payment by the Division.

6. (6) MR — Months Rented:

   1. (a) “13” — Indicates up to 13 consecutive months of continuous rental, unless otherwise noted in Division 122 rules, and determined when either the Division fee schedule purchase price is met for the item, when the usual purchase price is reached, or the actual charge is met (whichever is lowest); at which time, the equipment is considered paid for and owned by the client. The provider must then transfer title of the equipment to the client;
   2. (b) For any other rental situation where the Division fee schedule lists a purchase price and this purchase price is met for the item, when the usual purchase price is reached or the actual charge is met (whichever is lowest), the equipment is considered paid for and owned by the client. The provider must then transfer title of the equipment to the client.
7. (7) RP — Repair: “RP” indicates that repair of this item is covered for payment by the Division.
8. (8) NF — Nursing Facility: “NF” indicates that this procedure code is covered for payment by the Division when the client is a resident of a nursing facility.

Statutory/Other Authority

ORS 413.042 & 414.065

Statutes/Other Implemented

ORS 414.065

History

DMAP 87-2025, amend filed 12/09/2025, effective 12/09/2025
DMAP 40-2009, f. 12-15-09, cert. ef. 1-1-10
DMAP 37-2008, f. 12-11-08, cert. ef. 1-1-09
OMAP 47-2006, f. 12-15-06, cert. ef. 1-1-07
OMAP 44-2004, f. & cert. ef. 7-1-04