1. (1) These rules establish processes and procedures for traditional health workers and the programs and organizations they work for to receive enhanced payment for delivering culturally and linguistically specific physical health related services to patients on the Oregon Health Plan.
2. (2) These rules apply to organizations, programs and individuals that are reimbursed through OHP's fee schedule for physical health related services.
3. (3) These rules do not apply to organizations, programs and individuals that are reimbursed outside OHP’s fee schedule such as but not limited to Federally Qualified Health Centers (FQHC), Rural Health Clinics (RHC), and Indian Health Care Providers (IHCPs), because such organizations, programs and individuals are already reimbursed at a clinic-specific encounter rate.
4. (4) All providers of health services are encouraged to provide culturally and linguistically specific services if they have that expertise whether or not a provider qualifies for enhanced payments through this program.

Statutory/Other Authority

ORS 413.042 & ORS 414.065

Statutes/Other Implemented

ORS 414.065

History

DMAP 48-2025, adopt filed 06/03/2025, effective 07/01/2025