1. (1) "Administrative Exams": DHS uses the DMAP definition for Administrative Medical Examinations and Reports found in OAR 410-120-0000 which is: "Examinations, evaluations, and reports, including copies of medical records, requested on the DMAP 729 form through the local DHS office or requested and/or approved by DMAP to establish client eligibility for a medical assistance program or for casework planning."

2. (2) "Other Medical Expenditure": Any payment to a licensed medical provider for a service provided to a person in the household who is not eligible or potentially eligible for Title XIX or GA (General Assistance), or for a certain service provided to an eligible Title XIX or GA client which is not covered under Administrative Exams using the Medical Service Authorization and Invoice form, CF 501A.

   [ED. NOTE: Forms referenced are available from the agency.]

Statutory/Other Authority

ORS 418.005

Statutes/Other Implemented

Title XIX

History

SOSCF 40-2001, f. 12-31-01, cert. ef. 1-1-02