Or. Admin. R. ch. 436, div. 15 – Managed Care Organizations | Midpage

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Oregon Administrative Rules

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Or. Admin. R. ch. 436, div. 15

Managed Care Organizations

Department of Consumer and Business Services

0001Purpose and Applicability of These Rules 0005Definitions 0007Entities Allowed to Manage Care 0008Request for Review before the Director 0009Formed, Owned, or Operated 0010Notice of Intent to Form an MCO 0030Applying for Certification 0035Coverage Responsibility of an MCO 0037MCO-Insurer Contracts 0040Reporting Requirements for an MCO 0050Record Keeping and Place of Business 0060Commencement and Termination of Panel Providers 0065Monitoring and Auditing 0070Come-along Providers 0075Worker Exams 0080Suspension; Revocation 0090Charges and Fees 0110Dispute Resolution 0120Sanctions and Civil Penalties