1. (1) If a health insurer contracts with a Tribal Health Provider in the state of Oregon for services provided through a Marketplace QHP, the insurer shall:

   1. (a) Use the QHP Addendum for Indian Health Care Providers, Exhibit 1 to this rule, to supplement and amend its existing provider contract, and
   2. (b) Notify the Marketplace in writing of the contractual relationship by emailing the information to info.marketplace@Oregon.gov.

2. (2) The Marketplace may amend the QHP Addendum for Indian Health Care Providers using the rulemaking process. Contracted carriers and tribes will be required to amend their contracts to reflect any change to the QHP Addendum for Indian Health Care Providers within 90 days of adoption of the change.

   Exhibit 1: “QHP Addendum for Indian Health Care Providers”

   [ED. NOTE: Addendum referenced is available from the agency.]

   [ED. NOTE: To view attachments referenced in rule text, click here for PDF copy.]

Statutory/Other Authority

ORS 741.002

Statutes/Other Implemented

ORS 741.310

History

OHIE 4-2015, f. & cert. ef. 11-6-15
OHIE 3-2015, f. & cert. ef. 10-15-15
OHIE 4-2013, f. & cert. ef. 7-9-13