(1) As used in this section:\n(a) 'Eligible claim' means a claim for reimbursement of the cost of a health care item or service that is:\n(A) Covered by the state medical assistance program; and\n(B) Within the scope of a written care coordination agreement between an Indian health care provider and a nontribal health care provider.\n(b) 'Enhanced federal match' means 100 percent federal matching funds under 42 U.S.C. 1396d(b).\n(c) 'Indian health care provider' means an:\n(A) Urban Indian organization as defined in 25 U.S.C. 1603(29); or\n(B) Indian Health Service facility as referenced in 42 U.S.C. 1396d(b).\n(2) If enhanced federal match is available to this state under 42 U.S.C. 1396d(b), the Oregon Health Authority shall:\n(a) Maintain a process to identify eligible claims for items or services that:\n(A) Are furnished by nontribal health care providers that are enrolled in the state medical assistance program; and\n(B) Qualify for enhanced federal match under rules or guidance issued by the Centers for Medicare and Medicaid Services; and\n(b) Establish a mechanism to return a portion of the enhanced federal match to the Indian health care provider that has a written care e issued by the Centers for Medicare and Medicaid Services; and\n(b) Establish a mechanism to return a portion of the enhanced federal match to the Indian health care provider that has a written care coordination agreement with the nontribal health care provider to furnish the item or service. [2023 c.244 §1]\nNote:\n413.241 was enacted into law by the Legislative Assembly but was not added to or made a part of ORS chapter 413 or any series therein by legislative action. See Preface to Oregon Revised Statutes for further explanation.
Oregon Legal Code