(1) As used in this section, 'coordinated care organization' has the meaning given that term in ORS 414.025.\n(2) The Oregon Health Authority shall compile and annually post to the authority’s website a report of the following information, in the aggregate, that was reported to the authority by coordinated care organizations regarding requests for prior authorization received by coordinated care organizations or risk-bearing entities acting for or in concert with coordinated care organizations:\n(a) The number of requests received;\n(b) The number of requests that were initially denied and the reasons for the denials, including, but not limited to, lack of medical necessity or incomplete requests; and\n(c) The number of denials that were reversed on an appeal. [2021 c.154 §1]\nNote:\n414.072 was enacted into law by the Legislative Assembly but was not added to or made a part of ORS chapter 414 or any series therein by legislative action. See Preface to Oregon Revised Statutes for further explanation.
Oregon Legal Code