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Oregon Bulletin

August 1, 2013

Oregon Health Insurance Exchange, Chapter 945

Rule Caption: Qualified Health Plan Addendum for Indian Health Providers

Adm. Order No.: OHIE 4-2013

Filed with Sec. of State: 7-9-2013

Certified to be Effective: 7-9-13

Notice Publication Date: 6-1-2013

Rules Adopted: 945-020-0040

Subject: Adopts the Qualified Health Plan Addendum for Indian Health Care Providers, and requires insurers to use the addendum when contracting with Indian health providers for services to be offered as part of a plan certified by the Exchange as a qualified health plan.

Rules Coordinator: Gregory Jolivette—(503) 373-9406

945-020-0040

Qualified Health Plan Addendum for Indian Health Care Providers

(1) The Exchange adopts by reference the Qualified Health Plan (QHP) Addendum for Indian Health Care Providers.

(2) If a health insurer contracts with a Tribal Health Provider in the state of Oregon for services to be offered through a health benefit plan certified by the Exchange as a QHP, the issuer must:

(a) Use the QHP Addendum for Indian Health Care Providers to supplement and amend their existing provider contract, and

(b) Notify the Exchange of the contractual relationship by contacting an Exchange carrier account executive.

(3) The Exchange reserves the right to 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.

Stat. Auth.: ORS 741.002

Stats. Implemented: ORS 741.310

Hist.: OHIE 4-2013, f. & cert. ef. 7-9-13

Notes
1.) This online version of the OREGON BULLETIN is provided for convenience of reference and enhanced access. The official, record copy of this publication is contained in the original Administrative Orders and Rulemaking Notices filed with the Secretary of State, Archives Division. Discrepancies, if any, are satisfied in favor of the original versions. Use the OAR Revision Cumulative Index found in the Oregon Bulletin to access a numerical list of rulemaking actions after November 15, 2012.

2.) Copyright 2013 Oregon Secretary of State: Terms and Conditions of Use

Oregon Secretary of State • 136 State Capitol • Salem, OR 97310-0722
Phone: (503) 986-1523 • Fax: (503) 986-1616 • oregon.sos@state.or.us

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