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The Oregon Administrative Rules contain OARs filed through March 15, 2014
 
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OREGON HEALTH AUTHORITY, DIVISION OF MEDICAL ASSISTANCE PROGRAMS

 

DIVISION 150

ADMINISTRATIVE EXAMINATION AND BILLING SERVICES

410-150-0040

Request Requirements

(1) “Administrative Medical Examinations and Reports” is defined in Oregon Administrative Rule (OAR) 410-120-0000.

(2) A completed DMAP 729 Administrative Medical Examination/Report Authorization is authorization for the provider to furnish services.

(3) Only an employee of the Department of Human Services (Department), or Oregon Youth Authority (OYA) or the Division of Medical Assistance (Division) may request an administrative medical examination or report. Department, OYA and Division employees must request administrative medical examinations and reports in compliance with the policies outlined in the Division worker guide located at http://www.oregon.gov/oha/healthplan/pages/data_pubs/wguide/main.aspx

(4) Claims may only be submitted by a Division-enrolled provider who:

(a) Is contracted with the Department, OYA or the Division to provide Administrative Medical Examinations and Reports;

(b) Meets acceptable source criteria for the agency making the request; and

(c) Has received a completed DMAP 729 form.

(5) Providers may only perform the services included on the DMAP 729 as requested by a Department, OYA or Division employee. Providers must:

(a) Follow the instructions for all forms received in the DMAP 729 series, and

(b) Keep a copy of the DMAP 729 for seven years.

[ED. NOTE: Forms referenced rule are available from the agency.]

Stat. Auth.: ORS 413.042
Stats. Implemented: ORS 414.065
Hist.: OMAP 27-2000, f. 9-28-00, cert. ef. 10-1-00; OMAP 22-2003, f. 3-26-03, cert. ef. 4-1-03; DMAP 46-2012, f. 10-11-12, cert. ef. 10-15-12

The official copy of an Oregon Administrative Rule is contained in the Administrative Order filed at the Archives Division, 800 Summer St. NE, Salem, Oregon 97310. Any discrepancies with the published version are satisfied in favor of the Administrative Order. The Oregon Administrative Rules and the Oregon Bulletin are copyrighted by the 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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