Oregon State Archives

The Oregon Administrative Rules contain OARs filed through April 15, 2013

 

Oregon Health Authority

Office of Private Health Partnerships

DIVISION 1

PROCEDURAL RULES

442-001-0000 Notice

442-001-0005 Model Rules of Procedure

442-001-0050 Statement of Purpose and Statutory Authority

442-001-0060 Definitions

442-001-0070 Subject Individual

442-001-0080 Criminal Records Check Required

442-001-0090 Criminal Records Check Process

442-001-0100 Potentially Disqualifying Crimes

442-001-0110 Final Fitness Determination

442-001-0120 Incomplete Fitness Determination

442-001-0130 Contesting a Fitness Determination

442-001-0140 Agency Representation

442-001-0150 Record Keeping, Confidentiality

442-001-0160 Fees

DIVISION 5

THE FAMILY HEALTH INSURANCE ASSISTANCE PROGRAM

442-005-0000 Purpose and Statutory Authority

442-005-0010 Definitions

442-005-0020 Reservation Lists

442-005-0030  Application Process

442-005-0040 Pending Applications

442-005-0050 Eligibility

442-005-0060 Period of Uninsurance Requirement

442-005-0070 Income Determination

442-005-0080  Additional Eligibility Requirements in the Group Market

442-005-0090 Determination — Approvals and Denials

442-005-0100 Subsidy Levels

442-005-0110 Applicant Referral to Health Insurance Producers

442-005-0120 Enrollment In Health Benefit Plans — Individual Market

442-005-0130 Member Invoicing — Individual Market

442-005-0140 Member Payments — Individual Market

442-005-0150 Carrier Payments — Individual Market

442-005-0160 Carrier Refunds — Individual Market

442-005-0170 Member Refunds — Individual Market

442-005-0180 Selection of Certified Carriers in the Individual Health Benefit Plan Market

442-005-0190 Enrollment in FHIAP — Group Market

442-005-0200 Vendor Set-up/State Accounting System — Group Market

442-005-0210 Employer Verification — Group Market

442-005-0220 Subsidy Payments — Group Market

442-005-0230 COBRA/Portability

442-005-0235 Dental Subsidy for Children and Adults

442-005-0240 Redetermination for Health Insurance Subsidy

442-005-0250 Adding Dependents

442-005-0260 Member Reporting

442-005-0270 Termination of Subsidy

442-005-0275 Misrepresentation/Civil Penalty

442-005-0280 Overpayments

442-005-0290 Payment Plans

442-005-0300 Collections

442-005-0310  Audits

442-005-0320 Appeals

442-005-0330 Contested Case Hearings

442-005-0340 Extenuating Circumstances

DIVISION 6

SMALL EMPLOYER HEALTH PLANS

442-006-0000 Purpose and Statutory Authority

442-006-0010 Definitions

442-006-0020 Program Duration

442-006-0030 Carrier and Plan Selection

442-006-0040 Employer Eligibility

DIVISION 10

HEALTHY KIDS PRIVATE HEALTH OPTION

442-010-0010 Purpose

442-010-0020 Definitions

442-010-0030 HKC Carrier and Plan Selection

442-010-0040 Member Eligibility

442-010-0050 HKC Premium Rates

442-010-0055 Subsidy Levels

442-010-0060 Enrollment In HKC

442-010-0070 Annual Renewal

442-010-0075 Cost Sharing Out of Pocket Maximum

442-010-0080 Member Billing — HKC

442-010-0085 Member Payments — HKC

442-010-0090 Carrier Payments — HKC

442-010-0100 Member Refunds — HKC

442-010-0120 Enrollment in Healthy Kids — ESI

442-010-0130 Vendor Set-up/State Accounting System

442-010-0140 Employer Verification — HK ESI

442-010-0150 Subsidy Payments — ESI

442-010-0160 Continuing Coverage Options — HK ESI

442-010-0170 Adding Family Members

442-010-0180 Member Reporting

442-010-0190 HKC or HK ESI Member Termination

442-010-0210 Overpayments

442-010-0215 Member Refund Due To Concurrent Enrollment

442-010-0220 Payment Plans

442-010-0230 HKC and HK ESI Collections

442-010-0240 Audits

442-010-0260 Contested Case Hearings

442-010-0270 Member/HKC Carrier — Grievances and Appeals


Notes
1.) The OAR Compilation is updated on the first of each month to include all rule actions filed with the Secretary of State’s Office by the 15th of the previous month, or by the previous workday if the 15th is on a weekend or holiday.

2.) 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

Contact Archives Division

Open 8 AM - 5 PM, Mon - Fri
Phone (503) 373-0701
Fax (503) 378-4118
reference.archives@state.or.us
800 Summer St NE
Salem, OR 97310-1349