TEMPORARY ADMINISTRATIVE ORDER

INCLUDING STATEMENT OF NEED & JUSTIFICATION

DMAP 8-2020

CHAPTER 410

OREGON HEALTH AUTHORITY

HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS

FILING CAPTION: Updates to the Prioritized List of Covered Health Services to Improve Access to Telehealth

EFFECTIVE DATE: 03/15/2020 THROUGH 09/10/2020

AGENCY APPROVED DATE: 03/13/2020

NEED FOR THE RULE(S):

The Authority finds that failure to act promptly will result in serious prejudice to the public interest, the Authority, providers, and clients receiving services. In light of the COVID-19 epidemic, this interim modification will facilitate clients' access to urgently needed telephone and telemedicine services. It will mitigate the risk of financial harm to key providers and reduce barriers to provision of key services with less risk of contagion. This temporary rulemaking action will avoid or mitigate the risks mentioned above by incorporating in rule the technical changes and interim modifications as specified in the Prioritized List of Health Services.

JUSTIFICATION OF TEMPORARY FILING:

The Authority finds that failure to act promptly will result in serious prejudice to the public interest, the Authority, and recipients of Medicaid benefits. These rules need to be adopted promptly in light of the COVID-19 epidemic. This rule change reflecting interim modifications to the Prioritized List of Health Services will facilitate Oregon Health Plan members access to urgently needed telephone and telemedicine services. It will mitigate the risk of financial harm to key providers and reduce barriers to provision of key services with less risk of contagion.

DOCUMENTS RELIED UPON, AND WHERE THEY ARE AVAILABLE:

(1) March 13, 2020, cover letter from HERC to Oregon Legislative leadership reporting interim modifications and technical changes: https://www.oregon.gov/oha/HPA/DSI-HERC/PrioritizedList/3-13-20%20Interim%20Modifications%20to%20Prioritized%20List.pdf

(2) HERC Prioritized List of Health Services found at:

Pending List: http://www.oregon.gov/OHA/HPA/DSI-HERC/Pages/Prioritized-List-Pending.aspx

Current List: http://www.oregon.gov/OHA/HPA/DSI-HERC/Pages/Prioritized-List.aspx

AMEND: 410-141-3830

RULE TITLE: Prioritized List of Health Services

RULE SUMMARY: In light of the COVID-19 epidemic, this rule change reflecting interim modifications to the Prioritized List of Health Services will facilitate Oregon Health Plan members' access to urgently needed telephone and telemedicine services. It will mitigate the risk of financial harm to key providers and reduce barriers to provision of key services with less risk of contagion. In light of the COVID-19 epidemic, this rule change reflecting interim modifications to the Prioritized List of Health Services will facilitate Oregon Health Plan members' access to urgently needed telephone and telemedicine services. It will mitigate the risk of financial harm to key providers and reduce barriers to provision of key services with less risk of contagion.

RULE TEXT: