Or. Admin. R. 410-125-0103

Current through Register Vol. 63, No. 8, August 1, 2024

Section 410-125-0103 - Medicare Clients

When Medicare is the primary payer, services provided in the inpatient or out-patient setting do not require prior authorization. However, if the Division of Medical Assistance Programs (Division) is the primary payer because the service is not covered by Medicare; the prior authorization requirements listed in chapter 410 division 125 would apply.

Or. Admin. R. 410-125-0103

HR 42-1991, f. & cert. ef. 10-1-91; OMAP 70-2004, f. 9-15-04, cert. ef. 10-1-04

Stat. Auth.: ORS 413.042

Stats. Implemented: ORS 414.065