Or. Admin. Code § 409-028-0010

Current through Register Vol. 63, No. 12, December 1, 2024

Section 409-028-0010 - Definitions

The following definitions apply to OAR 409-028-0000 to OAR 409-028-0120:

(1) "APAC Data Reporting Program" means the all payer all claims data reporting program pursuant to ORS 442.464, 442.466, and 442.993.

(2) "APM" means alternative payment methodologies.

(3) "Annual Supplemental Provider Level APM Summary report" means a data set composed of total and primary care-related dollars disbursed, by payment arrangement and line of business in the APAC Data Reporting Program, pursuant to OAR 409-025-0120.

(4) "Authority" means the Oregon Health Authority.

(5) "Comprehensive Primary Care Plus (CPC +)"means a national primary care medical home payment model, conducted by the Center for Medicare and Medicaid Innovation in accordance with 42 U.S.C. 1315a, that includes performance-based incentive payments for primary care.

(6) "Coordinated care organization (CCO)" shall have the meaning pursuant to ORS 414.025.

(7) "Patient-Centered Primary Care Home (PCPCH)" means a health care team or clinic as defined in ORS 414.655 that meets the standards and has been recognized pursuant to OAR 409-055-0040.

Or. Admin. Code § 409-028-0010

OHP 2-2018, adopt filed 02/01/2018, effective 2/1/2018

Statutory/Other Authority: ORS 413.432 & OL 2017, Ch. 489

Statutes/Other Implemented: OL 2017, Ch. 489