Or. Admin. Code § 410-125-0120
Current through Register Vol. 63, No. 11, November 1, 2024
Section 410-125-0120 - Transportation To and From Medical Services(1) Transportation to and from medical services, including hospital services, is a covered service. However, all non-emergency transports require prior authorization in order for the transportation provider to be paid.(2) The transportation must be the least expensive obtainable under existing conditions and appropriate to the client's needs.(3) Contact the Division-contracted regional Transportation Brokerage (Brokerage) for prior authorization for the transport or instruct the transportation provider to contact the Brokerage. Brokerage map and contact information is available at http://www.oregon.gov/OHA/HSD/Pages/Policy-Medical-Transportation.aspx [File Link Not Available].(4) Hospitals must follow the after hours procedures for the Brokerages and contact the appropriate after hours providers for non-emergent transportation for hospital discharges.(5) No prior authorization is required when the client's condition requires emergency transport.(6) When a hospital sends a patient to another facility or provider during the course of an inpatient stay and the client is returned to the admitting hospital within 24 hours, the hospital must arrange for and pay for the transportation. See billing instructions contained in the Hospital Supplemental Information on the Division website for additional information.Or. Admin. Code § 410-125-0120
AFS 49-1989(Temp), f. 8-24-89, cert. ef. 9-1-89; AFS 72-1989, f. & cert. ef. 12-1-89; HR 21-1990, f. & cert. ef. 7-9-90, Renumbered from 461-015-0210; HR 42-1991, f. & cert. ef. 10-1-91; OMAP 70-2004, f. 9-15-04, cert. ef. 10-1-04; DMAP 32-2012, f. 6-29-12, cert. ef. 7-1-12; DMAP 45-2018, minor correction filed 05/25/2018, effective 5/25/2018Statutory/Other Authority: ORS 413.042
Statutes/Other Implemented: ORS 414.065