Or. Admin. Code § 410-141-3830

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

Section 410-141-3830 - [Effective 3/29/2025] Prioritized List of Health Services

(1) The Health Evidence Review Commission (HERC) Prioritized List of Health Services (Prioritized List) is the listing of physical and behavioral health services generated and maintained by HERC. The Authority may apply criteria listed in Statements of Intent and Practice Guidelines (Guideline Notes, Ancillary Guideline Notes, and Diagnostic Guideline Notes) from the Prioritized List to codes and lines not explicitly specified in that guideline note and to services such as diagnostic, ancillary and excluded irrespective of their inclusion on the lines of the Prioritized List. The HERC maintains the most current list on their website: https://www.oregon.gov/OHA/HPA/DSI-HERC/Pages/Prioritized-List.aspx. For a hard copy, contact the Division within the Oregon Health Authority (Authority).

(2) This rule, effective January 1, 2024, incorporates by reference the January 1, 2024 Prioritized List, funded through line 469 and including all line items, diagnosis and treatment codes, guideline notes, statements of intent, coding specifications and annotations. This Prioritized List dated January 1, 2024 supersedes the October 1, 2024 Prioritized List for services provided after January 1, 2024, and includes interim modifications reported as required under ORS 414.690(7) and (8).

DMAP 56-2019, adopt filed 12/17/2019, effective 1/1/2020; DMAP 8-2020, temporary amend filed 03/15/2020, effective 03/15/2020 through 09/10/2020; DMAP 40-2020, temporary amend filed 08/25/2020, effective 08/25/2020 through 09/10/2020; DMAP 43-2020, amend filed 09/01/2020, effective 9/10/2020; DMAP 51-2020, temporary amend filed 09/28/2020, effective 10/1/2020 through 3/29/2021; DMAP 70-2020, temporary amend filed 12/30/2020, effective 1/1/2021 through 3/29/2021; DMAP 3-2021, temporary amend filed 01/28/2021, effective 2/1/2021 through 3/29/2021; DMAP 13-2021, amend filed 03/25/2021, effective 3/29/2021; DMAP 42-2021, temporary amend filed 09/20/2021, effective 10/01/2021 through 03/29/2022; DMAP 47-2022, temporary amend filed 04/15/2022, effective 04/15/2022 through 10/11/2022; DMAP 51-2022, temporary amend filed 04/27/2022, effective 04/27/2022 through 10/11/2022; DMAP 56-2022, temporary amend filed 06/17/2022, effective 06/17/2022 through 10/11/2022; DMAP 72-2022, temporary amend filed 08/25/2022, effective 10/01/2022 through 10/11/2022; DMAP 81-2022, amend filed 10/04/2022, effective 10/04/2022; DMAP 88-2022, amend filed 12/16/2022, effective 1/1/2023; DMAP 1-2023, temporary amend filed 01/25/2023, effective 2/1/2023 through 7/30/2023; DMAP 26-2023, amend filed 04/11/2023, effective 4/11/2023; DMAP 80-2023, amend filed 09/30/2023, effective 10/1/2023; DMAP 88-2023, temporary amend filed 12/19/2023, effective 1/1/2024 through 6/28/2024; DMAP 76-2024, amend filed 03/15/2024, effective 3/22/2024; DMAP 122-2024, temporary amend filed 09/25/2024, effective 10/1/2024 through 3/29/2025

Statutory/Other Authority: ORS 414.065 & ORS 413.042

Statutes/Other Implemented: ORS 414.065 & ORS 414.727