OAR 137-076-0019
Fee Schedules
(1)
When the victim of a compensable crime has been awarded compensation and does not have insurance benefits or any other prior resource to pay for crime-related medical or counseling expenses, the Department shall pay crime-related medical and counseling expenses at the rates in the Oregon Workers’ Compensation medical fee schedules set forth in OAR 436-009-0040 (Fee Schedule) except in the following circumstances:(a)
When crime-related medical expenses are incurred in another state, payment is made at 75% of the billed amount;(b)
Payment for medical expenses involving dental work shall be calculated based on Oregon regional dental charges using a Dental Customized Fee Analyzer, which is paid at the 75% percentile for the specific procedure. The Dental Customized Fee Analyzer is available for inspection at the offices of the Department, 1162 Court St NE, Salem, Oregon, 97301, between the hours of 8:00 a.m. and 5:00 p.m. Monday through Friday, excluding holidays;(c)
Ambulance and emergency transportation services are paid at 75% of the billed amount;(d)
Counseling services must be provided by one of the following counseling providers in order to be eligible for payment by the Department, and shall be paid at the following hourly rates as of March 1, 2021:(A)
Qualified Mental Health Professionals as defined in OAR 309-039-0510 (Definitions)(10) shall be paid at the hourly rate of $75.00;(B)
Counselors, therapists, and social workers licensed by the Oregon Board of Licensed Professional Counselors and Therapists under ORS 675.705 (Definitions for ORS 675.715 to 675.835) through 675.835 (Injunctive proceedings) shall be paid at the hourly rate of $105.00;(C)
Psychologists licensed under ORS Chapter 675 (Psychologists) shall be paid at the hourly rate of $130.00;(D)
Psychiatric nurses licensed under ORS Chapter 678 (Nurses); shall be paid at the hourly rate of $130.00;(E)
Doctor of Medicine or Doctor of Osteopathy licensed under ORS Chapter 677 (Regulation of Medicine, Podiatry and Acupuncture) shall be paid at the hourly rate of $160.00.(e)
The Department may pay for other counseling services based on the nature of the victimization and the education, training and experience of the provider when sufficient documentation establishing the provider’s education, training and experience is provided to the Department. The Department will determine the hourly payment amount based on the supporting documentation.(2)
For the purposes of ORS 147.035 (Compensable losses)(7) and (8), “other expenses” related to the review or hearing shall be paid as follows, up to the maximum amount of the award or $3,000, whichever is less:(a)
Lodging expenses shall be reimbursed at actual expense, not to exceed the current federal per diem lodging rates for Oregon found at http://www.gsa.gov/portal/content/104877, if the location of the hearing or oral argument is more than 70 miles one-way from the residence of the victim, survivor, dependent, or personal representative, and upon submission of a valid receipt. Reimbursement will only be provided for the number of nights necessary for the victim, survivor, or dependent to attend or be involved in the hearing or oral argument, as determined by the Department;(b)
Other reasonable and necessary incidental expenses generally associated with travel and necessary for the victim, survivor, dependent, or personal representative to travel to the hearing or oral argument shall be paid at actual expense, at the discretion of the Department, up to a total amount not to exceed the current federal per diem incidental rates for Oregon found at http://www.gsa.gov/portal/content/104877 and upon submission of a valid receipt;(c)
Mileage reimbursement shall be paid at $0.50 per mile for actual round-trip travel from the residence of the victim, survivor, dependent, or personal representative to the location of the hearing or oral argument. In lieu of mileage reimbursement, the Department may, at its discretion, reimburse reasonable and necessary round-trip car rental or bus, train, or air fare, upon submission of a valid receipt.
Source:
Rule 137-076-0019 — Fee Schedules, https://secure.sos.state.or.us/oard/view.action?ruleNumber=137-076-0019.