OAR 137-076-0020
Definition of Reasonable Expenses
(1)
As used in this rule, “necessary services” are those required for the treatment of physical or psychological injury suffered by the victim as a direct result of a crime.(2)
For purposes of ORS 147.035 (Compensable losses), reasonable hospital expenses shall be limited to expenses for necessary services provided by licensed hospitals and by other health care facilities licensed to provide services that may otherwise be supplied by hospitals.(3)
For purposes of ORS 147.035 (Compensable losses), reasonable medical expenses shall be limited to ambulance expenses and expenses for necessary services provided by a Medical Practitioner. Medical treatment provided by any other medical provider may be reimbursable if at the time treatment began it was approved by and provided under the supervision of a Medical Practitioner. Medical treatment provided by any other medical provider without a referral from a Medical Practitioner may be compensated for up to 5 visits within 90 days from the date of the first crime-related visit by the victim, at the discretion of the Department, if the medical provider is licensed in Oregon under the provisions governing that provider’s profession.(4)
For purposes of ORS 147.025 (Eligibility of person not victim or survivor or dependent of deceased victim) and 147.035 (Compensable losses), reasonable psychiatric, psychological or counseling expenses are limited to expenses for necessary services provided by psychiatrists or physicians licensed under ORS Chapter 677 (Regulation of Medicine, Podiatry and Acupuncture), or psychiatric mental health nurse practitioners licensed under ORS Chapter 678 (Nurses), or licensed psychologists, licensed clinical social workers, licensed professional counselors, licensed psychologist associates or licensed marriage and family therapists licensed under ORS Chapter 675 (Psychologists), or qualified mental health professionals as defined in OAR 309-039-0510 (Definitions)(10). The Department shall have the authority to grant an exception to the above requirements when justification is provided that none of the above-referenced mental health treatment providers is a reasonable option for addressing the crime-related needs of a specific victim.(5)
For purposes of ORS 147.035 (Compensable losses), rehabilitation expenses are limited to necessary services associated with physical rehabilitation, vocational training, or adaptations to allow a victim to conduct daily living tasks.
Source:
Rule 137-076-0020 — Definition of Reasonable Expenses, https://secure.sos.state.or.us/oard/view.action?ruleNumber=137-076-0020.