OAR 409-028-0010
Definitions

The following definitions apply to OAR 409-028-0000 (Purpose and Scope) 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 (Civil penalties for failure to report health care data of health insurers).
(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 (Data File Layout, Format, and Coding Requirements).
(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 (Definitions for ORS chapters 411, 413 and 414).
(7) “Patient-Centered Primary Care Home (PCPCH)” means a health care team or clinic as defined in ORS 414.655 (Utilization of patient centered primary care homes and behavioral health homes by coordinated care organizations) that meets the standards and has been recognized pursuant to OAR 409-055-0040 (Recognition Criteria).

Source: Rule 409-028-0010 — Definitions, https://secure.­sos.­state.­or.­us/oard/view.­action?ruleNumber=409-028-0010.

Last Updated

Jun. 8, 2021

Rule 409-028-0010’s source at or​.us