OAR 409-055-0010
Definitions
(1) “Authority” means the Oregon Health Authority.
(2) “NCQA” means National Committee for Quality Assurance.
(3) “Patient Centered Medical Home (PCMH)” means a practice or provider who has been recognized as such by the National Committee for Quality Assurance.
(4) “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), meets the standards pursuant to OAR 409-055-0040 (Recognition Criteria), and has been recognized through the process pursuant to OAR 409-055-0040 (Recognition Criteria).
(5) “Personal Health Information” means demographic information, medical history, test and laboratory results, insurance information and other data that is collected by a health care professional to identify an individual and determine appropriate care.
(6) “Practice” means an individual, facility, institution, corporate entity, or other organization which provides direct health care services or items, also termed a performing provider, or bills, obligates and receives reimbursement on behalf of a performing provider of services, also termed a billing provider (BP). The term provider refers to both performing providers and BP(s) unless otherwise specified.
(7) “Program” means Patient-Centered Primary Care Home Program.
(8) “Program website” means www.primarycarehome.oregon.gov.
(9) “Provider” means an individual, facility, institution, corporate entity, or other organization which provides direct health care services or items, also termed a performing provider, or bills, obligates and receives reimbursement on behalf of a performing provider of services, also termed a billing provider (BP). The term provider refers to both performing providers and BP(s) unless otherwise specified.
(10) “Recognition” means the process through which the Authority determines if a practice has met the Oregon Patient-Centered Primary Care Home Standards.
(11) “Recognized” means that the Authority has affirmed that a practice meets the Oregon Patient-Centered Primary Care Home Standards.
(12) “Tier” means the level of Patient-Centered Primary Care Home at which the Authority has scored a practice.
(13) “Verification” means the process that the Authority shall conduct to ensure that a practice has submitted accurate information to the Authority for purposes of Patient-Centered Primary Care Home recognition.
(14) “5 STAR” means a designation assigned to Patient-Centered Primary Care Homes meeting advanced PCPCH criteria.
Source:
Rule 409-055-0010 — Definitions, https://secure.sos.state.or.us/oard/view.action?ruleNumber=409-055-0010.