OAR 410-132-0100
Prior Authorization

(1)

Private duty nursing providers shall obtain prior authorization (PA) for all services.

(2)

Providers shall request PA as follows (see the Private Duty Nursing Services Supplemental Information booklet for contact information):

(a)

For individuals served by the MFC), from the Department‘s MFC Program;

(b)

For clients enrolled in the fee-for-service (FFS) Medical Case Management (MCM) program, from the MCM contractor;

(c)

For members enrolled in a coordinated care organization (CCO) or prepaid health plan (PHP), from the CCO or the PHP;

(d)

For all other clients, from the Division.

Source: Rule 410-132-0100 — Prior Authorization, https://secure.­sos.­state.­or.­us/oard/view.­action?ruleNumber=410-132-0100.

Last Updated

Jun. 8, 2021

Rule 410-132-0100’s source at or​.us