OAR 410-149-0130
Care Management Fees

(1) The Authority shall provide care management fees as a PMPM payment to practice sites for FFS OHP attributed members. These payments shall be used to:
(a) Provide up-front investment in participating practices; and
(b) Assist practices to continue practice transformation efforts and offer comprehensive integrated services for patients.
(2) Care management fees vary by practice track and PCPCH tier and are issued in the following amounts:
(a) Track 1:
(A) Tier 1 PCPCH qualifies for $2 PMPM;
(B) Tier 2 PCPCH qualifies for $4 PMPM;
(C) Tier 3 PCPCH qualifies for $6 PMPM;
(D) Tier 4 PCPCH qualifies for $8 PMPM;
(E) Tier 5-STAR PCPCH qualifies for $10 PMPM.
(b) Track 2:
(A) Tier 3 PCPCH qualifies for $9 PMPM;
(B) Tier 4 PCPCH qualifies for $12 PMPM;
(C) Tier 5-STAR PCPCH qualifies for $18 PMPM.

Source: Rule 410-149-0130 — Care Management Fees, https://secure.­sos.­state.­or.­us/oard/view.­action?ruleNumber=410-149-0130.

Last Updated

Jun. 8, 2021

Rule 410-149-0130’s source at or​.us