Monitoring and Auditing
Source:
Rule 436-015-0065 — Monitoring and Auditing, https://secure.sos.state.or.us/oard/view.action?ruleNumber=436-015-0065.
436‑015‑0001
Purpose and Applicability of These Rules 436‑015‑0005
Definitions 436‑015‑0007
Entities Allowed to Manage Care 436‑015‑0008
Request for Review before the Director 436‑015‑0009
Formed, Owned, or Operated 436‑015‑0010
Notice of Intent to Form an MCO 436‑015‑0030
Applying for Certification 436‑015‑0035
Coverage Responsibility of an MCO 436‑015‑0037
MCO-Insurer Contracts 436‑015‑0040
Reporting Requirements for an MCO 436‑015‑0050
Record Keeping and Place of Business 436‑015‑0060
Commencement and Termination of Panel Providers 436‑015‑0065
Monitoring and Auditing 436‑015‑0070
Come-along Providers 436‑015‑0075
Worker Exams 436‑015‑0080
Suspension 436‑015‑0090
Charges and Fees 436‑015‑0110
Dispute Resolution 436‑015‑0120
Sanctions and Civil Penalties
Purpose and Applicability of These Rules 436‑015‑0005
Definitions 436‑015‑0007
Entities Allowed to Manage Care 436‑015‑0008
Request for Review before the Director 436‑015‑0009
Formed, Owned, or Operated 436‑015‑0010
Notice of Intent to Form an MCO 436‑015‑0030
Applying for Certification 436‑015‑0035
Coverage Responsibility of an MCO 436‑015‑0037
MCO-Insurer Contracts 436‑015‑0040
Reporting Requirements for an MCO 436‑015‑0050
Record Keeping and Place of Business 436‑015‑0060
Commencement and Termination of Panel Providers 436‑015‑0065
Monitoring and Auditing 436‑015‑0070
Come-along Providers 436‑015‑0075
Worker Exams 436‑015‑0080
Suspension 436‑015‑0090
Charges and Fees 436‑015‑0110
Dispute Resolution 436‑015‑0120
Sanctions and Civil Penalties