OAR 436-015-0090
Charges and Fees


(1)

Billings for medical services under an MCO must be submitted in the form and format as prescribed in OAR 436-009. The payment of medical services may be less than, but must not exceed, the maximum amounts allowed under OAR 436-009.
(2) Notwithstanding section (1) of this rule, fees paid for medical services provided by come-along providers must not be less than fees paid to MCO panel providers for similar medical services.
(3) Payments to medical providers who are not under contract with the MCO are not subject to an MCO discount.
Last Updated

Jun. 8, 2021

Rule 436-015-0090’s source at or​.us