ORS 413.259
Patient centered primary care home program and behavioral health home program


(1)

There is established in the Oregon Health Authority the patient centered primary care home program and the behavioral health home program. Through these programs, the authority shall:

(a)

Define core attributes of a patient centered primary care home and a behavioral health home to promote a reasonable level of consistency of services provided by patient centered primary care homes and behavioral health homes in this state. In defining core attributes related to ensuring that care is coordinated, the authority shall focus on determining whether these patient centered primary care homes and behavioral health homes offer comprehensive primary and preventive care, integrated health care and disease management services;

(b)

Establish a simple and uniform process to identify patient centered primary care homes and behavioral health homes that meet the core attributes defined by the authority under paragraph (a) of this subsection;

(c)

Develop uniform quality measures that build from nationally accepted measures and allow for standard measurement of patient centered primary care home and behavioral health home performance;

(d)

Develop uniform quality measures for acute care hospital and ambulatory services that align with the patient centered primary care home and behavioral health home quality measures developed under paragraph (c) of this subsection; and

(e)

Develop policies that encourage the retention of, and the growth in the numbers of, primary care providers.

(2)

Intentionally left blank —Ed.

(a)

The Director of the Oregon Health Authority shall appoint an advisory committee to advise the authority in carrying out subsection (1) of this section.

(b)

The director shall appoint to the advisory committee 15 individuals who represent a diverse constituency and are knowledgeable about patient centered primary care home delivery systems, behavioral health home delivery systems, integrated health care or health care quality.

(c)

Members of the advisory committee are not entitled to compensation, but may be reimbursed for actual and necessary travel and other expenses incurred by them in the performance of their official duties in the manner and amounts provided for in ORS 292.495 (Compensation and expenses of members of state boards and commissions). Claims for expenses shall be paid out of funds appropriated to the authority for the purposes of the advisory committee.

(d)

The advisory committee shall use public input to guide policy development.

(3)

The authority will also establish, as part of the patient centered primary care home program, learning collaboratives in which state agencies, private health insurance carriers, third party administrators, patient centered primary care homes and behavioral health homes can:

(a)

Share information about quality improvement;

(b)

Share best practices that increase access to culturally competent and linguistically appropriate care;

(c)

Share best practices that increase the adoption and use of the latest techniques in effective and cost-effective patient centered care;

(d)

Coordinate efforts to develop and test methods to align financial incentives to support patient centered primary care homes and behavioral health homes;

(e)

Share best practices for maximizing the utilization of patient centered primary care homes and behavioral health homes by individuals enrolled in medical assistance programs, including culturally specific and targeted outreach and direct assistance with applications to adults and children of racial, ethnic and language minority communities and other underserved populations;

(f)

Coordinate efforts to conduct research on patient centered primary care homes and behavioral health homes and evaluate strategies to implement patient centered primary care homes and behavioral health homes that include integrated health care to improve health status and quality and reduce overall health care costs; and

(g)

Share best practices for maximizing integration to ensure that patients have access to comprehensive primary and preventive care, integrated health care and disease management services.

(4)

The Legislative Assembly declares that collaboration among public payers, private health carriers, third party purchasers and providers to identify appropriate reimbursement methods to align incentives in support of patient centered primary care homes and behavioral health homes is in the best interest of the public. The Legislative Assembly therefore declares its intent to exempt from state antitrust laws, and to provide immunity from federal antitrust laws, the collaborative and associated payment reforms designed and implemented under subsection (3) of this section that might otherwise be constrained by such laws. The Legislative Assembly does not authorize any person or entity to engage in activities or to conspire to engage in activities that would constitute per se violations of state or federal antitrust laws including, but not limited to, agreements among competing health care providers or health carriers as to the prices of specific levels of reimbursement for health care services.

(5)

The authority may contract with a public or private entity to facilitate the work of the learning collaborative described in subsection (3) of this section and may apply for, receive and accept grants, gifts, payments and other funds and advances, appropriations, properties and services from the United States, the State of Oregon or any governmental body or agency or from any other public or private corporation or person for the purpose of establishing and maintaining the collaborative. [Formerly 442.210; 2019 c.536 §1]

Source: Section 413.259 — Patient centered primary care home program and behavioral health home program, https://www.­oregonlegislature.­gov/bills_laws/ors/ors413.­html.

413.006
Establishment of Oregon Health Policy Board
413.007
Composition of board
413.008
Chairperson
413.011
Duties of board
413.014
Rules
413.016
Authority of board to establish advisory and technical committees
413.017
Public Health Benefit Purchasers Committee, Health Care Workforce Committee, Health Plan Quality Metrics Committee and Behavioral Health Committee
413.032
Establishment of Oregon Health Authority
413.033
Oregon Health Authority director
413.034
Oregon Health Authority officers and employees
413.036
Use of abuse and neglect reports for screening subject individuals
413.037
Administering oaths
413.038
Service of notice by regular mail
413.041
Persons authorized to represent parties in contested cases
413.042
Rules
413.046
Right to courteous, fair and dignified treatment
413.071
Authorization to request federal waivers
413.072
Public process required if waiver of federal requirement involves policy change
413.083
Dental director
413.084
State School Nursing Consultant
413.085
Cross-delegation by directors of Department of Human Services, Department of Consumer and Business Services and Oregon Health Authority
413.101
Oregon Health Authority Fund
413.105
Deposit of reimbursements received for medical assistance expenditures
413.109
Acceptance and expenditures of funds received from private sources
413.121
Oregon Health Authority Special Checking Account
413.125
Revolving fund
413.129
Aggregation of warrants and payments
413.135
Combining and eliminating accounts
413.151
Setoff of liquidated and delinquent debts
413.161
Collection of data on race, ethnicity, language, disability status, sexual orientation and gender identity
413.162
Reports to Legislative Assembly on collection of data under ORS 413.161
413.163
System for collecting data on race, ethnicity, language, disability, sexual orientation and gender identity
413.164
Collection and reporting of data by health care providers and insurers
413.166
Grants for data collection
413.167
Reports to Legislative Assembly
413.171
Sharing of data with Department of Human Services
413.175
Prohibition on disclosure of information
413.181
Disclosure of insurer information by Department of Consumer and Business Services for purpose of administering Oregon Integrated and Coordinated Care Delivery System
413.195
Disclosure of information about cremated or reduced remains
413.196
Confidentiality and inadmissibility of information obtained in connection with epidemiologic morbidity and mortality studies
413.201
Targeted outreach for Cover All People program
413.223
School-based health centers
413.225
Grants to safety net providers
413.227
Oregon Health Authority reimbursement of coordinated care organization’s costs to provide services related to improving student access to school-based oral health services
413.231
Recruitment of primary care providers
413.234
Supplemental payments to emergency services providers
413.235
Emergency services intergovernmental transfer program
413.236
Coordinated care organization reimbursement of emergency medical services providers
413.246
Information provided to retired physicians and health care providers
413.248
Physician Visa Waiver Program
413.250
Statewide Health Improvement Program
413.255
Cooperative research and demonstration projects for health and health care purposes
413.256
Regional health equity coalitions
413.257
Experimental, prototype health care of tomorrow
413.259
Patient centered primary care home program and behavioral health home program
413.260
Patient centered primary care and behavioral health home delivery models
413.270
Advisory council
413.271
Palliative care information and resources
413.273
Palliative care for patients and residents of hospitals, long term care facilities and residential care facilities
413.300
Definitions for ORS 413.300 to 413.308, 413.310 and ORS chapter 414
413.301
Health Information Technology Oversight Council
413.303
Council chairperson
413.308
Duties of council
413.310
Oregon Health Information Technology program
413.430
Functions of Director of Oregon Health Authority regarding health professionals
413.435
Administrative requirements for students in clinical training
413.450
Continuing education in cultural competency
413.500
Women, Infants and Children Program
413.520
Gambling addiction programs in Oregon Health Authority
413.522
Problem Gambling Treatment Fund
413.550
Definitions for ORS 413.550 to 413.559
413.552
Legislative findings and policy on health care interpreters
413.554
Oregon Council on Health Care Interpreters
413.556
Testing, qualification and certification standards for health care interpreters
413.558
Procedures for testing, qualifications and certification of health care interpreters
413.559
Requirement for provider to work with health care interpreter from registry
413.560
Moneys received credited to account in Oregon Health Authority Fund
413.561
Agencies or boards with enforcement authority
413.562
State of Oregon as employer of health care interpreters for purposes of collective bargaining only
413.563
Requirement for interpretation service company to use health care interpreters from registry
413.570
Pain Management Commission
413.572
Additional duties of commission
413.574
Membership of commission
413.576
Selection of chairperson and vice chairperson
413.580
Pain Management Fund
413.582
Acceptance of contributions
413.590
Pain management education required of certain licensed health care professionals
413.599
Rules
413.600
Traditional Health Workers Commission
413.610
Purpose of Compact of Free Association Premium Assistance Program
413.611
Definitions
413.612
Eligibility for program
413.613
COFA Premium Assistance Program Fund
413.800
Emergency planning
Green check means up to date. Up to date