Certification procedure for managed health care provider
- required findings
- denial or termination of provider authorization
- scope of director’s review
- confidentiality of certain information
- immunity from liability
- rules
- medical service dispute resolution
- penalties

Amended by HB 4010
Effective since June 6, 2024
Relating to health care; creating new provisions; amending ORS 3.450, 30.302, 30.800, 30.802, 31.260, 31.740, 58.376, 87.555, 87.560, 87.565, 87.575, 87.581, 109.640, 109.650, 109.675, 109.680, 109.685, 124.050, 127.663, 127.700, 135.139, 136.220, 137.076, 137.473, 137.476, 146.181, 146.750, 147.403, 169.076, 169.077, 169.750, 192.547, 192.556, 192.566, 315.616, 336.479, 336.490, 339.870, 343.146, 348.303, 353.450, 408.310, 408.315, 408.340, 410.530, 413.273, 413.574, 413.590, 414.550, 418.747, 418.782, 419B.005, 419B.020, 419B.023, 419B.035, 419B.352, 421.467, 421.590, 430.401, 430.735, 431.180, 431A.570, 432.005, 433.010, 433.017, 433.110, 433.260, 433.443, 433.800, 433.815, 435.205, 435.305, 436.225, 436.235, 436.295, 438.010, 441.064, 441.098, 441.775, 441.776, 442.490, 443.065, 443.075, 443.850, 453.307, 463.015, 475.005, 475.528, 475.744, 475.950, 475.975, 475.976, 475.978, 475C.777, 475C.891, 496.018, 616.750, 628.270, 656.005, 656.245, 656.260, 656.799, 659A.150, 659A.413, 675.755, 676.340, 676.345, 676.347, 676.454, 676.650, 676.860, 677.085, 677.095, 677.097, 677.135, 677.137, 677.139, 677.141, 677.235, 677.494, 677.495, 677.500, 677.505, 677.510, 677.511, 677.512, 677.515, 677.518, 677.520, 677.525, 677.535, 680.205, 680.545, 688.132, 688.405, 688.510, 688.515, 688.525, 688.805, 694.042, 735.631, 742.400, 742.504, 743A.036, 743A.044, 743B.221, 743B.222, 743B.427, 744.364, 744.367, 746.230, 746.600, 750.055, 759.693, 759.698, 807.090, 811.220, 811.604 and 811.611 and section 9, chapter 550, Oregon Laws 2011, section 2, chapter 575, Oregon Laws 2015, section 20, chapter 349, Oregon Laws 2021, and section 9, chapter 629, Oregon Laws 2021; and prescribing an effective date.
Source:
Section 656.260 — Certification procedure for managed health care provider; required findings; denial or termination of provider authorization; scope of director’s review; confidentiality of certain information; immunity from liability; rules; medical service dispute resolution; penalties, https://www.oregonlegislature.gov/bills_laws/ors/ors656.html
(accessed May 26, 2025).
Notes of Decisions
Primary care physician who is not member of managed care organization, but agrees to comply with rules, terms and conditions of organization, is not plan participant for purposes of organization duty to exclude individuals who violate treatment standards from plan participation. Managed Healthcare Northwest, Inc. v. Department of Consumer and Business Services, 189 Or App 444, 75 P3d 912 (2003), aff’d 338 Or 92, 106 P3d 624 (2005)