Nursing Facility MQIP

This amendment implements a quality-of-care incentive payment program (QIPP) for participating non-state government owned or operated nursing facilities (NSGO).

This amendment expands Peer Support Services, which allows providers outside of the Community Mental Health Center (CMHC) network to employ Peer Support providers and to be reimbursed for providing Peer Support Services.

This amendment to adds coverage and reimbursement of eConsult telemedicine services for consultations between primary care providers and specialty providers.

This SPA changed the telehealth rates used during the COVID-19 Public Health Emergency (PHE) to rates based on Relative Value Units (RVUs) multiplied by the Oregon conversion factor.

The proposed amendment updates Ambulatory Surgical Center reimbursement methodology and fee schedules.

This amendment updates the State's Alternative Benefit Plan (ABP) to add managed care organizations (MCO) and prepaid ambulatory health plans (P AHP) for expansion adults.

This amendment is Recovery Audit Contractor (RAC} Program Exemption

This amendment provides assurance for compliance with third party liability requirements outlined in the Consolidated Appropriates Act (CAA) of 2022