2025 Oregon Revised Statutes
Volume : 11 - Juvenile Code, Human Services
Chapter 413 - Oregon Health Authority
Section 413.241 - Enhanced federal match for Indian health care providers.
(1) As used in this section:
(a) "Eligible claim" means a claim for reimbursement of the cost of a health care item or service that is:
(A) Covered by the state medical assistance program; and
(B) Within the scope of a written care coordination agreement between an Indian health care provider and a nontribal health care provider.
(b) "Enhanced federal match" means 100 percent federal matching funds under 42 U.S.C. 1396d(b).
(c) "Indian health care provider" means an:
(A) Urban Indian organization as defined in 25 U.S.C. 1603(29); or
(B) Indian Health Service facility as referenced in 42 U.S.C. 1396d(b).
(2) If enhanced federal match is available to this state under 42 U.S.C. 1396d(b), the Oregon Health Authority shall:
(a) Maintain a process to identify eligible claims for items or services that:
(A) Are furnished by nontribal health care providers that are enrolled in the state medical assistance program; and
(B) Qualify for enhanced federal match under rules or guidance issued by the Centers for Medicare and Medicaid Services; and
(b) Establish a mechanism to return a portion of the enhanced federal match to the Indian health care provider that has a written care coordination agreement with the nontribal health care provider to furnish the item or service. [2023 c.244 §1]
Note: 413.241 was enacted into law by the Legislative Assembly but was not added to or made a part of ORS chapter 413 or any series therein by legislative action. See Preface to Oregon Revised Statutes for further explanation.
