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2025 Oregon Revised Statutes
Volume : 11 - Juvenile Code, Human Services
Chapter 414 - Medical Assistance
Section 414.072 - Prior authorization data and reports.

Universal Citation:
OR Rev Stat § 414.072 (2025)
Learn more This media-neutral citation is based on the American Association of Law Libraries Universal Citation Guide and is not necessarily the official citation.
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(1) As used in this section, "coordinated care organization" has the meaning given that term in ORS 414.025.

(2) The Oregon Health Authority shall compile and annually post to the authority’s website a report of the following information, in the aggregate, that was reported to the authority by coordinated care organizations regarding requests for prior authorization received by coordinated care organizations or risk-bearing entities acting for or in concert with coordinated care organizations:

(a) The number of requests received;

(b) The number of requests that were initially denied and the reasons for the denials, including, but not limited to, lack of medical necessity or incomplete requests; and

(c) The number of denials that were reversed on an appeal. [2021 c.154 §1]

Note: 414.072 was enacted into law by the Legislative Assembly but was not added to or made a part of ORS chapter 414 or any series therein by legislative action. See Preface to Oregon Revised Statutes for further explanation.

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