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Oregon · Through 2025 Edition

ORS 413.241: Enhanced federal match for Indian health care providers.

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Where this section sits in the code
  1. 11 - Juvenile Code, Human Services
  2. 34. Human Services; Juvenile Code; Corrections
  3. Chapter 413 — Oregon Health Authority

(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.

Collected 2026-09-03T23:50:14Z. Source file · JSON

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