{"data":{"id":"us-or/ors-413.241","jurisdiction":"us-or","citation":"ORS 413.241","heading":"Enhanced federal match for Indian health care providers.","body":"(1) As used in this section:\n      (a) “Eligible claim” means a claim for reimbursement of the cost of a health care item or service that is:\n      (A) Covered by the state medical assistance program; and\n      (B) Within the scope of a written care coordination agreement between an Indian health care provider and a nontribal health care provider.\n      (b) “Enhanced federal match” means 100 percent federal matching funds under 42 U.S.C. 1396d(b).\n      (c) “Indian health care provider” means an:\n      (A) Urban Indian organization as defined in 25 U.S.C. 1603(29); or\n      (B) Indian Health Service facility as referenced in 42 U.S.C. 1396d(b).\n      (2) If enhanced federal match is available to this state under 42 U.S.C. 1396d(b), the Oregon Health Authority shall:\n      (a) Maintain a process to identify eligible claims for items or services that:\n      (A) Are furnished by nontribal health care providers that are enrolled in the state medical assistance program; and\n      (B) Qualify for enhanced federal match under rules or guidance issued by the Centers for Medicare and Medicaid Services; and\n      (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.","path":["11 - Juvenile Code, Human Services","34. Human Services; Juvenile Code; Corrections","Chapter 413 — Oregon Health Authority"],"source_url":"https://www.oregonlegislature.gov/bills_laws/ors/ors413.html","current_through":"2025 Edition","vintage":"","retrieved_at":"2026-09-03T23:50:14Z","sha256":"2c3856347bc3b55cbccafff3c28793590862dfd51896b74fee6dd31bfbada2e7","source_id":"us-or","stale":false,"prev":"us-or/ors-413.240","next":"us-or/ors-413.246"},"notice":"GroundRules: Original legal text. Not legal advice."}