{"data":{"id":"us-or/ors-414.072","jurisdiction":"us-or","citation":"ORS 414.072","heading":"Prior authorization data and reports.","body":"(1) As used in this section, “coordinated care organization” has the meaning given that term in ORS 414.025.\n      (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:\n      (a) The number of requests received;\n      (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\n      (c) The number of denials that were reversed on an appeal.","path":["11 - Juvenile Code, Human Services","34. Human Services; Juvenile Code; Corrections","Chapter 414 — Medical Assistance"],"source_url":"https://www.oregonlegislature.gov/bills_laws/ors/ors414.html","current_through":"2025 Edition","vintage":"","retrieved_at":"2026-09-03T23:50:14Z","sha256":"a633f681d2d89a490e95045cd82dc3eb52c9eb502bd526be97d1cc9001e3a165","source_id":"us-or","stale":false,"prev":"us-or/ors-414.071","next":"us-or/ors-414.073"},"notice":"GroundRules: Original legal text. Not legal advice."}