We use cookies on our site to analyze traffic, enhance your experience, and provide you with tailored content.

For more information visit our privacy policy.

Oregon Health Plan definition

Oregon Health Plan or “OHP” means the Medicaid and State Children’s Health Insurance (SCHIP) Demonstration Project, which expands Medicaid and SCHIP eligibility to eligible OHP Clients. The OHP relies substantially upon prioritization of health services and managed care to achieve the public policy objectives of access, cost containment, efficacy and cost effectiveness in the allocation of health resources.
Oregon Health Plan means the medical assistance program administered by the Department under ORS chapter 414. Eligibility in the Oregon Health Plan is demonstrated by providing a current, valid eligibility determination statement from the Department's Office of Medical Assistance Programs. To qualify for a reduced fee, a copy of the patient's current eligibility statement must be provided at the time the patient submits an application. The Department will verify the patient's Oregon Health Plan eligibility with the Office of Medical Assistance Programs.
Oregon Health Plan means the Medicaid and Children's Health Insurance Program (CHIP) as administered in Oregon by the Oregon Health Authority and under Oregon's Medicaid State Plan. (also referred to as OHP).¶ (43) "Practitioner" or "Practitioner of the Healing Arts" means an individual licensed pursuant to state law to engage in the provision of health care services within the scope of the practitioner's license or certification.¶ (44) "Prioritized List of Health Services" means the listing of conditions and treatment pairs developed by the Health Evidence Review Commission for the purpose of administering the Oregon Health Plan (OHP).¶

Examples of Oregon Health Plan in a sentence

  • The Oregon Health Plan Standard is a Medicaid program for adults aged 19-64 who have an income below 100% of the federal poverty level.

  • The Oregon Health Authority (OHA) provides two budget-neutrality reports: Oregon Health Plan Section 1115 Medicaid Demonstration Budget Neutrality report and Oregon’s Children’s Health Insurance Program (CHIP) Title XXI Allotment report.

  • The services provided are for a specific Oregon Medicaid client who is temporarily outside Oregon or the contiguous area of Oregon; or (B) Services provided are for foster care or subsidized adoption children placed out of state; or (C) The provider is seeking Medicare deductible or coinsurance coverage for Oregon Qualified Medicare Beneficiaries (QMB) clients; (D) The services for which the provider bills are covered services under the Oregon Health Plan (OHP).

  • The Health Evidence Review Commission (HERC) prioritizes health services for the Oregon Health Plan.

  • Business Associate shall cooperate with and participate in activities to implement and enforce the Covered Entity’s policies and procedures to prevent, detect and investigate false claims, fraud, waste and abuse relating to Oregon Health Plan, Medicare or Medicaid funds.

  • Oregon Health Plan (Medicaid) coverage varies depending on the state and the type of Oregon Health Plan (Medicaid) you have.

  • As explained in Section 2 above, in order to be eligible for our plan, you must maintain your eligibility for Oregon Health Plan (Medicaid) as well as have both Medicare Part A and Medicare Part B.

  • Some people with Oregon Health Plan (Medicaid) get help paying for their Medicare premiums and other costs.

  • Umpqua Health Alliance (UHA) has contracted to provide benefits to eligible Oregon Health Plan (OHP) Members.

  • The Oregon Health Plan (OHP) is the state’s demonstration project under Section 1115 of the Social Security Act, funded through titles XIX and XXI of the Social Security Act.


More Definitions of Oregon Health Plan

Oregon Health Plan. (OHP) means the Oregon Medicaid Demonstration Project, which expands Medicaid eligibility to eligible OHP clients (individuals found eligible by DHS to receive services under the OHP), as established by chapter 815, Oregon Laws 1993, and enacted during 1987, 1989, and 1991 legislative sessions, the goal of which is to ensure that Oregonians have access to health care coverage. OHP relies substantially upon prioritization of health services and managed care to achieve public policy objectives of access, cost containment, efficacy, and cost effectiveness in the allocation of health resources.
Oregon Health Plan means the joint Federal/State entitlement program, enacted in 1965 as Title XIX of the Social Security Act, that pays for medical care on behalf of certain groups of low-income persons, as operated in Oregon.¶
Oregon Health Plan means the State of Oregon’s medical benefit package provided to children and adults who are eligible for traditional Medicaid programs or for the Children's Health Insurance Program (“CHIP”).
Oregon Health Plan or “OHP” means the Medicaid and State Children’s Health Insurance (SCHIP) Demonstration Project, which expands Medicaid and the SCHIP eligibility to eligible OHP Clients. The OHP relies substantially upon prioritization of health services and managed care to achieve the public policy objectives of access, cost containment, efficacy and cost effectiveness in the allocation of health resources.

Related to Oregon Health Plan

  • UConn Health or “UCH” shall mean University of Connecticut Health and its affiliates.

  • Group health plan means an employee welfare benefit plan as defined in section 3(1) of subtitle A of title I of the employee retirement income security act of 1974, Public Law 93-406, 29 USC 1002, to the extent that the plan provides medical care, including items and services paid for as medical care to employees or their dependents as defined under the terms of the plan directly or through insurance, reimbursement, or otherwise.

  • Health plan or "health benefit plan" means any policy,

  • Retiree Health Plan means an "employee welfare benefit plan" within the meaning of Section 3(1) of ERISA that provides benefits to individuals after termination of their employment, other than as required by Section 601 of ERISA.

  • State health plan means the employee and retiree insurance program provided for in Article 5, Chapter 11, Title 1.

  • Home health aide means an individual employed by a home health agency to provide home health services under the direction of a registered nurse or therapist.

  • Health Plans means any and all individual and family health and hospitalization insurance and/or self-insurance plans, medical reimbursement plans, prescription drug plans, dental plans and other health and/or wellness plans.

  • Home Health Care means the continual care and treatment of an individual if:

  • Home health aide services means the personal care and maintenance activities provided to individuals for the purpose of promoting normal standards of health and hygiene.

  • Basic health plan model plan means a health plan as required in RCW 70.47.060(2)(e).

  • Basic health plan means the plan described under chapter

  • Community mental health program means all mental health

  • Basic health plan services means that schedule of covered

  • Home health services means part-time or intermittent skilled nursing services, other therapeutic services (physical therapy, occupational therapy, speech therapy), and home health aide services made available on a visiting basis in a place of residence used as the client's home.

  • Flexi Plan means any individual indemnity hospital insurance plan under the VHIS framework with enhancement(s) to any or all of the protections or terms and benefits that the Standard Plan provides to the Policy Holder and the Insured Person, subject to certification by the Government. Such plan shall not contain terms and benefits which are less favourable than those in the Standard Plan, save for the exception as may be approved by the Government from time to time.

  • Medical cannabis card means the same as that term is defined in Section 26-61a-102.

  • Medical cannabis means the same as that term is defined in Section 26-61a-102.

  • AT&T SOUTH CAROLINA means the AT&T owned ILEC doing business in South Carolina.

  • Qualified health plan means a health benefit plan that has in effect a certification that the plan

  • Medical cannabis pharmacy means the same as that term is defined in Section 26-61a-102.

  • Behavioral health means the promotion of mental health, resilience and wellbeing; the treatment of mental and substance use disorders; and the support of those who experience and/or are in recovery from these conditions, along with their families and communities.

  • Surgery or “Surgical Procedure” means manual and / or operative procedure(s) required for treatment of an illness or injury, correction of deformities and defects, diagnosis and cure of diseases, relief from suffering and prolongation of life, performed in a hospital or day care centre by a medical practitioner.

  • New Jersey Stormwater Best Management Practices (BMP) Manual or “BMP Manual” means the manual maintained by the Department providing, in part, design specifications, removal rates, calculation methods, and soil testing procedures approved by the Department as being capable of contributing to the achievement of the stormwater management standards specified in this chapter. The BMP Manual is periodically amended by the Department as necessary to provide design specifications on additional best management practices and new information on already included practices reflecting the best available current information regarding the particular practice and the Department’s determination as to the ability of that best management practice to contribute to compliance with the standards contained in this chapter. Alternative stormwater management measures, removal rates, or calculation methods may be utilized, subject to any limitations specified in this chapter, provided the design engineer demonstrates to the municipality, in accordance with Section IV.F. of this ordinance and N.J.A.C. 7:8-5.2(g), that the proposed measure and its design will contribute to achievement of the design and performance standards established by this chapter.

  • Behavioral health provider means a person licensed under 34 chapter 18.57, 18.57A, 18.71, 18.71A, 18.83, 18.205, 18.225, or 18.79

  • Health practitioner means a registered health practitioner registered or licensed as a health practitioner under an appropriate law of the State of Tasmania.

  • Savings association means a Fed- eral savings and loan association or a Federal savings bank chartered under section 5 of the Home Owners’ Loan Act, a building and loan, savings and loan or homestead association or a co- operative bank (other than a coopera- tive bank described in 12 U.S.C. 1813(a)(2)) the deposits of which are in- sured by the Federal Deposit Insurance Corporation, and any corporation (other than a bank) the deposits of which are insured by the Federal De- posit Insurance Corporation that the Office of the Comptroller of the Cur- rency and the Federal Deposit Insur- ance Corporation jointly determine to be operating in substantially the same manner as a savings association, and shall include any savings bank or any cooperative bank which is deemed by the Office of the Comptroller of the Currency to be a savings association under 12 U.S.C. 1467a(1).