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.
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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.
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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.
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Examples of Oregon Health Plan in a sentence

  • 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.

  • Both parties appreciate the efforts that were made to reach an agreement that will allow them to move forward and focus their full efforts and attention on providing quality care to Oregon Health Plan enrollees and transforming health care for Oregonians in the future.

  • CPCCO contracts with the Oregon Health Authority (“OHA”) via a Health Plan Services, Coordinated Care Organization Contract and Cover All Kids Health Plan Services Contract (intentionally referred to in the singular as the “CCO Contract”) to operate as a Coordinated Care Organization for the Oregon Health Plan (“OHP”).

  • Provide facilitated and coordinated intake services and referral to the following services: Clinical Prenatal Care (CPC) Services (such as pregnancy testing, counseling, Oregon Health Plan (OHP) application assistance, first prenatal care appointment); MCH Home Visiting Services); WIC Services; screening for health risks such as Intimate Partner Violence, Smoking, Alcohol and other Drug use; other pregnancy support programs; and other prenatal services as needed.

  • 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 and abuse relating to Oregon Health Plan, Medicare or Medicaid funds.

  • Facility providers furnish professional services to pediatric mental health patients (“Patients”) and those enrolled in the Oregon Health Plan (“OHP”), including Intercept Outpatient Program Services (“Intercept Services”) and Emergency Department (“ED”) Diversion Services (“Diversion Services”).

  • Persons who receive welfare, Medicaid, Office of Medical Assistance Programs, or Oregon Health Plan medical benefits need not be members in order to have full coverage for services covered by these programs.

  • If you are covered under Oregon Health Plan Plus, you may be required to pay a co-pay at the time of service.

  • OHA is distributing this money to organizations that administer the Oregon Health Plan (OHP) dental benefit based on a relative percentage of the OHP dental funding received by CCOs and DCOs from January through August 2021.

  • These Services shall be provided to individuals who are not eligible for the Oregon Health Plan or otherwise do not have a benefit that covers Services described in this Service Description.


More Definitions of Oregon Health Plan

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).¶
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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.¶
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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”).
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Related to Oregon Health Plan

  • 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,

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

  • 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.

  • 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

  • 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 means any of the following: