[Birthcenter] FW: Upcoming RAC – Proposed rule change for Out-of-Hospital Births (OOHB)

[Bernal Mellony C]

Please see the information below and attached regarding proposed administrative rule change to end mandatory disenrollment of CCO members who wish to seek out-of-hospital births. Please contact cco2.0rulemaking at dhsoha.state.or.us<mailto:cco2.0rulemaking at dhsoha.state.or.us> if you have any questions.

Thank you.

Mellony Bernal
HCRQI Program Improvement and Administrative Rules Policy Analyst
OREGON HEALTH AUTHORITY
Public Health Division
Health Care Regulation and Quality Improvement

________________________________

Dear providers and interested parties:

In August, the Oregon Health Authority (OHA) is convening a series of Rule Advisory Committees (RACs) to help develop updated administrative rules for the coordinated care organizations (CCOs) that serve almost one million Oregon Health Plan (OHP) members. OHA is seeking representation on the RACs from CCOs, OHP members served by CCOs, and health care providers, as well as subject-matter experts, advocates, and health systems stakeholders.

A proposed administrative rule change to end mandatory disenrollment of CCO members who wish to seek Out-of-Hospital Birth (OOHB) coverage will be presented at a RAC on Wednesday, August 7, 2019.

In addition, an opportunity to engage with OHA Medicaid is scheduled in September to continue conversations focusing on reimbursement for OOHB providers and fee-for-service (FFS) prior authorization processes.  Please mark your calendar for 2 p.m. on September 24, 2019. The meeting will take place in room 137-D, Human Services Building, 500 Summer Street NE, Salem, Oregon 97301.

To participate as a RAC member, please view our fact sheet for specific RAC topics, dates and times<https://www.oregon.gov/oha/HSD/Documents/CCO%202.0%20RAC%20Meetings.pdf>. Then email cco2.0rulemaking at dhsoha.state.or.us<mailto:cco2.0rulemaking at dhsoha.state.or.us> with the specific RACs you want to participate in by 5 p.m. Wednesday, July 31. You can also subscribe to RAC notices at Health Systems Rule Advisory Committee Information<https://www.oregon.gov/OHA/HSD/Pages/RAC.aspx>.

To participate in the public meeting regarding reimbursement and the prior authorization process, please join us at the meeting on September 24. (Meeting details listed above)

Please see attached for the full memo to CCOs, OOHB providers regarding upcoming Rules Advisory Committees. You can also find the announcement online: CCO and OOHB provider RAC announcement<https://www.oregon.gov/oha/HSD/OHP/Announcements/CCO%20and%20OOHB%20provider%20RAC%20Announcement%20-%20July%2024%202019.pdf>.
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