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<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif">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 <a href="mailto:cco2.0rulemaking@dhsoha.state.or.us">cco2.0rulemaking@dhsoha.state.or.us</a> if you have any questions.
<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif">Thank you.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif">Mellony Bernal<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Tahoma",sans-serif;color:#232323">HCRQI Program Improvement and Administrative Rules Policy Analyst<br>
OREGON HEALTH AUTHORITY<br>
Public Health Division <br>
Health Care Regulation and Quality Improvement</span><span style="font-size:12.0pt;font-family:"Tahoma",sans-serif;color:#232323"><br>
<br>
</span><span style="font-size:12.0pt;font-family:"Arial",sans-serif"><o:p></o:p></span></p>
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<p><span lang="EN" style="font-size:13.0pt">Dear providers and interested parties:<o:p></o:p></span></p>
<p><span lang="EN" style="font-size:13.0pt">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.<o:p></o:p></span></p>
<p><span lang="EN" style="font-size:13.0pt">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.
<o:p></o:p></span></p>
<p><span lang="EN" style="font-size:13.0pt">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.
<o:p></o:p></span></p>
<p class="Default"><span style="font-size:13.0pt;font-family:"Calibri",sans-serif">To participate as a RAC member, please view our
</span><span style="font-size:13.0pt;font-family:"Calibri",sans-serif;color:windowtext"><a href="https://www.oregon.gov/oha/HSD/Documents/CCO%202.0%20RAC%20Meetings.pdf">fact sheet for specific RAC topics, dates and times</a>.
</span><span style="font-size:13.0pt;font-family:"Calibri",sans-serif">Then email
</span><span style="font-size:13.0pt;font-family:"Calibri",sans-serif;color:windowtext"><a href="mailto:cco2.0rulemaking@dhsoha.state.or.us">cco2.0rulemaking@dhsoha.state.or.us</a>
</span><span style="font-size:13.0pt;font-family:"Calibri",sans-serif">with the specific RACs you want to participate in by
<b>5 p.m. Wednesday, July 31. </b>You can also subscribe to RAC notices at<b> </b>
<a href="https://www.oregon.gov/OHA/HSD/Pages/RAC.aspx">Health Systems Rule Advisory Committee Information</a><b>.<o:p></o:p></b></span></p>
<p><span style="font-size:13.0pt">To participate in the public meeting regarding reimbursement and the
</span><span lang="EN" style="font-size:13.0pt">prior authorization </span><span style="font-size:13.0pt">process, please join us at the meeting on September 24.
<i>(Meeting details listed above)</i></span><span lang="EN" style="font-size:13.0pt"><o:p></o:p></span></p>
<p><span lang="EN" style="font-size:13.0pt">Please see attached for the full memo to CCOs, OOHB providers regarding upcoming Rules Advisory Committees.
</span><span style="font-size:13.0pt">You can also find the announcement online: <a href="https://www.oregon.gov/oha/HSD/OHP/Announcements/CCO%20and%20OOHB%20provider%20RAC%20Announcement%20-%20July%2024%202019.pdf">
CCO and OOHB provider RAC announcement</a>.<o:p></o:p></span></p>
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