Oregon Statutes 414.764 – Payment for services provided by pharmacy or pharmacist
(1) The Oregon Health Authority may reimburse a pharmacist or pharmacy for any health service:
Terms Used In Oregon Statutes 414.764
- Coordinated care organization: means an organization meeting criteria adopted by the Oregon Health Authority under ORS § 414. See Oregon Statutes 414.025
- Health services: means at least so much of each of the following as are funded by the Legislative Assembly based upon the prioritized list of health services compiled by the Health Evidence Review Commission under ORS § 414. See Oregon Statutes 414.025
- Medical assistance: includes any care or services for any individual who is a patient in a medical institution or any care or services for any individual who has attained 65 years of age or is under 22 years of age, and who is a patient in a private or public institution for mental diseases. See Oregon Statutes 414.025
- Prepaid managed care health services organization: means a managed dental care, mental health or chemical dependency organization that contracts with the authority under ORS § 414. See Oregon Statutes 414.025
(a) Provided to a medical assistance recipient who is not enrolled in a coordinated care organization or a prepaid managed care health services organization;
(b) That is within the lawful scope of practice of a pharmacist; and
(c) If the authority determines the service is within the types and extent of health care and services to be provided to medical assistance recipients under ORS § 414.065.
(2) A coordinated care organization may reimburse a pharmacist or pharmacy for any health service:
(a) Provided to a medical assistance recipient who is enrolled in the coordinated care organization or a prepaid managed care health services organization that enters into a clinical pharmacy agreement with the pharmacist or pharmacy; and
(b) That is within the lawful scope of practice of a pharmacist. [2015 c.362 § 6]