(1) As used in this section: (a) Eligible claim means a claim for reimbursement of the cost of a health care item or service that is: (A) Covered by the state medical assistance program; and (B) Within the scope of a written care coordination agreement between an Indian health care provider and a nontribal health care provider. (b) Enhanced federal match means 100 percent federal matching funds under 42 U.S.C. 1396d(b). (c) Indian health care provider means an: (A) Urban Indian organization as defined in 25 U.S.C. 1603(29); or (B) Indian Health Service facility as referenced in 42 U.S.C. 1396d(b). (2) If enhanced federal match is available to this state under 42 U.S.C. 1396d(b), the Oregon Health Authority shall: (a) Maintain a process to identify eligible claims for items or services that: (A) Are furnished by nontribal health care providers that are enrolled in the state medical assistance program; and (B) Qualify for enhanced federal match under rules or guidance issued by the Centers for Medicare and Medicaid Services; and (b) Establish a mechanism to return a portion of the enhanced federal match to the Indian health care provider that has a written care coordination agreement with the nontribal health care provider to furnish the item or service. Note: 413.241 was enacted into law by the Legislative Assembly but was not added to or made a part of ORS chapter 413 or any series therein by legislative action. See Preface to Oregon Revised Statutes for further explanation.
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