(1) The Oregon Health Authority may not require a primary care provider to order a covered care management service, as listed in the schedule developed under subsection (2) of this section, as a condition of reimbursing the costs of the service when: (a) The service is provided to a medical assistance recipient by a registered nurse licensed under ORS 678.010 to 678.415; (b) The service is within the nurses authorized scope of practice; and (c) The patient does not have a primary care provider. (2) The authority shall, in consultation with stakeholders: (a) Develop and maintain a schedule of covered care management services for which a registered nurse may seek reimbursement under this section; and (b) Establish billing and documentation protocols to protect program integrity, including the use of national provider identifiers by registered nurses seeking reimbursement under this section.
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