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<p><span lang="EN" style="font-size:12.0pt;font-family:"Arial",sans-serif">Date: March 26, 2020<o:p></o:p></span></p>
<p><span lang="EN" style="font-size:12.0pt;font-family:"Arial",sans-serif">TO: Interested Parties<o:p></o:p></span></p>
<p><span lang="EN" style="font-size:12.0pt;font-family:"Arial",sans-serif">FROM: April Kelly, OEBB Rules Coordinator<o:p></o:p></span></p>
<p><span lang="EN" style="font-size:12.0pt;font-family:"Arial",sans-serif">RE: Notice of Temporary Rulemaking for OAR 111-080-0065, "Payment for Hospital Services"<br>
___________________________________________________________________________<o:p></o:p></span></p>
<p><span lang="EN" style="font-size:12.0pt;font-family:"Arial",sans-serif">The Oregon Health Authority, Oregon Educators Benefit Board (OEBB), is temporarily amending OAR 111-080-0065 to clarify how contracted health insurance carriers and third-party administrators
shall pay claims for hospital services to comply with requirements of ORS 243.879. This rule clarification will support consistent implementation of the statutory hospital reimbursement maximum across all of OEBB’s carriers and third party administrators,
and support fiscal stewardship of OEBB health care dollars. The temporary amended rule language takes effect immediately until a permanent rule can be filed.<o:p></o:p></span></p>
<p style="margin:0in;margin-bottom:.0001pt"><strong><span lang="EN" style="font-size:12.0pt;font-family:"Arial",sans-serif">This rulemaking is effective March 18, 2020 – September 13,</span></strong><span lang="EN" style="font-size:12.0pt;font-family:"Arial",sans-serif">
<strong><span style="font-family:"Arial",sans-serif">2020.</span></strong><o:p></o:p></span></p>
<p style="margin:0in;margin-bottom:.0001pt"><span lang="EN" style="font-size:12.0pt;font-family:"Arial",sans-serif"> <o:p></o:p></span></p>
<p style="margin:0in;margin-bottom:.0001pt"><span lang="EN" style="font-size:12.0pt;font-family:"Arial",sans-serif">For more details, please see the attached Statement of Need and Justification and the full text of the temporary rules. In addition, the temporary
rules are posted to the <a href="https://www.oregon.gov/OHA/OEBB/Pages/Admin-Rules.aspx">
OEBB website.</a><o:p></o:p></span></p>
<p><span lang="EN" style="font-size:12.0pt;font-family:"Arial",sans-serif">If you have any questions, please contact me at
<a href="mailto:April.R.Kelly@state.or.us">April.R.Kelly@state.or.us</a> or (503) 378-6588.<o:p></o:p></span></p>
<p><span lang="EN" style="font-size:12.0pt;font-family:"Arial",sans-serif">Thank you,<o:p></o:p></span></p>
<p class="MsoNormal"><b><span style="font-family:"Arial",sans-serif">April Kelly<o:p></o:p></span></b></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif">Program Benefits and Services Coordinator<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif">Oregon Educators Benefit Board / Public Employees’ Benefit Board<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif">Oregon Health Authority – Health Policy and Analytics<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif">Phone: 503-378-6588<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif">Email: </span><a href="April.R.Kelly@state.or.us"><span style="font-family:"Arial",sans-serif">April.R.Kelly@state.or.us</span></a><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></p>
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