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Medicare Data Requirements in Oregon

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        In addition to the requirements governing the information about any individual receiving medical assistance in the state, Oregon has specific requirements related to Medicare providers.  Medicare providers must maintain a medical record for every client and keep such records for three years after the Medicare audit has been finalized; all such records are subject to review and inspection by the Division of Medical Assistance and the Department of Health and Human Services.1

        Additionally, all insurers providing coverage to Medicare beneficiaries must report health care data for use in evaluating the demands for and allocation of healthcare resources.2

 

Footnotes

  • 1. Or. Admin. R. 410-125-1040
  • 2. Or. Rev. Stat. §442.466

 

Medicare Data Requirements in Oregon

Subtopic Statute/Regulation Description
Medicare Data Requirements Or. Admin. R. 407-014-0020 - Uses and Disclosures of Client or Participant Protected Information The Department of Human Services, Administrative Services Division must obtain a completed and signed authorization for release of information from...
Or. Admin. R. 410-121-4010 - Reporting Requirements Within one week of dispensing a controlled substance to a Division of Medical Assistance Program fee-for-service client, pharmacies must...
Or. Admin. R. 410-125-1040 - Accounting and Record Keeping All Medicare records must be kept for three years after the Medicare audit has been finalized.  Hospitals are required to make their financial...
Or. Admin. R. 411-045-0100 - Confidentiality and Reporting Each Program of All-Inclusive Care for the Elderly (PACE) must have written policies and procedures to assure that participants’ clinical...
Click on the individual state law in the table above to see our summary of the individual law.


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