Or. Admin. Code § 410-122-0300

Current through Register Vol. 63, No. 12, December 1, 2024

Section 410-122-0300 - Light Therapy

(1) The Division may cover home phototherapy when medically appropriate and for the following conditions:

(a) For a term or near-term infant whose elevated bilirubin is not due to a primary hepatic disorder or other hemolytic disorder that requires inpatient care and the American Academy of Pediatrics Clinical Practice Guidelines for management of hyperbilirubinemia with phototherapy are met; The Practice Guidelines are available at https://publications.aap.org/pediatrics/article/150/3/e2022058859/188726/Clinical-Practice-Guideline-Revision-Management-of?autologincheck=redirected

(b) For severe inflammatory skin conditions identified in the Health Evidence Review Commission's Prioritized List of Health Services, guideline note 21.

(2) Documentation Requirements:

(a) For services that require PA: Submit documentation for review that supports conditions of coverage as specified in this rule are met;

(b) For services that do not require PA: Medical records that support conditions of coverage as specified in this rule are met shall be on file with the DMEPOS provider and made available to the Division upon request.

(3) E0202 includes equipment rental, supplies, delivery, set-up, pick-up, training, instruction, and 24 hour on-call service necessary for the effective use of the equipment.

(4) Table 122-0300 Light Therapy.

Or. Admin. Code § 410-122-0300

HR 13-1991, f. & cert. ef. 3-1-91; HR 10-1992, f. & cert. ef. 4-1-92; HR 9-1993 f. & cert. ef. 4-1-93; HR 10-1994, f. & cert. ef. 2-15-94; HR 17-1996, f. & cert. ef. 8-1-96; HR 7-1997, f. 2-28-97, cert. ef. 3-1-97; OMAP 13-1999, f. & cert. ef. 4-1-99; OMAP 37-2000, f. 9-29-00, cert. ef. 10-1-00; OMAP 32-2001, f. 9-24-01, cert. ef. 10-1-01; OMAP 8-2002, f. & cert. ef. 4-1-02; OMAPv 21-2003, f. 3-26-03, cert. ef. 4-1-03; OMAP 44-2004, f. & cert. ef. 7-1-04; OMAP 25-2006, f. 6-14-06, cert. ef. 7-1-06; DMAP 17-2008, f. 6-13-08, cert. ef. 7-1-08; DMAP 11-2016, f. 2-24-16, cert. ef. 3/1/2016; DMAP 101-2023, amend filed 12/29/2023, effective 1/1/2024; DMAP 7-2024, minor correction filed 01/04/2024, effective 1/4/2024

Tables referenced are available from the agency.

To view attachments referenced in rule text, click here to view rule.

Statutory/Other Authority: ORS 413.042 & 414.065

Statutes/Other Implemented: ORS 414.065