Or. Admin. Code § 411-200-0040

Current through Register Vol. 63, No. 10, October 1, 2024

Section 411-200-0040 - Limitations of Payments

(1) A vendor or consultant who has entered into a price agreement or contract with one part of the Department to provide identified services must provide the same services at the same price to the Department if requested.

(2) The vendor must accept the fees prescribed by these rules as payment in full. If a vendor's usual and customary fee for a service exceeds the fee prescribed by these rules, a client or the client's family may not be liable to the vendor for any portion of a vendor's usual and customary fee unless the client or the client's family agrees in writing to assume the additional charges. Without such explicit agreement, the vendor must accept the Department's payment as payment in full.

(3) A consultant may be reimbursed a fee of $56.46 for a missed appointment, or those cancelled by the DDS with less than 48 hours/two (2) business days' notice. A consultant may consider an appointment missed if a claimant is more than 15 minutes late following the appointed time and, consequently, the examination cannot be performed.

(4) A consultant is not reimbursed for the time to travel to or from an authorized consultative examination.

Or. Admin. Code § 411-200-0040

SDSD 4-2002, f. & cert. ef. 6-12-02; SPD 12-2005, f. & cert. ef. 9-26-05; SPD 12-2006, f. 3-23-06, cert. ef. 4-1-06; SPD 9-2011, f. 4-29-11, cert. ef. 5-1-11; APD 1-2014, f. 1-27-14, cert. ef. 2-1-14; APD 43-2021, temporary amend filed 10/13/2021, effective 10/15/2021 through 4/12/2022; APD 18-2022, amend filed 03/29/2022, effective 4/1/2022

Statutory/Other Authority: ORS 410.070

Statutes/Other Implemented: ORS 410.070