Or. Admin. Code § 836-053-0615
Current through Register Vol. 63, No. 12, December 1, 2024
Section 836-053-0615 - Carrier Reporting Requirements(1) In order to comply with the requirements of section 3, chapter 470, Oregon Laws 2015, not later than December 1, 2015, carriers and third party administrators shall submit the following to the Department of Consumer and Business Services: (a) Information about internal and external education and outreach activities that the carrier or third party administrator will conduct to inform Oregonians about their right to have protected health information redirected. The information reported shall include mechanisms the carrier or third party administrator proposes to use to assess the effectiveness of the education and outreach activities. (b) Baseline data for the period of October 1, 2014 through September 30, 2015 that explains: (A) The total number of requests to redirect confidential information received by the carrier or third party administrator and of these, the number of requests to redirect confidential information that are received via: (B) The timeliness of processing the redirection requests segregated by method of request. (C) The number of complaints and grievances received related to confidential communications. This number must also include the applicable grievances tracked in accordance with OAR 836-053-1080. (D) Total number of enrolled members. (E) Total number of policyholders or certificate holders. (F) Total number of dependent members. (2) Not later than September 1, 2016, carriers and third party administrators shall submit to the department the following data for the period of January 1, 2016 through June 30, 2016: (a)(A) The total number of requests to redirect confidential information received by the carrier or third party administrator and of these, the number of requests to redirect confidential information that are received via: (B) The timeliness of processing the redirection requests segregated by method of request. (C) The number of complaints and grievances received related to confidential communications. (D) Total number of enrolled members. (E) Total number of policyholders or certificate holders. (F) Total number of dependent members. (b) The following information to assist the department in determining the extent and effectiveness of the education and outreach activities conducted by the carrier or third party administrator: (A) Explanation of how and when the process was presented to members; and (B) Copies of outreach and education materials used over the period of January 1, 2016 through June 30, 2016.Or. Admin. Code § 836-053-0615
ID 16-2015, f. 12-29-15, cert. ef. 1/1/2016Stat. Auth: ORS 731.244 & OL 2015, Ch 470 Sections 2 & 3
Stats. Implemented: Ch 470, OL 2015 Ch 470 Sections 2, 3 & 12