Change to sterilization consent requirements effective 1/1/2019
Starting January 1, 2019, the Oregon Health Authority (OHA) will no longer require a sterilization consent form for procedures that are unrelated to voluntary sterilization but would result in sterilization (such as ovarian cancer surgery). This means:
Starting January 1, some claims will process without suspending for a consent form. However, some claims will continue to suspend for additional information, such as chart notes. In these cases, providers will need to submit documentation that shows:
To learn more about OHA’s sterilization consent requirement, see Oregon Administrative Rule 410-130-0580.
Ambulatory surgical centers can bill OHA for post-procedure long-acting reversible contraceptive placement effective 1/1/2019
Starting January 1, 2019, OHA will pay for long-acting reversible contraceptive (LARC) placement provided in an ambulatory surgical center (ASC) to Oregon Health Plan (OHP) members not enrolled in a CCO for physical health care.