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A managed care organization (MCO) is a health care provider or group of
medical service providers who contracts with insurers
or self-insured employers to provide a wide variety of managed health
care services to enrolled
workers through participating panel providers. The director of the Department
of Consumer and Business Services (DCBS) must certify these organizations.
The director cannot certify an organization that is formed, owned or operated
by a non-qualifying employer. (Please see OAR
436-015-0005 definitions for health care provider, group of medical
service providers, and non-qualifying employer.)
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