Rules, Bulletins, and Forms
For health care providers

Rules

Oregon Medical Fee and Payment Rules

Medical Services Rules

Managed Care Organizations Rules

Bulletins

Bulletin 352 - Fee Discount Agreement form and reporting - Effective Jan. 1, 2009
associated form(s): 3659

Bulletin 361 - Clinical justification for certain drugs -- Effective 4/1/11
associated form(s): 4909

Forms

Chiropractic Physician's Statement of Certification (3648)

Elective Surgery Notification (3228)

For instruction see 309

Fee Discount Agreement (3659)

For instruction see 352

Invasive Medical Procedure Authorization (Autorización para Procedimiento Médico Invasivo) (3227)

For instruction see 308

Lower Extremity Range of Motion (4841)

For instruction see 239

Medical forms order form (3210)

Naturopathic Physician's Statement of Certification (3651)

Notice of Intent to Form a Managed Care Organization. (2737)

Nurse Practitioner's Statement of Authorization (2882)

Pharmaceutical Clinical Justification for Workers' Compensation (4909)

For instruction see 361

Physician Assistant's Statement of Certification (3650)

Podiatric Physician's Statement of Certification (3649)

Release to Return to Work (3245)

For instruction see 292

Reporte del Trabajador y del Proveedor Médico para Reclamaciones de Compensación para Trabajadores (827s) (827s)

For instruction see 292 307

Request for Release of Medical Records for Oregon Workers' Compensation Claim (2476)

For instruction see 281

Shoulder Range of Motion (4842)

For instruction see 239

Solicitud para Divulgar Expedientes Médicos para Reclamación de Compensación para Trabajadores de Oregon (Request for Release of Medical Records for Oregon Workers' Compensation Claim) (2476s) (2476s)

Spinal (Cervical) Range of Motion (2278c)

For instruction see 239

Spinal (Lumbar) Range of Motion (2278L)

For instruction see 239

Spinal (Thoracic) Range of Motion (2278T)

For instruction see 239

Upper Extremity Range of Motion Deformity/Deviation Amputation and Sensation (2279)

For instruction see 239

Visual Impairment (2312)

For instruction see 239

Worker's and Health Care Provider's Report for Workers' Compensation Claim (827)

For instruction see 292