Oregon law describes Medicaid payments for emergency medical services

Eligible providers can receive Medicaid supplemental payments from the Oregon Health Authority or a coordinated care organization. A provider must employ Oregon-licensed emergency medical services workers and be owned or operated by local government, a state agency, or a federally recognized tribe. Federal law must allow the payments, and the provider must have an agreement with the authority or a contract with a coordinated care organization to serve Medicaid recipients. Providers must supply required records and agree to repay the authority for administration costs. Payments cannot exceed the provider's actual service costs minus reimbursement available from other public and private sources. The act says it takes effect on passage.

The Oregon Health Authority must develop and run a funding mechanism for emergency services covered by coordinated care organizations. The mechanism covers emergency services for coordinated care organization members. Federal law must allow the mechanism, and provider and coordinated care organization participation is voluntary. The organization must increase provider reimbursement by an amount set by the authority; the increase must be at least actuarially equivalent to the supplemental reimbursement described in ORS 413.234. Providers must provide required records and agree to repay the authority's administration costs. General funds may be used only as needed to certify that spending qualifies for federal matching funds. The act says it takes effect on passage.