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83rd OREGON LEGISLATIVE ASSEMBLY--2025 Regular Session
A-Engrossed
House Bill 3229
Ordered by the House April 7
Including House Amendments dated April 7
Sponsored by Representative NATHANSON; Representatives FRAGALA, GAMBA, WALTERS, Senator GELSER
BLOUIN (Presession filed.)
SUMMARY
The following summary is not prepared by the sponsors of the measure and is not a part of the body thereof subject
to consideration by the Legislative Assembly. It is an editor’s brief statement of the essential features of the
measure. The statement includes a measure digest written in compliance with applicable readability standards.
Digest: The Act makes changes to the OHP provider enrollment process. (Flesch Readability
Score:61.3).
Directs the Oregon Health Authority to expedite the process for enrolling behavioral health
providers in the medical assistance program and study the feasibility of developing and implementing
an automated, online tool for behavioral health provider enrollment applications. Requires a coor-
dinated care organization to render a decision on a behavioral health provider’s request to contract
with the coordinated care organization within 30 days after the coordinated care organization
receives a complete application and to reimburse a contracted behavioral health provider
retroactively to the date that the provider submitted a complete enrollment application to the au-
thority that resulted in the assignment of a provider identification number .
Takes effect on the 91st day following adjournment sine die.
A BILL FOR AN ACT
Relating to provider enrollment in the medical assistance program; and prescribing an effective date.
Be It Enacted by the People of the State of Oregon:
SECTION 1. (1) As used in this section:
(a) “Medical assistance” has the meaning given that term in ORS 414.025.
(b) “Provider” means an individual who is licensed, certified or otherwise authorized to
provide behavioral health care services in this state.
(2) The Oregon Health Authority shall expedite the process for enrolling providers in the
medical assistance program by utilizing separate workflows to process:
(a) Initial applications for enrollment;
(b) Administrative changes to a provider’s enrollment, including a change in the
provider’s contact information or employer; and
(c) Credentialing changes to a provider’s enrollment, including updates to a provider’s
licensure or certification.
(3) If the authority approves an application in error, the authority shall notify both the
applicant contact and the applicant’s employer of the error.
SECTION 2. (1) As used in this section:
(a) “Medical assistance” has the meaning given that term in ORS 414.025.
(b) “Provider” has the meaning given that term in section 1 of this 2025 Act.
(2) The Oregon Health Authority shall study the feasibility of developing and implement-
ing an automated, online tool for applications to enroll providers in the medical assistance
program that would:
NOTE:Matter in boldfaced type in an amended section is new; matter [italic and bracketed] is existing law to be omitted.
New sections are in boldfaced type.
LC 1548 A-Eng. HB 3229
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(a) Simplify the processes for initial provider enrollment applications and changes to a
provider’senrollment;
(b) Utilize rule-based programming to ensure that an application includes all required
information before the application may be submitted; and
(c) Enable providers and provider organizations to view the status of a pending applica-
tion.
(3) The authority shall submit a report on the study conducted under this section, in the
manner provided by ORS 192.245, to the interim committees of the Legislative Assembly re-
lated to health no later than December 15, 2026, and shall include recommendations about:
(a) Potential short-term improvements that could be made by modifying existing software
or acquiring new tools;
(b) The availability of federal funding to develop and implement the application tool de-
scribed in this section; and
(c) Potential ways that the application tool described in this section could be designed
and utilized to expedite the processing of provider enrollment applications.
SECTION 3. Section 2 of this 2025 Act is repealed on January 2, 2027.
SECTION 4.In addition to and not in lieu of any other appropriation, there is appropri-
ated to the Oregon Health Authority, for the biennium beginning July 1, 2025, out of the
General Fund, the amount of $_______, which may be expended for funding temporary staff
positions at the authority to reduce to 14 days the processing time for applications submitted
by behavioral health care providers seeking to enroll in the medical assistance program.
SECTION 5. (1) As used in this section:
(a) “Coordinated care organization” and “medical assistance” have the meanings given
those terms in ORS 414.025.
(b) “Provider” has the meaning given that term in section 1 of this 2025 Act.
(2) A coordinated care organization shall review and render a decision on a provider’s
request to contract with the coordinated care organization as an in-network provider within
30 days after the coordinated care organization receives a complete application.
(3) For covered services provided by a contracted provider to a medical assistance re-
cipient, a coordinated care organization shall reimburse the provider retroactively to the
date that the provider submitted to the Oregon Health Authority a complete application for
enrollment in the medical assistance program that resulted in the assignment of a provider
identification number.
SECTION 6. Section 5 of this 2025 Act applies to contracts between a coordinated care
organization and a provider entered into, amended or renewed on or after the effective date
of this 2025 Act.
SECTION 7.This 2025 Act takes effect on the 91st day after the date on which the 2025
regular session of the Eighty-third Legislative Assembly adjourns sine die.
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