Relating to behavioral health.
What changed between versions
Modified contract requirements between the Oregon Health Authority and providers to ensure services support individual progress toward clinical goals rather than just leading to meaningful life improvement.
Enhanced reporting requirements for coordinated care organizations to include more detailed data on claim denials, appeal outcomes, and network provider payment percentages.
Added requirement that nonquantitative treatment limitations for behavioral health must be applied no more stringently than those for medical/surgical treatments.
Added detailed definitions for behavioral health coverage, mental health treatment and services, and substance use disorder treatment and services with specific diagnostic criteria references.
Removed the sunset provision that would have repealed Section 1 on January 2, 2027, making the behavioral health changes permanent.