Oregon’s legislature approved funding for lines 1-469 of the Prioritized List of Health Services effective 1/1/18. The list is maintained by the Health Evidence Review Commission (HERC). [...]
The Prioritized List of Health Services is maintained by the Health Evidence Review Commission (HERC) and helps determine funding/coverage. The prior authorization grid is maintained by Umpqua [...]
Please review the most current version of the prior authorization grid and also determine diagnosis/procedure code pairing on the Prioritized List of Health Services.