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373-1985 FAX (503) 378-5511 September 1, 2016 OFFICE FOR OREGON HEALTH POLICY & RESEARCH Health Evidence Review Commission Kate Brown, Governor 500 Summer St NE, E-65 Salem, OR 97301 Voice (503) 373-1985 FAX (503) 378-5511 September 1, 2016 The Honorable Peter Courtney The Honorable Tina Kotek Senate President Speaker of the House Oregon State Senate Oregon House of Representatives 900 Court St. NE, S-201 900 Court St NE, Rm 269 Salem, OR 97301 Salem, OR 97301 Dear Senator Courtney and Representative Kotek: The Health Evidence Review Commission of the Oregon Health Authority’s Health Policy & Analytics Division respectfully reports to you that, in accordance with ORS 414.690(7), several interim modifications have been made to the Prioritized List of Health Services appearing in the Health Evidence Review Commission’s May, 2015 Report to the Governor and 78th Oregon Legislative Assembly. In accordance with ORS 414.690(8), the Health Evidence Review Commission is reporting that the revised line items documented in Attachments A and B will supersede the previous definition of these lines. Additionally, the new/revised guideline notes and multisector interventions appearing in Attachments C through G will be associated with the list to better indicate the appropriate and effective use of State resources in the provision of health care to Oregon Health Plan clients. Attachments A and B document the placement of 1463 new ICD-10-CM diagnosis codes on the Prioritized List. 151 ICD-10 codes and 116 CPT codes were removed from lines as inappropriate pairings; four CPT codes were removed from the list due to evidence of ineffectiveness. 3 HCPCS codes, two ICD-10-CM Codes and six CPT codes were added to the Prioritized List as omissions; one HCPCS code, 137 ICD-10-CM codes and seven CPT codes were moved to more appropriate lines. 12 ICD-10 codes and 14 CPT codes were reclassified and thus removed from the Prioritized List. Seven HCPCS Codes, 142 ICD-10-CM codes and 140 CPT codes were each added to one or more lines to add an appropriate pairing. In addition, Attachment C documents the removal of 224 obsolete ICD-10-CM codes. In addition to the changes outlined in Attachments A through C, there are some changes being made to practice guidelines and multisector interventions associated with the Prioritized List. Attachment D shows eight new guidelines, Attachment E includes revisions to thirteen existing guidelines and Attachment F lists five deleted guideline notes. Three of these new/revised guidelines involve changes to reflect recent coverage guidances completed by the Health Evidence Review Commission, developed using systematic reviews of the best evidence available from trusted sources on these topics. Finally, Attachment G shows revisions made to the statement on multisector interventions for tobacco prevention and cessation, which was modified to include interventions found to have evidence of effectiveness specifically during pregnancy. With the implementation of ICD-10-CM on October 1, 2015, a number of errata have been made to the list to reflect previously established commission intent. The errata published since the January 1, 2016 Prioritized List appear in Attachment H. The changes appearing in Attachments A through H are being forwarded to the HSD which, in consultation with the OHA Actuarial Services Unit, will determine if these changes will involve a significant financial impact under the Medicaid Demonstration. If the changes are found to be within the current funding level of the Prioritized List, the HSD will determine the effective date for these changes pending approval from CMS, which will be no earlier than October 1, 2016. In the event any of these technical changes are determined to impact the funding level of the list as defined by HSD’s legislatively authorized budget, we will send a separate notice to you prior to requesting direction from the Joint Ways & Means Committee. OFFICE FOR OREGON HEALTH POLICY & RESEARCH Health Evidence Review Commission Kate Brown, Governor Interim Modifications to the Prioritized List of Health Services 9/1/2016 Page 2 The Health Evidence Review Commission thanks you for the opportunity to continue to serve the citizens of Oregon. Should you have any questions, please feel free to contact the Commission or its staff for clarification. Respectfully submitted, Darren D. Coffman Director Enclosure cc: Health Evidence Review Commission Lynne Saxton, Director, Oregon Health Authority Lori Coyner, State Medicaid Director, Oregon Health Authority Leslie Clement, Director of Policy and Analytics, Oregon Health Authority James Rickards, MD, Chief Medical Officer, Oregon Health Authority BethAnne Darby, External Relations Director, Oregon Health Authority Varsha Chauhan, MD, Chief Health Systems Officer, Oregon Health Authority Mark Fairbanks, Chief Financial Officer, Oregon Health Authority Attachment A Coding Changes to Condition-Treatment Pairs on the Prioritized List of Health Services Approved on January 14, 2016 through August 11, 2016 by the Health Evidence Review Commission Line: 1 Condition: PREGNANCY Treatment: MATERNITY CARE Delete: O33.7 Maternal care for disproportion due to other fetal deformities Add: O33.7XX1 Maternal care for disproportion due to other fetal deformities, fetus 1 Add: O33.7XX2 Maternal care for disproportion due to other fetal deformities, fetus 2 Add: O33.7XX3 Maternal care for disproportion due to other fetal deformities, fetus 3 Add: O33.7XX4 Maternal care for disproportion due to other fetal deformities, fetus 4 Add: O33.7XX5 Maternal care for disproportion due to other fetal deformities, fetus 5 Add: O33.7XX9 Maternal care for disproportion due to other fetal deformities, other fetus Delete: O34.21 Maternal care for scar from previous cesarean delivery Add: O34.211 Maternal care for low transverse scar from previous cesarean delivery Add: O34.212 Maternal care for vertical scar from previous cesarean delivery Add: O34.219 Maternal care for unspecified type scar from previous cesarean delivery Add: O44.20 Partial placenta previa NOS or without hemorrhage, unspecified trimester Add: O44.21 Partial placenta previa NOS or without hemorrhage, first trimester Add: O44.22 Partial placenta previa NOS or without hemorrhage, second trimester Add: O44.23 Partial placenta previa NOS or without hemorrhage, third trimester Add: O44.30 Partial placenta previa with hemorrhage, unspecified trimester Add: O44.31 Partial placenta previa with hemorrhage, first trimester Add: O44.32 Partial placenta previa with hemorrhage, second trimester Add: O44.33 Partial placenta previa with hemorrhage, third trimester Add: O44.40 Low lying placenta NOS or without hemorrhage, unspecified trimester Add: O44.41 Low lying placenta NOS or without hemorrhage, first trimester Add: O44.42 Low lying placenta NOS or without hemorrhage, second trimester Add: O44.43 Low lying placenta NOS or without hemorrhage, third trimester Add: O44.50 Low lying placenta with hemorrhage, unspecified trimester Add: O44.51 Low lying placenta with hemorrhage, first trimester Add: O44.52 Low lying placenta with hemorrhage, second trimester Add: O44.53 Low lying placenta with hemorrhage, third trimester Delete: O70.2 Third degree perineal laceration during delivery Add: O70.20 Third degree perineal laceration during delivery, unspecified Add: O70.21 Third degree perineal laceration during delivery, IIIa Add: O70.22 Third degree perineal laceration during delivery, IIIb Add: O70.23 Third degree perineal laceration during delivery, IIIc Add: Z29.13 Encounter for prophylactic Rho(D) immune globulin Add: 12041 Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.5 cm or less Add: 12042 Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.6 cm to 7.5 cm Add: 13131 Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 1.1 cm to 2.5 cm Add: 13132 Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 2.6 cm to 7.5 cm Line: 2 Condition: BIRTH OF INFANT Treatment: NEWBORN CARE Add: P05.01 Newborn light for gestational age, less than 500 grams Add: P05.02 Newborn light for gestational age, 500-749 grams Add: P05.03 Newborn light for gestational age, 750-999 grams Add: P05.04 Newborn light for gestational age, 1000-1249 grams Add: P05.05 Newborn light for gestational age, 1250-1499 grams Add: P05.06 Newborn light for gestational age, 1500-1749 grams Add: P05.07 Newborn light for gestational age, 1750-1999 grams Add: P05.08 Newborn light for gestational age, 2000-2499 grams Add: P05.09 Newborn light for gestational age, 2500 grams and over Add: P05.11 Newborn small for gestational age, less than 500 grams Add: P05.12 Newborn small for gestational age, 500-749 grams Add: P05.13 Newborn small for gestational age, 750-999 grams Add: P05.14 Newborn small for gestational age, 1000-1249 grams Add: P05.15 Newborn small for gestational age, 1250-1499 grams Add: P05.16 Newborn small for gestational age, 1500-1749 grams Add: P05.17 Newborn small for gestational age, 1750-1999 grams Add: P05.18 Newborn small for gestational age, 2000-2499 grams Add: P05.19 Newborn small for gestational age, other Add: P05.2 Newborn affected by fetal (intrauterine) malnutrition not light or small for gestational age Add: Z05.0 Observation and evaluation of newborn for suspected cardiac condition ruled out Page A-1 Attachment A Coding Changes to Condition-Treatment Pairs on the Prioritized List of Health Services Approved on January 14, 2016 through August 11, 2016
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