Matrix for Health Care Provider Types*

Matrix for Health Care Provider Types*

Matrix for health care provider types* Attending physician Authorize payment of Provide compensable Provide compensable Establish impairment status (primarily temporary disability medical services for medical services for findings responsible for and release the aggravation of injury initial injury or illness (permanent disability) treatment of a patient) patient to work or illness Type A attending physician Yes Yes Yes Yes Yes » Medical doctor » Doctor of osteopathic medicine » Oral and maxillofacial surgeon » Podiatric physician and surgeon Type B attending physician Yes, for a total of 60 consecutive Yes, unless the total of 60 Yes, 30 days from the date of No, unless the type B attending No, unless authorized by » Chiropractic physician days or 18 visits, from the date consecutive days or 18 visits from the first visit with any type B physician is a chiropractic attending physician and under a » Naturopathic physician of the initial visit on the initial the date of the initial visit on attending physician on the initial physician. written treatment plan. claim with any Type B attending the initial claim with any Type B claim, if within the specified 18 » Physician assistant (Note: Physician assistants are physician. attending physician has passed. visit period. not required to have a written Or, if authorized by an attending treatment plan.) physician and under a treatment plan. (Note: Physician assistants are not required to have a written treatment plan.) Emergency room physicians No, if the physician refers Yes An ER physician who is No, if the patient is referred to a Yes the patient to a primary care not authorized to serve as primary care physician. physician. attending physician under ORS 656.005(12)(c) may authorize temporary disability for up to 14 days, including retroactive authorization. Authorized nurse No Yes, for 180 consecutive days Yes, for 180 days from the date of No No, unless authorized by the practitioner from the date of the first visit to the first visit with any authorized attending physician. any authorized nurse practitioner nurse practitioner on the initial on the initial claim. claim. Or, if authorized by the attending physician. “Other Health Care No Yes, for 30 consecutive days or No No No, unless referred by the Providers” 12 visits from the date of the first attending physician and under a e.g. acupuncturists visit on the initial claim with any written treatment plan. “Other Health Care Providers.” Thereafter, services must be provided under a treatment plan and authorized by the attending physician. * This matrix does not apply to managed care organizations. This matrix is located in: OAR 436-009, Appendix A OAR 436-010, Appendix A 440-5006ma (3/21/COM).

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