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Oregon Department of Human Services, Division of Medical Assistance Programs (DMAP) will cancel plans to implement the Emergency Department Triage Assessment Fee policy announced following the end of the 2005 legislative session. The policy was scheduled to be implemented in early 2007. The proposed policy would have limited payment to hospitals for treatment provided to Medicaid enrollee treated in an ED setting, unless the treatment was listed on a specifically designed list of conditions developed by DMAP. The triage assessment fee was set at $42 and would have been considered payment in full for any services provided by the ED for a non-listed condition.
OAHHS and member hospitals have argued that existing lack of access to primary care for Oregon Health Plan enrollees, combined with the ED’s challenge of diagnosing to rule out any emergent conditions, put hospital EDs in a position of providing necessary patient care that would not be reimbursed by the state. To read the department's notice, go to
http://www.oregon.gov/DHS/healthplan/stakeholders/canceltriagefee.pdf
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