(2) The lien does not attach to the amount of any judgment, settlement or compromise to the extent of attorney’s fees, costs and expenses incurred by a recipient in securing such judgment, settlement or compromise and to the extent of medical, surgical and hospital expenses incurred by the recipient on account of the personal injuries for which the recipient had a claim.
(3) The authority may assign the lien described in subsection (1) of this section to a prepaid managed care health services organization or a coordinated care organization for medical costs incurred by a recipient:
(a) During a period for which the authority paid a capitation or enrollment fee or a payment using a global payment methodology; and
(b) On account of the personal injury for which the recipient had a claim.
(4) A prepaid managed care health services organization or a coordinated care organization to which the authority has assigned a lien shall notify the authority no later than 10 days after filing notice of a lien.
(5) For the purposes of ORS 416.510 to 416.610, the authority may designate the prepaid managed care health services organization or the coordinated care organization to which a lien is assigned as its designee.
(6) If the authority and a prepaid managed care health services organization or a coordinated care organization both have filed a lien, the authority’s lien shall be satisfied first. [Formerly 411.558; 2001 c.600 §4; 2009 c.595 §348; 2011 c.602 §51; 2012 c.8 §27]
Structure 2021 Oregon Revised Statutes
Volume : 11 - Juvenile Code, Human Services
Chapter 416 - Recovery and Reimbursement of Aid
Section 416.340 - Collection of claim against estate of deceased; waiver of claim.
Section 416.350 - Recovery of medical assistance; estate claims; transfer of assets.
Section 416.351 - Possible limitation on recovery of certain medical assistance; federal law.
Section 416.510 - Definitions for ORS 416.510 to 416.610.
Section 416.530 - Notice of claim to department, authority or coordinated care organization.
Section 416.550 - Procedure to perfect lien.
Section 416.560 - Form of notice of lien.