AA Ambulance v. Office of Medical Assistance Programs

Petitioner seeks review of a final order of the Office of Medical Assistance Programs (OMAP) denying payment for ambulance services petitioner provided to 22 OMAP clients. Petitioner asserts that OMAP erred in determining that OMAP’s contract with Kaiser Health Plan (Kaiser) did not require Kaiser to pay petitioner. We affirm.

OMAP is an agency within the Oregon Department of Human Resources that administers the Medical Assistance Program. OAR 410-120-000(80). The Medical Assistance Program uses state and federal funds to pay for medical care provided to clients eligible for medicaid. See OAR…