410-170-0100 Placement-Related Activities for the Authority’s BRS Contractors and BRS Providers (1) In cases where the Authority is the agency, the BRS contractor shall, and require that its BRS provider, provide the following placement-related activities and all facilities, personnel, materials, equipment, supplies and services, and transportation necessary to provide those activities including but not limited to: (a) For transportation, the BRS contractor shall, and require that its BRS provider, be responsible for the transportation of the BRS client to attend school to the extent not provided by the school district . For transportation to medical, dental, and therapeutic appointments to the extent not provided through the Oregon Health Plan; to recreational and community activities; to places of employment; and to shop for incidental items; (b) For educational and vocational activities, the BRS contractor shall, and require that its BRS provider, have a system in place to meet the educational and vocational needs of the BRS client in its program either on-site or at an off-site location or a combination of the two; (c) Recreational, social, and cultural activities: (A) The BRS contractor shall, and require that its BRS provider, provide recreation time for the BRS client daily and offer activities that are varied in type to allow BRS clients to obtain new experiences. The BRS contractor shall, and require that its BRS provider, document recreation as having been provided by recording the type of activity the BRS client participated in and the date it occurred; (B) The BRS contractor shall, and require that its BRS provider, provide each BRS client at least one opportunity per week to participate in recreational activities in the community, unless the BRS client is clearly unable to participate in offsite activities due to safety issues. If a BRS client is restricted from participation in community recreation, the BRS contractor shall, and require that its BRS provider, document the reason in the BRS client’s case file, and the reason must be reviewed regularly to ensure that the BRS client is not unnecessarily restricted from offsite activities. The BRS contractor shall, and require that its BRS provider, offer any BRS client who is restricted from community activities alternative opportunities for recreation on-site; (C) The BRS contractor shall, and require that its BRS provider, provide access to or make available social and cultural activities for the BRS clients as part of the therapeutic milieu of the program. These activities are to promote the BRS client’s normal development and help broaden the BRS client’s understanding and appreciation of the community, arts, environment, and other cultural groups; (D) The BRS contractor must not, and ensure that its BRS provider does not, permit BRS clients to participate in recreational activities that present a higher level of risk to BRS clients without pre-approval by the caseworker. This applies to activities that require a moderate to high level of technical expertise to perform safely, present environmental hazards, or where special certification or training is recommended or required such as: whitewater rafting, rock climbing, ropes courses, activities on or in any body of water where a certified lifeguard is not present and on duty, mountain climbing, and using motorized yard equipment. (d) The BRS contractor shall, and require that its BRS provider, provide adequate opportunities for the BRS clients to complete homework assignments with assistance from staff if needed. (2) The BRS contractor shall, and require that its BRS provider, facilitate the BRS client’s access to other providers whenever identified needs are not met within the scope of services offered by the program. If health care services are needed but the program is unable to access the needed services for the BRS client, the BRS contractor shall, and require that its BRS provider, immediately notify the caseworker about this in writing and document its unsuccessful efforts to access healthcare for the BRS client in the BRS client’s case file: (a) If there is no record that the BRS client received a physical examination within the six months immediately prior to the BRS client’s placement with its program, the BRS contractor shall, and require that its BRS provider, ensure or make every effort to ensure that the BRS client receives a general medical checkup consistent with the OHP or health insurance allowances within 30 days of placement. The BRS contractor shall, and require that its BRS provider, keep documentation of this procedure in the BRS client’s file and send a copy to the BRS client’s caseworker; (b) The BRS contractor shall, and require that its BRS provider, ensure that services are provided for each BRS client’s mental health, physical health (including alcohol and drug treatment services), dental, and vision needs. This does not include paying the cost of services or medications that are covered by the OHP or by the BRS client’s third party private insurance coverage. For services or medications not covered by OHP or third party private insurance, the BRS contractor shall, and ensure that its BRS provider, notify and work with the caseworker to resolve payment issues; (c) The BRS contractor shall, and require that its BRS provider, administer and monitor medications consistent with all applicable licensing rules and the program’s own medication management policy. (3) The Authority’s BRS contractor, if not also the BRS provider, is responsible for ensuring its BRS provider provides the placement-related activities to the BRS client as described in this rule. Statutory/Other Authority: ORS 413.042 & 414.065 Statutes/Other Implemented: ORS 414.065 History: DMAP 60-2020, amend filed 12/10/2020, effective 12/27/2020 DMAP 30-2020, temporary amend filed 06/26/2020, effective 07/01/2020 through 12/27/2020 DMAP 118-2018, amend filed 12/26/2018, effective 01/01/2019 DMAP 63-2013, f. 11-14-13, cert. ef. 1-1-14