333-006-0120 Newborn Nurse Home Visiting Service Requirements (1) Certified providers must timely offer the home visiting services described in this rule to families with newborns. (2) Certified providers must timely provide the home visiting services as described in this rule unless: (a) The family requests that the services be provided at another time and the provider documents the request in the client's medical record; or (b) The family refuses or elects not to participate in a specific service and the provider documents the refusal in the client's medical record. (3) Certified providers must: (a) Provide a comprehensive newborn nurse home visit within two to twelve weeks of the newborn’s birth. (b) Conduct a post services phone call approximately four weeks after the last services are provided to assess the family’s satisfaction with services and effectiveness of community connections. (4) Certified providers may: (a) Provide a support newborn home visit prior to the comprehensive newborn nurse home visit if the nurse home visitor determines the family has immediate postpartum needs within two weeks of birth. (b) Provide one to two support newborn nurse home visits after the comprehensive newborn nurse home visit based on the clinical assessment of the nurse home visitor at the comprehensive newborn nurse home visit for additional assessment or to ensure community connections. (c) Provide support telephone calls after the comprehensive newborn nurse home visit to ensure community connections are established. (5) Comprehensive newborn nurse home visits must: (a) Be provided by a registered nurse. (b) Be provided in the family’s home, at an alternative location, or via telemedicine services per ORS 333-006-0120(8). (6) Services offered on a comprehensive newborn nurse home visit must include: (a) Caregiver physical assessment (if applicable) according to clinical guidelines approved by the Oregon Health Authority (Authority). (b) Newborn physical assessment according to clinical guidelines approved by the Authority. (c) Systematic assessment of family strengths, risks, and needs according to clinical guidelines approved by the Authority. (d) Screening for intimate partner violence, perinatal mood disorders and substance use using a validated screening tool approved by the Authority. (e) Standardized anticipatory and supportive guidance according to clinical guidelines approved by the Authority. (f) Referrals for identified interventions or community resources as a result of needs identified by the home visitor during the home visit. (7) Support newborn nurse home visits shall be provided by a certified traditional health worker as defined in ORS 414.665 or a registered nurse. (8) If a family declines home visiting services in their home, an alternate location may be offered, and telemedicine services must be offered and delivered in accordance with ORS 743A.058. Declination of home visiting services in the home must be documented in the client's medical record. NOTE: Clinical guidelines approved by the Authority are available on the Authority’s website. Statutory/Other Authority: ORS 413.042 & ORS 433.301 Statutes/Other Implemented: ORS 433.301 History: PH 116-2024, amend filed 12/13/2024, effective 01/01/2025 PH 165-2022, amend filed 07/29/2022, effective 07/29/2022 PH 75-2020, adopt filed 10/27/2020, effective 10/27/2020