reglab/statecodes huggingface dataset:
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 12 - LICENSURE OF SUBSTANCE USE DISORDERS AND PROBLEM GAMBLING RESIDENTIAL TREATMENT AND RECOVERY SERVICES › Section 415-012-0058 - Availability of Information to Coordinated Care Organizations and Other Health Plans

Current through Register Vol. 63, No. 7, July 1, 2024
Upon completion of the site review process and the issuance of
				a license, the Division shall make copies of the following information
				available to Coordinated Care Organizations and other health plans for the
				purpose of credentialing a provider:
(1) A current program description that
			 reflects the type and scope of behavioral health services provided by the
			 applicant;
(2) Provider policies
			 and procedures regarding the provider's credentialing practices of individual
			 clinicians;
(3) Statements of
			 provider's liability insurance coverage;
(4) An attestation from the Authority
			 verifying that the provider has passed a screening and meets the minimum
			 requirements to Medicaid provider;
(5) Reports detailing the findings of the
			 Division's site review of the provider;
(6) The provider's Medicaid Vendor
			 Identification Number issued by the Authority;
(7) Copies of the provider's policies and
			 procedures regarding seclusion and restraint practices; and
(8) Copies of the provider's Code of Conduct.
Statutory/Other Authority: ORS
				  413.042 & ORS
				  430.256
Statutes/Other Implemented: ORS
				  430.010-430.030, ORS
				  430.306, ORS
				  430.397,
				  ORS
				  430.405,
				  ORS
				  430.450,
				  ORS
				  430.630,
				  ORS
				  430.850  & ORS
				  443.400
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 12 - LICENSURE OF SUBSTANCE USE DISORDERS AND PROBLEM GAMBLING RESIDENTIAL TREATMENT AND RECOVERY SERVICES › Section 415-012-0060 - Denial, Revocation, or Nonrenewal

Current through Register Vol. 63, No. 7, July 1, 2024
The Division shall deny an application, a request for renewal,
				or revoke a license when it finds any of the following:
(1) There is a threat to the health, welfare,
			 or safety of an individual or the public;
(2) There is substantiated evidence of abuse,
			 neglect, or mistreatment by the applicant, provider, or provider
			 staff;
(3) The applicant or
			 provider has substantially failed to comply with applicable administrative
			 rules or with local codes and ordinances or any other state or federal law or
			 regulation;
(4) The applicant or
			 provider has had a prior license to operate a substance use disorder or problem
			 gambling treatment program denied, revoked, or refused to be renewed in Oregon
			 within three years preceding the present application for reason of abuse or
			 neglect of individuals:
(a) If a prior
			 denial, revocation, or nonrenewal occurred more than three years from the
			 present action, the applicant or provider shall establish to the Division by
			 clear and convincing evidence of the applicant's, provider's, or
			 administrator's ability and fitness to operate a treatment program;
(b) If the applicant or provider does not
			 provide such evidence, the Division shall deny the application.
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 12 - LICENSURE OF SUBSTANCE USE DISORDERS AND PROBLEM GAMBLING RESIDENTIAL TREATMENT AND RECOVERY SERVICES › Section 415-012-0065 - Suspension of License

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The
			 Division may impose an immediate suspension order as described in section (2)
			 or may issue a notice of intent to suspend as described in section
			 (3).
(2) Immediate suspension
			 orders take effect prior to the opportunity for a hearing. The provider has the
			 opportunity to request a hearing after the immediate suspension order takes
			 effect:
(a) For all licenses under these
			 rules, if the Division finds that the health, safety, or welfare of the public
			 are seriously endangered by continued operation of a treatment or prevention
			 program and sets forth specific reasons for its findings, immediate suspension
			 of a license may be ordered. The provider may request a hearing to contest the
			 immediate suspension order. Requests for a hearing must be received by the
			 Division within 90 days from the date the suspension order was served on the
			 provider personally or was mailed by certified or registered mail. If the
			 provider requests a hearing, the hearing shall be held as soon as
			 practicable;
(b) For licenses
			 issued under ORS
			 443.400-443-465,
			 the Division may also order an immediate suspension if the Division finds that
			 there is imminent danger to the health or safety of the residents, pending a
			 fair hearing not later than the 10th day after such suspension pursuant to ORS
			 443.440.
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 12 - LICENSURE OF SUBSTANCE USE DISORDERS AND PROBLEM GAMBLING RESIDENTIAL TREATMENT AND RECOVERY SERVICES › Section 415-012-0067 - Response to Criminal Records

Current through Register Vol. 63, No. 7, July 1, 2024
(1)
			 The Division may deny, refuse to renew, suspend, or revoke a license if:
(a) Any of the program's staff within the
			 previous three years has been convicted of:
(A) Any crime or violation under ORS chapter
			 475 including but not limited to the Uniform Controlled Substances Act or under
			 ORS
			 813.010 driving under the influence of intoxicants;
(B) A substantially similar crime or
			 violation in any other state; or
(C) Any felony.
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 12 - LICENSURE OF SUBSTANCE USE DISORDERS AND PROBLEM GAMBLING RESIDENTIAL TREATMENT AND RECOVERY SERVICES › Section 415-012-0070 - Hearings

Current through Register Vol. 63, No. 7, July 1, 2024
(1) If a license is
			 subject to a notice of intent to suspend, nonrenew, or revoke:
(a) The provider shall be entitled to a
			 hearing, as outlined in ORS chapter 183, preceding the effective date of the
			 denial, suspension, nonrenewal, or revocation if requested in writing within 21
			 days after receipt of the notice;
(b) If no timely written request is received,
			 the notice shall become the final order by default and the assistant director
			 may designate the Division file as the record for purposes of order by
			 default.
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 12 - LICENSURE OF SUBSTANCE USE DISORDERS AND PROBLEM GAMBLING RESIDENTIAL TREATMENT AND RECOVERY SERVICES › Section 415-012-0075 - Licensure Conditions

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The
			 Division may at any time and at its discretion impose conditions on a license
			 upon a finding that:
(a) There is a threat to
			 the health, welfare, or safety of an individual or the public;
(b) There is substantiated evidence of abuse,
			 neglect, or mistreatment by the applicant, provider, or provider
			 staff;
(c) The applicant or
			 provider employs or contracts with any program staff that fails to meet
			 relevant minimum qualifications described in these rules, service delivery
			 rules, or other applicable law;
(d)
			 The applicant or provider substantially fails to comply with these rules,
			 service delivery rules, or other applicable law; or
(e) The applicant or provider fails to fully
			 implement a Plan of Correction (POC) or adequately maintain a POC.
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 12 - LICENSURE OF SUBSTANCE USE DISORDERS AND PROBLEM GAMBLING RESIDENTIAL TREATMENT AND RECOVERY SERVICES › Section 415-012-0080 - Complaints

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Any person who
			 believes that administrative rules have been violated may file a complaint with
			 the Division:
(a) The Division may require
			 that complainant exhaust grievance procedures available to them through the
			 provider prior to initiation of an investigation;
(b) The Division shall investigate complaints
			 and notify the provider of the results of the investigation and any proposed
			 action.
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 12 - LICENSURE OF SUBSTANCE USE DISORDERS AND PROBLEM GAMBLING RESIDENTIAL TREATMENT AND RECOVERY SERVICES › Section 415-012-0090 - Variances

Current through Register Vol. 63, No. 7, July 1, 2024
(1) A variance
			 request must be made in writing:
(a) For an
			 initial application, it should be included with the application
			 documents;
(b) If the provider is
			 an agency under contract with the local mental health authority, it must submit
			 the request through the local mental health authority to the Division;
			 and
(c) If the provider is not
			 under contract to the local mental health authority, the request should be
			 submitted directly to the Division.
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 20 - STANDARDS FOR OUTPATIENT OPIOID TREATMENT PROGRAMS › Section 415-020-0000 - Purpose

Current through Register Vol. 63, No. 7, July 1, 2024
These rules prescribe standards for the development and
				operation of Opioid Treatment Programs approved by the Health Systems Division
				of the Oregon Health Authority.
Stat. Auth.: ORS
				  430.256
Stats. Implemented: ORS
				  430.010(4)(b)
				  & 430.560 - 430.590
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 20 - STANDARDS FOR OUTPATIENT OPIOID TREATMENT PROGRAMS › Section 415-020-0010 - Program Approval

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Letter of
			 Approval: No person or governmental entity shall operate an Opioid Treatment
			 Program (OTP) without a letter of approval from the State Opioid Treatment
			 Authority in Oregon.
(2)
			 Application: To receive a certificate for the provision of behavioral health
			 treatment services an OTP must meet the criteria under OAR 309-008-0100  to
			 309-008-1600; in addition, the OTP must:
(a)
			 Meet the standards set forth in these rules and any other administrative rules
			 applicable to the program;
(b)
			 Comply with the federal regulations contained in 42 CFR Part 2 and 42 CFR Part
			 8;
(c) Submit documentation of
			 accreditation as an opioid treatment program by an accreditation body approved
			 by the Federal Substance Abuse and Mental Health Services Administration
			 (SAMHSA) under 42 CFR Part 8; and
(d) Specify in the application the identity
			 and financial interest of any person (if the person is a corporation, the name
			 of any stockholder holding stock representing an interest of 5 percent or more)
			 or other legal entity who has an interest of 5 percent or more or 5 percent of
			 a lease agreement for the facility.
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 20 - STANDARDS FOR OUTPATIENT OPIOID TREATMENT PROGRAMS › Section 415-020-0015 - Administrative Requirements

Current through Register Vol. 63, No. 7, July 1, 2024
(1)
			 Administrative Rules: An Opioid Treatment Program which obtains reimbursement
			 for publicly funded services shall comply with the public contracting rules
			 including but not limited to:
(a) OAR
			 309-013-0020;
(b) OAR 309-013-0075  to 309-013-0105;
(c) OAR
			 309-014-0000  to 309-014-0040;
(d)
			 OAR 309-016-0000 to 309-016-0130;
(e) OAR 410-120-0000  through 410-120-1980;
			 and
(f) OAR 410-141-0000  through
			 410-141-0860.
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 20 - STANDARDS FOR OUTPATIENT OPIOID TREATMENT PROGRAMS › Section 415-020-0017 - Patient Records

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Patient
			 Recordkeeping: Each program shall:
(a)
			 Accurately record all information about patients as required by these rules in
			 the permanent patient record;
(b)
			 Maintain each patient record to assure identification, accessibility, uniform
			 organization, and completeness of all components required by these rules and in
			 a manner to protect against damage or separation from the permanent patient or
			 program record;
(c) Keep all
			 documentation current .unless specified otherwise, within seven days of
			 delivering the service or obtaining the information;
(d) Include the signature of the person
			 providing the documentation and service;
(e) Not falsify, alter, or destroy any
			 patient information required by these rules to be maintained in a patient
			 record or program records;
(f)
			 Document all procedures in these rules requiring patient consent and the
			 provision of information to the patient on forms describing what the patient
			 has been asked to consent to or been informed of, and signed and dated by the
			 patient. If the program does not obtain documentation of consent or provision
			 of required information, the reasons must be specified in the patient record
			 and signed by the person responsible for providing the service to the patient;
(g) Require that errors in the
			 permanent record be corrected by lining out the incorrect data with a single
			 line in ink, adding the correct information, and dating and initialing the
			 correction. Errors may not be corrected by removal or obliteration through the
			 use of correction fluid or tape so they cannot be read; and
(h) Permit inspection of patient records upon
			 request by the Division to determine compliance with these rules.
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 20 - STANDARDS FOR OUTPATIENT OPIOID TREATMENT PROGRAMS › Section 415-020-0020 - Patient Rights

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Patient Record
			 Confidentiality: An Opioid Treatment Program (OTP) shall comply with federal
			 regulations (42 CFR part 2, 45 CFR 205.50) and state statutes
			 (ORS 179.505 and
			 430.399) pertaining to
			 confidentiality of patient records.
(2) Informed Consent: Participation in an OTP
			 shall be voluntary. Patients shall be fully informed concerning possible risks
			 and side effects associated with the use of opioid agonist medications,
			 including the effects of alcohol and other drugs taken in combination with
			 these drugs. Programs must inform patients of the differences between the
			 action of all drugs dispensed. The program shall ensure that all relevant facts
			 concerning the use of opioid agonist medications are clearly and adequately
			 explained to the patient and that the patient gives written informed consent to
			 treatment. A copy of the information above, signed by the patient, must be
			 placed in the patient record.
(3)
			 Allowable Restrictions: No person shall be denied services or discriminated
			 against on the basis of age or diagnostic or disability category unless
			 predetermined clinical or program criteria for service restrict the service to
			 specific age or diagnostic groups or disability category.
(4) Policies and Procedures: Each patient
			 shall be assured the same civil and human rights as other persons. Each program
			 shall develop and implement and inform patients of written policies and
			 procedures which protect patients' rights, including:
(a) Protecting patient privacy and
			 dignity;
(b) Assuring
			 confidentiality of records consistent with federal and state laws;
(c) Prohibiting physical punishment or
			 physical abuse;
(d) Prohibiting
			 sexual abuse or sexual contact between patients and staff, including
			 volunteers, interns, and students; and
(e) Providing adequate treatment or
			 care.
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 20 - STANDARDS FOR OUTPATIENT OPIOID TREATMENT PROGRAMS › Section 415-020-0025 - Admission Policies and Procedures

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Admission Criteria: The Opioid Treatment
			 Program (OTP) shall have written criteria for accepting or rejecting admission
			 requests. The criteria shall be available to patients, staff, and the
			 community, and require:
(a) Evidence of
			 current physical dependence on narcotics or opiates as determined by the
			 program physician, medical director, or a qualified nurse practitioner, or
			 physicians' assistant;
(b) A
			 one-year history, immediately prior to admission, of a continuous physical
			 dependence on narcotics or opiates as documented by medical records, records of
			 arrests for possession of narcotics, or records from drug treatment programs;
			 or
(c) Documentation that medically
			 supervised withdrawal or medically supervised withdrawal with acupuncture and
			 counseling has proven ineffective or that a physician licensed by the Oregon
			 Medical Board has documentation in the patient record that there is a medical
			 need to administer opioid agonist medications;
(d) Documentation that an initial urinalysis
			 test has been completed and screened for opiates, methadone, benzodiazepines,
			 barbiturates, cocaine, amphetamines, and Tetrahydrocannabinol (THC);
(e) That each patient voluntarily chooses
			 opioid treatment and that all relevant facts concerning the use of an opioid
			 agonist drug have been clearly and adequately explained;
(f) Documentation that the patient has
			 provided written informed consent to treatment.
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 20 - STANDARDS FOR OUTPATIENT OPIOID TREATMENT PROGRAMS › Section 415-020-0030 - Diagnostic Assessment

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Written
			 Procedure: The Opioid Treatment Program shall develop and implement a written
			 procedure for assessing each patient's treatment needs consistent with
The ASAM Criteria
.
(2) The diagnostic assessment shall be
			 documented in the permanent patient record. It shall consist of the elements
			 described in
The ASAM Criteria
and documentation of the
			 patient's self-identified cultural background. Cultural information documented
			 should include level of acculturation, knowledge of own culture, primary
			 language, spiritual or religious interests, and cultural attitudes toward
			 alcohol and other drug use.
Statutory/Other Authority: ORS
				  430.256
Statutes/Other Implemented: ORS
				  430.010(4)(b)
				  & 430.560 - 430.590
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 20 - STANDARDS FOR OUTPATIENT OPIOID TREATMENT PROGRAMS › Section 415-020-0035 - Treatment Planning and Documentation of Treatment Progress

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The Opioid
			 Treatment Program (OTP) shall develop treatment plans, progress notes, and
			 discharge plans consistent with
The ASAM Criteria
.
(2) Treatment Plan: The OTP shall develop an
			 individualized treatment plan within 30 days of admission and shall be
			 documented in the patient's record. The treatment plan shall:
(a) Describe the primary patient-centered
			 issues;
(b) Focus on one or more
			 individualized treatment plan objectives that are consistent with the patient's
			 strengths and abilities and that address the primary obstacles to
			 recovery;
(c) Define the treatment
			 approach, which shall include services and activities to be used to achieve the
			 individualized objectives;
(d)
			 Document the participation of significant others in the planning process and
			 the treatment where appropriate; and
(e) Document the patient's participation in
			 developing the content of the treatment plan and any subsequent modifications,
			 with the patient's signature.
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 20 - STANDARDS FOR OUTPATIENT OPIOID TREATMENT PROGRAMS › Section 415-020-0040 - Treatment Services General

Current through Register Vol. 63, No. 7, July 1, 2024
(1)
			 Treatment Services: The Opioid Treatment Program (OTP) shall provide patients
			 the following services and activities and document the time or manner of each
			 service or activity in the patient record:
(a)
			 Dispensing of approved opioid agonist medications;
(b) Individual group, or family counseling,
			 as clinically indicated;
(c)
			 Information and training in parenting skills;
(d) HIV, AIDS, tuberculosis, sexually
			 transmitted diseases, and other infectious disease information;
(e) Completion of HIV, TB, STD risk
			 assessment within 30 days of admission;
(f) Relapse prevention training;
			 and
(g) For pregnant patients in a
			 treatment program who were not admitted under OAR 415-020-0025(5), a treatment
			 program shall give them the opportunity for prenatal care. If a program cannot
			 provide direct prenatal care for pregnant patients in treatment, it shall
			 establish a system of referring them for prenatal care, which may be either
			 publicly or privately funded. If there is no publicly funded prenatal care
			 available to which a patient may be referred, and the program cannot provide
			 such services, or the patient cannot afford or refuses prenatal care services,
			 then the treatment program shall, at a minimum, offer them basic prenatal
			 instruction on maternal, physical, and dietary care as a part of its counseling
			 service.
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 20 - STANDARDS FOR OUTPATIENT OPIOID TREATMENT PROGRAMS › Section 415-020-0050 - Transitional Treatment

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The Opioid
			 Treatment Program shall provide transitional care for patients for who
			 continued opioid agonist medication maintenance is no longer deemed
			 appropriate.
(2) Transitional
			 treatment services shall be provided with the purpose of assisting the patient
			 to establish and maintain a stable, drug-free lifestyle. Transitional treatment
			 will help prepare the patient to begin a reduction in opioid agonist medication
			 dosage and shall be continued while the patient undergoes reduction in doses.
			 The treatment shall continue following the final dose of opioid agonist
			 medication, consistent with the clinical needs of the patient and consistent
			 with
The ASAM Criteria
.
Statutory/Other Authority: ORS
				  430.256
Statutes/Other Implemented: ORS
				  430.010(4)(b)
				  & 430.560 - 430.590
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 20 - STANDARDS FOR OUTPATIENT OPIOID TREATMENT PROGRAMS › Section 415-020-0053 - Unsupervised Use of Opioid Agonist Medications

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Any patient in comprehensive maintenance
			 treatment may receive a single take-home dose for a day that the clinic is
			 closed for business, including Sundays, and state or federal holidays.
(2) Decisions on dispensing opioid
			 treatment medications to patients for unsupervised use shall be made by the
			 program medical director. In determining whether a patient is responsible in
			 handling opioid medications and may be permitted unsupervised use, the medical
			 director shall consider the following criteria;
(a) Absence of drugs of abuse, including
			 alcohol;
(b) Regularity of program
			 attendance;
(c) Absence of serious
			 behavioral problems at the program;
(d) Absence of criminal activity while
			 enrolled at the program;
(e)
			 Stability of the patient's home environment and social relationships;
(f) Length of time in
			 comprehensive maintenance treatment;
(g) Assurance that take-home medication can
			 be safely stored in the patient's home; and
(h) Whether the rehabilitative benefit the
			 patient derives from decreasing the frequency of program attendance outweighs
			 the potential risks of diversion.
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 20 - STANDARDS FOR OUTPATIENT OPIOID TREATMENT PROGRAMS › Section 415-020-0054 - Diversion Control Plan

Current through Register Vol. 63, No. 7, July 1, 2024
Each Opioid Treatment Program shall have a diversion control
				plan to reduce possibilities for diversion of controlled substances from
				legitimate treatment to illicit use. The plan shall include the
				following;
(1) A mechanism for
			 continuous monitoring of clinical and administrative activities, to reduce the
			 risk of medication diversion; and
(2) A mechanism for problem identification,
			 prevention, and correction of diversion problems.
Stat. Auth.: ORS
				  409.410 &
				  409.420
Stats. Implemented: ORS
				  430.010(4)(b)
				  & 430.560 -
				  430.590
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 20 - STANDARDS FOR OUTPATIENT OPIOID TREATMENT PROGRAMS › Section 415-020-0060 - Medically Supervised Withdrawal

Current through Register Vol. 63, No. 7, July 1, 2024
(1) This section contains special provisions
			 that apply to medically supervised withdrawal. Except as otherwise noted in
			 this section, all requirements in the other sections of this rule apply to
			 medically supervised withdrawal as well as comprehensive maintenance treatment
			 patients.
(2) Admission Criteria:
			 The opioid treatment program must establish current physical dependence on
			 narcotics or opiates by way of grade 2 withdrawal symptoms. A one year history
			 of dependence is not required for medically supervised withdrawal.
(3) Readmissions: Patients with two or more
			 unsuccessful medically supervised withdrawal episodes within a 12 month period
			 must be assessed by the Opioid Treatment Program physician for other forms of
			 treatment. A program shall not admit a patient for more than two medically
			 supervised withdrawal episodes in one year.
(4) Medically Supervised Withdrawal Contract:
			 Before initial dosing of the patient, the program shall develop a contract with
			 the patient that shall be dated and signed by the counselor and the patient,
			 and shall specify:
(a) Maximum length of
			 medically supervised withdrawal treatment, which may not exceed 180 days, and a
			 rationale for the length chosen. Subsequent changes in length of medically
			 supervised withdrawal must also be accompanied by a rationale.
(b) Required abstinence from alcohol and
			 other drugs during medically supervised withdrawal treatment;
(c) Required counseling contacts;
(d) Take-out dose limits;
(e) Consequences regarding missed doses;
(f) Urine drug screening
			 procedures;
(g) Consequences of
			 failure to carry out the medically supervised withdrawal contract including
			 involuntary termination;
(h)
			 Criteria for involuntary termination
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 20 - STANDARDS FOR OUTPATIENT OPIOID TREATMENT PROGRAMS › Section 415-020-0065 - Opioid Agonist Medication Administration

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The Opioid Treatment Program (OTP) shall
			 meet the following standards for opioid agonist medication for administration:
(a) Methadone shall be administered only in
			 oral form and shall be formulated in such a way as to reduce its potential for
			 abuse by injection and accidental ingestion;
(b) Packaged for outpatient use in special
			 packaging as required by  16 CFR Part 1700.14.
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 20 - STANDARDS FOR OUTPATIENT OPIOID TREATMENT PROGRAMS › Section 415-020-0070 - Medical Services

Current through Register Vol. 63, No. 7, July 1, 2024
(1) There shall
			 be at least one program physician, licensed nurse practitioner or licensed
			 physicians' assistant available to supervise the initial medical evaluation,
			 supervise follow-up care and to supervise the patient medication schedules, who
			 is licensed under the appropriate State law and registered under the
			 appropriate State and Federal laws to order narcotic drugs for
			 patients.
(2) The licensed
			 physician, licensed nurse practitioner or licensed physicians' assistant
			 assumes responsibility for the amounts of narcotic drugs administered or
			 dispensed and shall record and countersign all changes in the dosage
			 schedule.
(3) Licensed nurse
			 practitioners or licensed physicians' assistants are only allowed to order and
			 approve dosages or changes in dosage schedule if the program in question has
			 received prior approval from the State Opioid Treatment Authority or their
			 designated alternate.
(4)
			 Administering of narcotic agonist medications shall be performed by a
			 registered nurse, licensed practical nurse, or other healthcare professional
			 authorized by federal and state law to administer narcotic agonist medications
			 under the direction and supervision of the program administrator.
(5) Dispensing services shall be provided
			 under the direction and supervision of the program physician, provided that the
			 agent is a pharmacist or other healthcare professional authorized under federal
			 and state law to dispense narcotic agonist medications.
(6) The medical director shall assure that
			 the program's medical services are in full compliance with the standards,
			 ethics, and licensure requirements of the medical profession and these
			 rules.
(7) The program shall adopt,
			 maintain, and implement written procedures for acquiring patient physical
			 examinations including medical histories and any laboratory tests or other
			 special examination required by the medical director including the required
			 content of those examinations and procedures. The medical director shall review
			 and approve all such examination procedures. Physical examinations shall be
			 completed before administering the first dose of an opioid agonist
			 medication.
(8) The opioid
			 treatment program shall adopt, maintain, and implement a policy and procedure
			 to maintain the health and safety of patients and staff. This shall include:
(a) Control measures for infectious diseases
			 such as hepatitis, tuberculosis, and AIDS;
(b) Informed consent for testing and medical
			 treatment; and
(c) Medication
			 monitoring.
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 20 - STANDARDS FOR OUTPATIENT OPIOID TREATMENT PROGRAMS › Section 415-020-0075 - Specific Staff Qualifications and Competencies

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Medical Director Qualifications: The
			 Medical Director must be a physician licensed by the Oregon Board of Medical
			 Examiners and whose license enables him or her to order, dispense, and
			 administer opioid agonist medications. In addition, the Opioid Treatment
			 Program (OTP) shall document that the Medical Director has completed a minimum
			 of 12 hours per year of continuing education specific to the treatment of
			 addiction disorder.
(2)
			 Administrator - Qualifications: Each OTP shall be directed by a person with the
			 following qualifications at the time of hire and continuously throughout
			 employment as the program administrator:
(a)
			 Five years of paid full-time experience in the field of substance use
			 treatment, including experience in an OTP with at least one year in a paid
			 administrative capacity; or
(b) A
			 Bachelor's degree in a relevant field and four years of paid full-time
			 experience in the field of alcohol and drug treatment, including experience in
			 an OTP with at least one year in a paid administrative capacity; or
(c) A Master's degree in a relevant field and
			 three years of paid full-time experience in the field of alcohol and drug
			 treatment, including experience in an OTP with at least one year in a paid
			 administrative capacity.
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 20 - STANDARDS FOR OUTPATIENT OPIOID TREATMENT PROGRAMS › Section 415-020-0080 - Volunteers

Current through Register Vol. 63, No. 7, July 1, 2024
An Opioid Treatment Program utilizing volunteers shall have the
				following standards for volunteers:
(1) Policy Required: A written policy
			 regarding the use of volunteers that shall include:
(a) Specific tasks and responsibilities of
			 volunteers;
(b) Procedures and
			 criteria used in selecting volunteers, including sobriety requirements for
			 individuals recovering from the disease of alcohol or other drug
			 abuse;
(c) Specific accountability
			 and reporting requirements of volunteer; and
(d) Specific procedure for reviewing the
			 performance of volunteers and providing direct feedback to them.
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 20 - STANDARDS FOR OUTPATIENT OPIOID TREATMENT PROGRAMS › Section 415-020-0085 - Building Requirements

Current through Register Vol. 63, No. 7, July 1, 2024
(1)
			 Applicable Codes: Each Opioid Treatment Program shall maintain up-to-date
			 documentation verifying that they meet applicable building codes, and state and
			 local fire and safety regulations. The program must check with local government
			 to make sure all applicable local codes have been met.
(2) Space Where Services Provided: Each
			 Opioid Treatment Program shall provide space for services including but not
			 limited to intake, assessment and, counseling, and telephone conversations
			 that assures the privacy and confidentiality of clients and is furnished in an
			 adequate and comfortable fashion including plumbing, sanitation, heating, and
			 cooling.
(3) Disabled
			 Accessibility: Programs shall be accessible to persons with disabilities
			 pursuant to Title II of the Americans with Disabilities Act if the program
			 receives any public funds or Title III of the Act if no public funds are
			 received.
(4) Emergency
			 Procedures: Programs shall adopt and implement emergency policies and
			 procedures, including an evacuation plan and emergency plan in case of fire,
			 explosion, accident, death or other emergency. The policies and procedures and
			 emergency plans shall be current and posted next to the telephone used by
			 staff. In addition, programs shall maintain a 24 hour telephone answering
			 capability to respond to facility and patient emergencies;
(5) Disaster Plan: The program must develop
			 and regularly update a disaster plan that outlines the program response to
			 disasters of human or natural origin that may render the program's facility
			 unusable. The plan must address the following;
(a) How emergency dosing will be implemented;
			 and
(b) Identification of
			 emergency links to other community agencies.
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 20 - STANDARDS FOR OUTPATIENT OPIOID TREATMENT PROGRAMS › Section 415-020-0090 - Variances

Current through Register Vol. 63, No. 7, July 1, 2024
Requirements and standards for requesting and granting
				variances or exceptions are found in OAR 309-008-1600.
Stat. Auth.: ORS
				  430.256
Stats. Implemented: ORS 183, 430.560 &
				  430.590
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 20 - STANDARDS FOR OUTPATIENT OPIOID TREATMENT PROGRAMS › Section 415-020-0095 - Mobile Opioid Treatment Programs and Medication Units

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Letter of
			 Approval: No person or governmental entity shall operate a mobile Opioid
			 Treatment Program or medication unit without a letter of approval and
			 certification from the State Opioid Treatment Authority in Oregon.
(2) Application Requirement: Any entities
			 seeking to operate a Mobile Opioid Treatment Program or Medication Unit must
			 submit to the Division an application request and receive a certificate of
			 approval for the provision of behavioral health treatment services as a Mobile
			 Opioid Treatment Program or medication unit a program must meet the criteria
			 under OAR 309-008-0100  to 309-008-1600; in addition, the Opioid Treatment
			 Program must:
(a) Meet the standards set forth
			 in these rules and any other administrative rules applicable to the
			 program;
(b) Be affiliated or
			 subsidiary of an established State of Oregon licensed non-mobile Opioid
			 Treatment Program;
(c) Comply with
			 the federal regulations contained in 42 CFR Part 2, 42 CFR Part 8,  21 CFR 1300, 21 CFR 1301, and  21 CFR 1304 ; and
(d) Opioid treatment programs shall develop
			 operational plans for each mobile unit operated by the program. Plans shall at
			 a minimum address the following area;
(A)
			 Staffing;
(B) Security;
(C) Weather related issues;
(D) Mechanical issues or failure of the
			 unit;
(E) Unexpected closure of the
			 unit due to any other circumstance, including human caused events;
			 and
(F) Communication to clients
			 and public related to mobile site location(s) or closures.
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 20 - STANDARDS FOR OUTPATIENT OPIOID TREATMENT PROGRAMS › Section 415-020-0096 - Mobile Opioid Treatment Programs and Medication Units

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Letter of Approval: No person or
			 governmental entity shall operate a Mobile Opioid Treatment Program or
			 medication unit without a letter of approval and certification from the State
			 Opioid Treatment Authority in Oregon.
(2) Application Requirement: All entities
			 seeking to operate a Mobile Opioid Treatment Program or Medication Unit must
			 submit to the Division an application request and receive a certificate of
			 approval for the provision of behavioral health treatment services as a Mobile
			 Opioid Treatment Program or Medication Unit. The Mobile Opioid Treatment
			 Program or Medication Unit must meet the criteria under OAR 309-008-0100  to
			 309-008-1600; in addition, these programs must:
(a) Meet the standards set forth in these
			 rules and any other administrative rules applicable to the program;
(b) Be affiliated or subsidiary of an
			 established, licensed non-mobile Opioid Treatment Program in the State of
			 Oregon, in good standing at the time of application with no sanctions,
			 penalties or disciplinary actions in place;
(c) Comply with the federal regulations
			 contained in 42 CFR Part 2, 42 CFR Part 8,
			  21 CFR
			 1300, 21 CFR 1301, and
			  21 CFR
			 1304 ;
(d) Develop operational plans for each mobile
			 unit or medication unit operated by the program, which shall be reviewed
			 annually. Operational plans shall at a minimum address the following areas:
(A) Staffing;
(B) Security;
(C) Weather related issues;
(D) Mechanical issues or failure of the
			 unit;
(E) Unexpected closure of the
			 unit due to any other circumstance, including human caused events;
(F) Communication to clients and public
			 related to mobile site location(s) or closures.
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 50 - STANDARDS FOR ALCOHOL DETOXIFICATION CENTERS › Section 415-050-0000 - Renumbered

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: ORS
				  413.042 &
				  430.256
Stats. Implemented: ORS
				  430.306 &
				  430.345 -
				  430.375
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 50 - STANDARDS FOR ALCOHOL DETOXIFICATION CENTERS › Section 415-050-0005 - Renumbered

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: ORS
				  413.042 &
				  430.256
Stats. Implemented: ORS
				  430.306 &
				  430.345 -
				  430.375
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 50 - STANDARDS FOR ALCOHOL DETOXIFICATION CENTERS › Section 415-050-0010 - Renumbered

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: ORS
				  409.410
Stats. Implemented: ORS
				  430.306 &
				  430.345 -
				  430.375
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 50 - STANDARDS FOR ALCOHOL DETOXIFICATION CENTERS › Section 415-050-0015

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: ORS
				  413.042 &
				  430.256
Stats. Implemented: ORS
				  430.306 &
				  430.345 -
				  430.375
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 50 - STANDARDS FOR ALCOHOL DETOXIFICATION CENTERS › Section 415-050-0020 - Renumbered

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: ORS
				  409.410
Stats. Implemented: ORS
				  430.306 &
				  430.345 -
				  430.375
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 50 - STANDARDS FOR ALCOHOL DETOXIFICATION CENTERS › Section 415-050-0025 - Renumbered

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: ORS
				  413.042 &
				  430.256
Stats. Implemented: ORS
				  430.306 &
				  430.345 -
				  430.375
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 50 - STANDARDS FOR ALCOHOL DETOXIFICATION CENTERS › Section 415-050-0030

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: ORS
				  413.042,
				  430.256
Stats. Implemented: ORS
				  430.306 &
				  430.345 -
				  430.375
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 50 - STANDARDS FOR ALCOHOL DETOXIFICATION CENTERS › Section 415-050-0035 - Renumbered

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: ORS
				  413.042 &
				  430.256
Stats. Implemented: ORS
				  430.306 &
				  430.345 -
				  430.375
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 50 - STANDARDS FOR ALCOHOL DETOXIFICATION CENTERS › Section 415-050-0040

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: ORS
				  413.042 &
				  430.256
Stats. Implemented: ORS
				  430.306 &
				  430.345 -
				  430.375
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 50 - STANDARDS FOR ALCOHOL DETOXIFICATION CENTERS › Section 415-050-0045 - Renumbered

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: ORS
				  413.042 &
				  430.256
Stats. Implemented: ORS
				  430.306 &
				  430.345 -
				  430.375
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 50 - STANDARDS FOR ALCOHOL DETOXIFICATION CENTERS › Section 415-050-0050

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: ORS
				  413.042 &
				  430.256
Stats. Implemented: ORS
				  430.306 &
				  430.345 -
				  430.375
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 50 - STANDARDS FOR ALCOHOL DETOXIFICATION CENTERS › Section 415-050-0055

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: ORS
				  413.042 &
				  430.256
Stats. Implemented: ORS
				  430.306 &
				  430.345 -
				  430.375
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 50 - STANDARDS FOR ALCOHOL DETOXIFICATION CENTERS › Section 415-050-0060

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: ORS
				  413.042 &
				  430.256
Stats. Implemented: ORS
				  430.306 &
				  430.345 -
				  430.375
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 50 - STANDARDS FOR ALCOHOL DETOXIFICATION CENTERS › Section 415-050-0065

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: ORS
				  413.042 &
				  430.256
Stats. Implemented: ORS
				  430.306 &
				  430.345 -
				  430.375
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 50 - STANDARDS FOR ALCOHOL DETOXIFICATION CENTERS › Section 415-050-0070 - Renumbered

Current through Register Vol. 63, No. 7, July 1, 2024
Publications: Publications referenced are available from the
				  agency.
Stat. Auth.: ORS
				  413.042 &
				  430.256
Stats. Implemented: ORS
				  430.306 &
				  430.345 -
				  430.375
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 50 - STANDARDS FOR ALCOHOL DETOXIFICATION CENTERS › Section 415-050-0075 - Renumbered

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: ORS
				  413.042 &
				  430.256
Stats. Implemented: ORS
				  430.306 &
				  430.345 -
				  430.375
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 50 - STANDARDS FOR ALCOHOL DETOXIFICATION CENTERS › Section 415-050-0080 - Renumbered

Current through Register Vol. 63, No. 7, July 1, 2024
Publications: Publications referenced are available from the
				  agency.
Stat. Auth.: ORS
				  409.410
Stats. Implemented: ORS
				  430.306 &
				  430.345 -
				  430.375
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 50 - STANDARDS FOR ALCOHOL DETOXIFICATION CENTERS › Section 415-050-0085 - Renumbered

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: ORS
				  413.042,
				  430.256
Stats. Implemented: ORS
				  430.306 &
				  430.345 -
				  430.375
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 50 - STANDARDS FOR ALCOHOL DETOXIFICATION CENTERS › Section 415-050-0090 - Renumbered

Current through Register Vol. 63, No. 7, July 1, 2024
Publications: Publications referenced are available from the
				  agency.
Stat. Auth.: ORS
				  409.410
Stats. Implemented: ORS
				  430.306 &
				  430.345 -
				  430.375
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 50 - STANDARDS FOR ALCOHOL DETOXIFICATION CENTERS › Section 415-050-0095 - Renumbered

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: ORS
				  413.042,
				  430.256
Stats. Implemented: ORS
				  430.306 &
				  430.345 -
				  430.375
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 50 - STANDARDS FOR ALCOHOL DETOXIFICATION CENTERS › Section 415-050-0100 - Purpose

Current through Register Vol. 63, No. 7, July 1, 2024
These rules prescribe standards for the development and
				operation of withdrawal management programs approved by the Division.
Statutory/Other Authority: ORS
				  413.042 & 430.256
Statutes/Other Implemented: 430.345 - 430.375 & ORS
				  430.306