reglab/statecodes huggingface dataset:
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 19 - OUTPATIENT BEHAVIORAL HEALTH SERVICES › Section 309-019-0225 - Assertive Community Treatment (ACT) Definitions

Current through Register Vol. 63, No. 7, July 1, 2024
(1) In addition to the definitions in OAR
			 309-019-0105, when used and not
			 otherwise defined in OAR
			 309-019-0225 through OAR
			 309-019-0255, the following
			 terms shall have the meaning given in this section.
(2) "24/7 Crisis Coverage" means there is one
			 identified phone line for ACT participants to contact if they are experiencing
			 a mental health crisis 24 hours a day, 7 days a week, 365 days a year:
(a) The ACT Teams will have direct access to
			 this phone line and a procedure in place to receive information about the
			 caller. ACT Teams must be readily available to assist with de-escalation
			 strategies. This could include dispatching out to the individual in
			 need;
(b) The ACT Team is required
			 to document all crisis coverage calls as part of this service
			 delivery.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 19 - OUTPATIENT BEHAVIORAL HEALTH SERVICES › Section 309-019-0226 - Assertive Community Treatment (ACT) Overview

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The ACT Model is an evidence-based
			 practice for individuals with SPMI and is Community Based, ACT is characterized
			 by:
(a) Using a team approach;
(b) A small client to staff caseload, to
			 consistently provide necessary staffing diversity and coverage;
(c) Time-unlimited services;
(d) Flexible service delivery;
(e) A fixed point of responsibility;
			 and
(f) 24/7 Crisis
			 Coverage.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 19 - OUTPATIENT BEHAVIORAL HEALTH SERVICES › Section 309-019-0230 - ACT Provider Qualifications

Current through Register Vol. 63, No. 7, July 1, 2024
(1) In
			 order to be eligible for Medicaid or State General Funds for ACT reimbursement,
			 ACT services shall be provided only by those programs meeting the following
			 minimum qualifications:
(2) The
			 program shall hold and maintain a certificate issued under the Oregon Health
			 Authority established in OAR Chapter 309, Division 008 for the purpose of
			 providing Outpatient Behavioral Health Treatment Services; and
(3) The provider must hold and maintain a
			 certificate issued by the Division under OAR
			 309-019-0225 through
			 309-019-0255 for the purpose of
			 providing ACT; and
(4) A provider
			 certified to provide ACT services must be reviewed annually for fidelity
			 adherence by the Division Approved Reviewer and may not bill Medicaid or use
			 General Funds for the provision of ACT services unless they complete an annual
			 fidelity review by the Division Approved Reviewer.
Statutory/Other Authority: ORS
				  161.390,
				  413.042,
				  430.256 &
				  430.640
Statutes/Other Implemented: ORS
				  109.675,
				  161.390 -
				  161.400,
				  428.205 -
				  428.270,
				  430.010,
				  430.205 -
				  430.210,
				  430.254 -
				  430.640,
				  430.850 -
				  430.955 &
				  743A.168
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 19 - OUTPATIENT BEHAVIORAL HEALTH SERVICES › Section 309-019-0233 - ACT Program Certification

Current through Register Vol. 63, No. 7, July 1, 2024
(1) A
			 program that has achieved a minimum score of 114 during a fidelity review by
			 the Division Approved Reviewer, is eligible for certification as an ACT
			 Program.
(2) Requests for
			 re-certification are driven by the programs compliance with the annual fidelity
			 review. Failure to comply with annual fidelity review; will result in automatic
			 de-certification.
(3) Certification
			 by the Division will be approved for no longer than one year from
			 re-certification Extensions to certification date can only be done with the
			 Division approval if there is a Waiver or Plan of Correction (POC) needed for
			 Failure of Fidelity per OAR
			 309-019-0240.
(4) Provisional Status is requested by
			 following outlined procedure:
(a) A program
			 already holding a certification of approval under OAR chapter 309, division 008
			 may request the addition of ACT services be added to their
			 certificate;
(b) When a program is
			 pursuing initial certification, all staff shall receive ACT 101 training from
			 the Division Approved Reviewer prior to letter of request for provisional
			 certification through Division;
(c)
			 Provisional status must be requested in writing by the intended program to the
			 Division and contain the following:
(A)
			 Geographical location(s) of service areas
(B) Intended capacity of program
(C) Any specific/specialized target
			 population demographic's (i.e. Young Adult, culturally specific, etc)
(D) Letter of support from Division Approved
			 Reviewer that confirms 1(c)(A)(B) and (C) of this rule set.
(d) The request must be submitted
			 in at least two months (60 days) prior to projected provisional start date and
			 letter must specify the projected provisional start date.
(e) Provisional status, if approved can be
			 for no longer than one calendar year;
(f) Technical Support is provided throughout
			 the provisional status by the Division Approved Reviewer;
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 19 - OUTPATIENT BEHAVIORAL HEALTH SERVICES › Section 309-019-0235 - ACT Fidelity Requirements

Current through Register Vol. 63, No. 7, July 1, 2024
(1) A
			 program certified to provide ACT services shall be reviewed annually for
			 fidelity adherence by the Division Approved Reviewer and may not bill Medicaid
			 or use General Funds for the provision of ACT services unless they achieve a
			 minimum score of 114 on the fidelity scale. Extension of a certification period
			 has no bearing on the frequency or scope of fidelity reviews or
			 re-certification reviews required under OAR chapter 309, division
			 008.
(2) Proposed changes to
			 fidelity tools by the Division Approved Reviewer that would impact scoring must
			 be communicated to The Division prior to being implemented.
(3) Fidelity reviews shall be conducted
			 utilizing the Division approved ACT Fidelity Scale, which the Division Approved
			 Reviewer shall make the Fidelity Tools available to providers electronically at
			 least 45 calendar days prior to scheduled fidelity review.
(4) Within 30 calendar days following the
			 fidelity review, the Division Approved Reviewer shall provide a comprehensive
			 fidelity review report to the Division and the program. If the designated CCO
			 request a copy of this report, the Division Approved Reviewer shall provide a
			 copy timely.
(5) Unless otherwise
			 specified in CCO and program contract, the Program shall send a copy of the
			 fidelity review report to the appropriate CCO within 7 calendar days following
			 issuance of the fidelity review report.
(6) If a program meets the benchmark score of
			 114, there will be a meeting scheduled within 20 calendar days after the
			 publication and issuance of the comprehensive report. This meeting shall
			 include the Division, Division Approved Reviewer and ACT Program. If a CCO
			 requests to be present, the meeting invite will be forwarded to them upon
			 request.
Statutory/Other Authority: ORS
				  161.390,
				  413.042,
				  430.256 &
				  430.640
Statutes/Other Implemented: 430.254 - 430.640, 430.850 -
				  430.955, 743A.168, ORS
				  161.390 -
				  161.400,
				  428.205 -
				  428.270,
				  430.010 &
				  430.205 -
				  430.210
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 19 - OUTPATIENT BEHAVIORAL HEALTH SERVICES › Section 309-019-0240 - ACT Failure to Meet Fidelity Standards

Current through Register Vol. 63, No. 7, July 1, 2024
(1) If a certified ACT program does not
			 achieve a minimum score of at least 114 on a fidelity review, the following
			 shall occur:
(a) Within 14 calendar days,
			 unless otherwise extended by the Division, the Division, the Division Approved
			 Reviewer, and the ACT program shall meet to discuss the outcome of the failed
			 fidelity review. If a CCO requests to be involved, the host/scheduler shall
			 forward the invite to the CCO.
(b)
			 The Division Approved Reviewer must provide technical assistance for a period
			 of 90 days from the date of the fidelity review publication to address problem
			 areas identified in the failed fidelity review. These areas for Technical
			 Assistance (TA) will include any area that scores a two or below and any
			 sections that do not meet OAR requirements per
			 309-019-0225 through 0255 or any
			 other applicable statutes, administrative rules, or other
			 regulations;
(c) The Division will
			 extend certification on a temporary basis for 90 days to allow for the
			 technical assistance with anticipation that corrections to program operations
			 will be made.
(d) At the end of the
			 90-day technical assistance period, The Division Approved Reviewer shall
			 conduct a follow-up re-review to include all TA identified sections per (1)(b)
			 of this rule set.
(e) Within 30
			 days following the fidelity re-review, the Division Approved Reviewer shall
			 provide a comprehensive amended fidelity report to the Division and the
			 program.
(f) Unless otherwise
			 specified in CCO and program contract, the Program shall send a copy of the
			 amended fidelity re-review report to the appropriate CCO within 7 calendar days
			 following issuance of that amended fidelity re-review report.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 19 - OUTPATIENT BEHAVIORAL HEALTH SERVICES › Section 309-019-0241 - Waiver of Minimum Fidelity Requirements

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The Division may at its discretion, grant
			 a waiver of minimum ACT fidelity requirements and extend an ACT program's
			 certification period if the waiver to the requirement does not diminish the
			 effectiveness of the ACT model, violate the purposes of the program, or
			 adversely affect the program participants' health and welfare:
(a) Waivers may not be granted that are
			 inconsistent with the individual participant's rights or federal, state, or
			 local laws and regulations;
(b) The
			 Division shall review waivers to minimum fidelity requirements on a
			 case-by-case basis.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 19 - OUTPATIENT BEHAVIORAL HEALTH SERVICES › Section 309-019-0242 - ACT Program Operational Standards

Current through Register Vol. 63, No. 7, July 1, 2024
(1) All ACT teams shall be available seven
			 days a week, 24 hours a day by direct phone link and regularly accessible to
			 individuals who work or are involved in other scheduled vocational or
			 rehabilitative services during non-traditional hours.2ACT teams will need to
			 utilize equitable split staff assignment from multiple ACT program staff to
			 achieve this coverage and:
(a) Operate
			 continuous 24/7 crisis coverage that includes direct after-hours on-call system
			 with staff experienced in the program and skilled in crisis intervention
			 procedures.
(b) The ACT team shall
			 have the capacity to triage crisis calls and respond accordingly, either in
			 person or by telephone depending on the participants needs in the moment of
			 crisis event.
(c) To ensure ACT
			 Participants have direct access to the ACT Team; the provider shall utilize a
			 single crisis phone line system that will include procedures of notifying the
			 identified ACT Program staff who is on-call. This staff member can evaluate,
			 and triage appropriate response needed by ACT Program per (2)(a) of this rule
			 set.
(d) ACT program staff shall
			 document any crisis dispatches or calls they attend to within the participant's
			 chart,
(e) If the ACT staff respond
			 to a call and need additional supports, they may coordinate with other Mental
			 Health community programs and/or Law Enforcement as per clinical judgement to
			 ensure the crisis is properly handled for the individual in need. Collaboration
			 and resourcing out for additional supports while responding to crisis will not
			 count against fidelity as long as it is properly documented why additional
			 supports were needed.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 19 - OUTPATIENT BEHAVIORAL HEALTH SERVICES › Section 309-019-0245 - ACT Admission Criteria

Current through Register Vol. 63, No. 7, July 1, 2024
(1)
			 Participants shall meet the medically appropriate standard as designated in OAR
			 309-019-0105. Participants who
			 are medically appropriate shall have the following characteristics:
(a) Participants who meet the SPMI
			 Eligibility per OAR 309-019-0225(27)
			 are the primary target population for ACT services per evidence-based
			 model
(b) Individuals with a
			 primary diagnosis of a substance use disorder intellectual developmental
			 disabilities, traumatic brain injury, personality disorder, or an autism
			 spectrum disorder are not the intended recipients of ACT and may not be
			 referred to ACT if they do not have a co-occurring, qualifying SPMI Eligibility
			 disorder;
(c) Participants with
			 significant functional impairments as demonstrated by at least one of the
			 following conditions:
(A) Significant
			 difficulty consistently performing the range of practical daily living tasks
			 required for basic adult functioning in the community (e.g., caring for
			 personal business affairs; obtaining medical, legal, housing services;
			 recognizing common dangers or hazards meeting nutritional needs; maintaining
			 personal hygiene) or persistent or recurrent difficulty performing daily living
			 tasks except with significant support or assistance from others such as
			 friends, family, or relatives;
(B)
			 Significant difficulty maintaining consistent employment at a self-sustaining
			 level or significant difficulty consistently carrying out activities needed for
			 independent living(e.g., household meal preparation, washing clothes,
			 budgeting, or child-care tasks and responsibilities);
(C) Significant difficulty maintaining a safe
			 living situation (e.g., repeated evictions or loss of housing).
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 19 - OUTPATIENT BEHAVIORAL HEALTH SERVICES › Section 309-019-0248 - ACT Admission Process

Current through Register Vol. 63, No. 7, July 1, 2024
(1)
			 The ACT Program shall complete a Comprehensive Assessment that demonstrates
			 medical appropriateness prior to the provision of this service. If a
			 substantially equivalent assessment is available that reflects current level of
			 functioning and contains standards consistent with OAR
			 309-019-0135 to include
			 sufficient information and documentation to justify the presence of a diagnosis
			 that is the medically appropriate reason for services, the equivalent
			 assessment may be used to determine admission eligibility for the ACT
			 program.
(2) A referral for The ACT
			 Program is managed and coordinated by a designated SPOC, as defined in these
			 rules:
(a) The CCO, SPOC and or ACT Program
			 shall accept all referrals utilizing the Universal Referral Form provided by
			 the Division and verify the required documentation that supports ACT criteria.
			 The referral must include when an approximate, reasonable date of admission
			 and/or Intake for further evaluation for the ACT program is
			 anticipated.
(b) Based on the CCO
			 and ACT Program's published referral process and contractual language, the
			 deciding entity shall have 14 calendar days of receipt of a referral to
			 communicate to referring party and requested participant of final
			 determination. This determination shall reference applicable OAR's for
			 acceptance or denial. If there is insufficient information to process the
			 referral, the deciding entity will respond to referring party requesting the
			 additional information; which will be referred to as a pending
			 referral
(c) If a pending referral
			 is resubmitted, the deciding entity based on their published referral process,
			 will have an additional 14 calendar days after receipt of this resubmission. A
			 final determination must be made by the second resubmission timeframe based on
			 relevant Administrative Rules.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 19 - OUTPATIENT BEHAVIORAL HEALTH SERVICES › Section 309-019-0250 - ACT Transition to Less Intensive Services and Discharge

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Transition to
			 less intensive services shall occur if the individual has confirmed they no
			 longer require ACT level of care and requests a voluntarily
			 discharge.
(2) The ACT Program may
			 transition and graduate an individual when the participant has:
(a) Successfully reached individually
			 established goals for full transition;
(b) Successfully demonstrated an ability to
			 function in all major role areas including but not limited to work, social, and
			 self-care without ongoing assistance from the ACT Program;
(c) Requests discharge or declines or refuses
			 services;
(d) Moves outside of the
			 geographic area of the ACT program's responsibility. In such cases, the ACT
			 team shall arrange for transfer of mental health service responsibility to an
			 ACT provider or another provider wherever the individual is moving. The ACT
			 team shall maintain contact with the individual until this service is
			 implemented.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 19 - OUTPATIENT BEHAVIORAL HEALTH SERVICES › Section 309-019-0255 - ACT Reporting Requirements

Current through Register Vol. 63, No. 7, July 1, 2024
(1) ACT Programs certified by the Division to
			 provide ACT services shall submit quarterly outcome reports using forms and
			 procedures prescribed by the Division.
(2) ACT Programs shall submit quarterly
			 outcome reports within 45 days following the end of each subject quarter to the
			 Division or the Division Approved Reviewer Each quarterly report shall provide
			 the following information if available:
(a)
			 Participants served:
(A) Who are houseless at
			 any point during a quarter;
(B)
			 With safe stable housing for the last six months;
(C) Using emergency departments during each
			 quarter for a mental health reason;
(D) Hospitalized in OSH or in an acute
			 psychiatric facility during each quarter;
(E) Hospitalized in an acute care psychiatric
			 facility during each quarter;
(F)
			 Encountered the criminal court system at any point during each quarter. This
			 includes incarceration, institutionalization or charged with criminal
			 offense
(G) Receiving Supported
			 Employment Services during each quarter;
(H) Who are employed in competitive
			 employment, as defined above;
(I)
			 That are not enrolled in Medicaid.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 19 - OUTPATIENT BEHAVIORAL HEALTH SERVICES › Section 309-019-0270 - IPS Purpose and Definitions

Current through Register Vol. 63, No. 7, July 1, 2024
(1)
			 Purpose: These rules establish the standards and procedures for an Individual
			 Placement and Support (IPS) Employment Services that will be certified by the
			 Division. The IPS program uses an evidence-based model and integrates
			 employment and Vocational Services with clinical mental health and
			 non-vocational support.
(2) "Career
			 Profile" means the approved form(s) completed by program staff during the first
			 weeks of meeting with a participant. Information must include at least;
(a) Name of individual
(b) Address
(c) Contact information; this can include
			 email and cell phone number;
(d)
			 Names of treatment team points of contact; if the individual is participating
			 in any outpatient therapy;
(e)
			 Preference of type of work
(f) Any
			 relevant information about current diagnosis and potential limitations in work
			 environments
(g) Strengths and
			 skills
(h) Historical work
			 experiences
(i) Any career path
			 goals
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 19 - OUTPATIENT BEHAVIORAL HEALTH SERVICES › Section 309-019-0275 - Individual Placement and Support (IPS) Supported Employment Overview

Current through Register Vol. 63, No. 7, July 1, 2024
(1) IPS Supported
			 employment is an evidence-based practice for individuals with SMI per
			 309-019-0270(12).
(2) IPS Supported employment is characterized
			 by:
(a) Emphasis on Competitive Integrated
			 Employment;
(b) Every individual
			 interested in work is eligible for services regardless of symptoms, substance
			 use disorders, treatment decisions, or any other issue which can also be
			 referred to as "Zero exclusion" in the fidelity tools.
(c) Employment services is integrated with
			 mental health treatment
(d)
			 Participants have access to Work Incentive Planning by a Certified Benefits
			 Planner
(e) Rapid Job search should
			 begin within 30 days of program entry.
(f) Client preferences for jobs are honored
			 and included in the Career Profile;
(g) Employment Specialists systematically
			 collaborate with employers who are selected based on job seeker preferences to
			 learn about their business needs and hiring preferences;
(h) Job supports continue for as long as each
			 participant benefits from the support.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 19 - OUTPATIENT BEHAVIORAL HEALTH SERVICES › Section 309-019-0280 - IPS Program Requirements and Operational Standards

Current through Register Vol. 63, No. 7, July 1, 2024
(1) To be eligible for Medicaid or State
			 General Fund reimbursement, IPS Supported Employment Services shall be provided
			 only by those programs meeting the following minimum qualifications:
(a) The program shall hold and maintain a
			 certificate, in good standing and not subject to any adverse action issued by
			 the Division under OAR chapter 309, division 008 for the purpose of providing
			 Outpatient Behavioral Health Services; and
(b) The program shall hold and maintain a
			 certificate issued by the Division under OAR
			 309-019-0270 through
			 309-019-0295 for the purposes of
			 providing IPS services.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 19 - OUTPATIENT BEHAVIORAL HEALTH SERVICES › Section 309-019-0282 - IPS Program Certification

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Ongoing
			 certification is driven by compliance with annual fidelity review by the
			 Division Approved Reviewer per OAR
			 309-019-0285. If a program does
			 not cooperate with annual fidelity review, Division will take necessary actions
			 that could include suspension and/or termination of IPS
			 certification.
(2) Programs seeking
			 IPS certification shall submit a letter of request for Provisional Status to
			 the Division with the following information:
(a) Statement detailing current certificates
			 in good standing and not subject to any adverse action issued by the
			 Division;
(b) Intended service area
			 and or geographical identifiers of services.
(c) Intended population if there intends to
			 be any demographical specific services. This can include but not limited to
			 culturally specific, age specific and/or other population
			 identifiers;
(d) Intended
			 capacity;
(e) Name of program
			 lead.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 19 - OUTPATIENT BEHAVIORAL HEALTH SERVICES › Section 309-019-0285 - IPS Fidelity Requirements

Current through Register Vol. 63, No. 7, July 1, 2024
(1) A
			 certified IPS Program shall be reviewed annually for fidelity adherence by the
			 Division Approved Reviewer and reach a benchmark of at least a score of 100. A
			 program may not bill Medicaid unless certification is current.
(2) Fidelity reviews shall be conducted
			 utilizing the Division approved fidelity scale which the Division Approved
			 Reviewer shall make available to programs electronically at least 45 calendar
			 days prior to scheduled fidelity review.
(3) Within 30 calendar days following the
			 fidelity review, the Division Approved Reviewer shall provide a comprehensive
			 fidelity review report to the Division and the IPS Program.
(4) Within seven calendar days following
			 issuance of the fidelity review report, the IPS Program shall send a copy of
			 the fidelity review report to the appropriate Coordinated Care Organization
			 (CCO) unless otherwise specified in program/CCO contract.
(5) Within 14 calendar days of the issuance
			 of fidelity review report, The Division, The Division Approved Reviewer, and
			 program will meet to discuss the outcome of the comprehensive report findings.
			 The CCO can be invited and attend the meeting if the CCO requests.
(6) The Division may deny, revoke, suspend,
			 or not renew an IPS Program Certification for failure to participate in an
			 annual fidelity review.
Statutory/Other Authority: ORS
				  413.042
Statutes/Other Implemented: ORS
				  430.630
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 19 - OUTPATIENT BEHAVIORAL HEALTH SERVICES › Section 309-019-0290 - Failure to Meet Fidelity Standards

Current through Register Vol. 63, No. 7, July 1, 2024
(1) If an IPS program does not achieve
			 minimum score of 100 on a fidelity review, the following shall occur:
(a) Once meeting is held per OAR
			 309-019-0285(5),
			 Technical assistance (TA) shall be made available by the Division Approved
			 Reviewer for a period of 90 days to address areas identified in the fidelity
			 review that require attention and/or improvement.
(A) From this meeting a Technical Assistance
			 Plan will be created by the Division Approved Reviewer for the IPS program to
			 follow;
(B) The Technical
			 Assistance Plan will consist of recommendations and goals the program can
			 follow to help them achieve the benchmark for fidelity per OAR
			 309-019-0285(1).
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 19 - OUTPATIENT BEHAVIORAL HEALTH SERVICES › Section 309-019-0295 - IPS Reporting Requirements

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Providers of IPS Supported Employment
			 Services shall submit quarterly outcome reports using forms and procedures
			 prescribed by the Division within 45 days following the end of each subject
			 quarter to the Division or the Division approved reviewer.
(2) Each quarterly report shall provide the
			 following information including but not limited to:
(a) All individuals who received IPS services
			 in the reporting quarter;
(b)
			 Individuals who received IPS Services who are employed in competitive
			 employment; and
(c) Individuals who
			 discontinued receiving IPS services and are employed in competitive employment;
			 and
(d) Individuals who received
			 IPS and also were participating in other outpatient treatment
			 models.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 19 - OUTPATIENT BEHAVIORAL HEALTH SERVICES › Section 309-019-0300 - Service Requirements

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Crisis
			 line services shall be provided directly or through linkages to a crisis line
			 services provider 24/7.
(2) Crisis
			 line services shall include but is not limited to:
(a) 24/7 accessibility to a QMHP;
(b) 24/7 bi-lingual or interpreter
			 availability;
(c) 24/7 telephone
			 screening to determine the need for immediate intervention;
(d) 24/7 linkage to emergency service
			 providers, including first responders and mobile crisis services;
(e) Best practice risk assessment, including
			 suicide risk assessment;
(f)
			 Suicide intervention and prevention;
(g) Lethal means counseling and safety
			 planning for individuals at risk for suicide;
(h) Crisis intervention;
(i) Crisis plan development;
(j) Triage;
(k) Providing information regarding services
			 and resources in the community; and
(L) Procedures for de-escalation for calls
			 from suicidal individuals.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 19 - OUTPATIENT BEHAVIORAL HEALTH SERVICES › Section 309-019-0305 - Provider Standards

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Crisis
			 line services providers shall develop and implement written policies and
			 procedures to address provider standards.
(2) Provider standards shall include but is
			 not limited to:
(a) Training curriculum and
			 ongoing education programs to meet training requirements;
(b) Coordination with other treatment
			 providers including mobile crisis services and other crisis line services
			 providers to support seamless transitions of care;
(c) Linkages to emergency services providers
			 including first responders to address imminent risks and to support seamless
			 transitions of care;
(d)
			 De-escalation procedures;
(e)
			 Follow-up procedures when indicated and appropriate;
(f) Documentation;
(g) Code of ethics; and
(h) Security of information
			 protocols.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 19 - OUTPATIENT BEHAVIORAL HEALTH SERVICES › Section 309-019-0310 - Minimum Staffing Requirements

Current through Register Vol. 63, No. 7, July 1, 2024
(1) At least one QMHP shall be available by
			 phone or face-to-face 24/7 for consultation.
(2) At least one QMHP shall provide regular
			 clinical supervision to staff.
Statutory/Other Authority: ORS
				  413.042 &
				  430.640
Statutes/Other Implemented: ORS
				  430.630,
				  430.640 &
				  430.644 -
				  430.646
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 19 - OUTPATIENT BEHAVIORAL HEALTH SERVICES › Section 309-019-0315 - Training Requirements

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Staff
			 training curriculum shall include but is not limited to:
(a) Triage protocol;
(b) Referral resources;
(c) Crisis plan development;
(d) Screening for a Declaration for Mental
			 Health Treatment.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 19 - OUTPATIENT BEHAVIORAL HEALTH SERVICES › Section 309-019-0320 - Documentation Requirements

Current through Register Vol. 63, No. 7, July 1, 2024
(1)
			 Documentation of calls shall include but is not limited to:
(a) Summary of presenting concern, assessment
			 of risk factors, interventions, evaluation of interventions, the plan for the
			 management and resolution of the crisis or emergency situation reported,
			 referrals to other services, and collaboration that occurred with emergency
			 services providers or other treatment providers, when appropriate;
(b) If a suicide risk assessment was
			 completed;
(c) Summary of safety
			 planning and lethal means counseling, as appropriate.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 19 - OUTPATIENT BEHAVIORAL HEALTH SERVICES › Section 309-019-0324 - Renumbered

Current through Register Vol. 63, No. 7, July 1, 2024
Statutory/Other Authority: ORS
				  413.042 & ORS
				  430.630
Statutes/Other Implemented: ORS
				  413.042 & ORS
				  430.630
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 19 - OUTPATIENT BEHAVIORAL HEALTH SERVICES › Section 309-019-0326 - Renumbered

Current through Register Vol. 63, No. 7, July 1, 2024
Statutory/Other Authority: ORS
				  430.630 & ORS
				  413.042
Statutes/Other Implemented: ORS
				  430.630 & ORS
				  413.042
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 20 - PEER RESPITE PROGRAMS › Section 309-020-0100 - Purpose

Current through Register Vol. 63, No. 7, July 1, 2024
These rules prescribe general minimum operational standards for
				services and supports provided by Peer Respite Programs.
Statutory/Other Authority: ORS
				  430.275 & HB 2980
				  (2021)
Statutes/Other Implemented: ORS
				  430.275
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 20 - PEER RESPITE PROGRAMS › Section 309-020-0105 - Definitions

Current through Register Vol. 63, No. 7, July 1, 2024
(1) "Culturally and
			 linguistically responsive services" means the provision of effective,
			 equitable, understandable, and respectful quality care and services that are
			 responsive to diverse cultural beliefs and practices, preferred languages,
			 health literacy, and other communication needs.
(2) "Culturally and linguistically specific
			 services" means provision of culturally and linguistically responsive services
			 (defined in section (1) of this rule set) designed for and delivered to a
			 specific population by a provider who shares the culture, language, or identity
			 with the individual seeking services. Culturally and linguistically specific
			 services are grounded in the cultural values of minoritized communities to
			 elevate their voices and experiences, with the aim of enhancing emotional
			 safety, belonging, and a shared collective cultural experience for healing and
			 recovery of the community served.
(3) "Gender-affirming and responsive
			 services" means services that holistically attends to but is not limited to
			 transgender, gender-nonconforming, non-binary, Two Spirit and intersex people's
			 physical, mental, and social health needs and well-being while respectfully
			 affirming their gender identity. Gender affirming care is sensitive and
			 responsive to an individual's gender identities and expressions. Gender
			 affirming care complies with non-discrimination laws.
(4) "LGBTQIA2S+ affirming and inclusive
			 services" means services that proactively create an environment that
			 intentionally and purposefully supports members of the LGBTQIA2S+ community.
			 LGBTQIA2S+ community members are treated with respect, dignity and have
			 equitable access to services, supports, and opportunities in a manner that
			 sustains their whole selves.
(5)
			 "Peer respite services" means voluntary, non-clinical, short-term residential
			 peer support as defined in ORS
			 430.275.
(6) "Peer-run organization" means a
			 community-based organization as defined in ORS
			 430.275.
(7) "Peer support" means assistance as
			 defined in ORS 430.275.
(8) "Recovery principles" means a set of
			 principles and values that are holistic, strengths-based, mutually supportive,
			 respectful, individualized and person-directed, and that support
			 self-direction, empowerment, responsibility, and hope for people.
(9) "Trauma-informed practices" means
			 strengths-based practices that seek to understand trauma and how it impacts
			 people's lives. Trauma-informed practices emphasize physical, psychological,
			 and emotional safety for everyone and support people in having choice and
			 control of their own lives.
Statutory/Other Authority: ORS
				  430.275 & HB 2980
				  (2021)
Statutes/Other Implemented: ORS
				  430.275
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 20 - PEER RESPITE PROGRAMS › Section 309-020-0120 - Operational, Policy, and Service Support Requirements

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Peer Respite programs must:
(a) Be operated by peer-run
			 organizations;
(b) Ensure
			 participation is voluntary and self-directed;
(c) Provide peer respite services and peer
			 support according to recovery principles.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 20 - PEER RESPITE PROGRAMS › Section 309-020-0130 - Data Collection and Reporting Requirements

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Financial recordkeeping and reporting is
			 required as follows:
(a) Programs must keep
			 accurate books, records and accounts that are subject to inspection and audit
			 by the Oregon Health Authority upon request;and
(b) Additional financial reporting
			 requirements must be followed as outlined and pre-negotiated in each grant or
			 funding agreement or contract.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 22 - CHILDREN AND ADOLESCENTS: INTENSIVE TREATMENT SERVICES; INTEGRATED LICENSES; CHILDREN'S EMERGENCY SAFETY INTERVENTION SPECIALISTS › Section 309-022-0100 - Purpose and Scope

Current through Register Vol. 63, No. 7, July 1, 2024
(1) OAR
			 309-022-0100 through OAR
			 309-022-0192 prescribe minimum
			 standards for services and supports provided by addictions and mental health
			 providers approved by the Health Systems Division (Division) of the Oregon
			 Health Authority (Authority) to operate under:
(a) An Intensive Treatment Services (ITS)
			 certificate; or
(b) A Child and
			 Adolescent Integrated Psychiatric Residential Treatment Facility and
			 Residential Substance Use Disorders Treatment Program license (also called an
			 "Integrated license" or "IPSR" program or license).
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 22 - CHILDREN AND ADOLESCENTS: INTENSIVE TREATMENT SERVICES; INTEGRATED LICENSES; CHILDREN'S EMERGENCY SAFETY INTERVENTION SPECIALISTS › Section 309-022-0110 - Provider Policies

Current through Register Vol. 63, No. 7, July 1, 2024
(1) All
			 providers shall develop and implement written personnel policies and procedures
			 compliant with these rules, including:
(a)
			 Personnel qualifications and credentialing;
(b) Mandatory abuse reporting, compliant with
			 ORS 430.735-430.768 and OAR
			 943-045-0250 through
			 943-045-0370;
(c) Criminal records checks, compliant with
			 ORSs 181.533 through 181.575 and OAR
			 943-007-0001 through 0501;
			 and
(d) Fraud, waste, and abuse in
			 federal Medicaid and Medicare programs compliant with OAR
			 410-120-1380 and
			 410-120-1510.
(e) Drug Free Workplace.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 22 - CHILDREN AND ADOLESCENTS: INTENSIVE TREATMENT SERVICES; INTEGRATED LICENSES; CHILDREN'S EMERGENCY SAFETY INTERVENTION SPECIALISTS › Section 309-022-0120 - Licensing and Credentialing

Current through Register Vol. 63, No. 7, July 1, 2024
Program staff in the following positions must meet applicable
				credentialing or licensing standards, including those outlined in these rules:
(1) CESIS;
(2) Clinical Supervisor;
(3) LMP;
(4) Medical Director;
(5) QMHA; and
(6) QMHP.
Stat. Auth.: ORS
				  161.390,
				  413.042,
				  426.490 -
				  426.500,
				  428.205 -
				  428.270,
				  430.256,
				  430.640 &
				  443.450
Stats. Implemented: ORS
				  109.675,
				  161.390 -
				  161.400,
				  179.505,
				  413.520 -
				  413.522,
				  426.380 -
				  426.395,
				  426.490 -
				  426.500,
				  430.010,
				  430.205 -
				  430.210,
				  430.240 -
				  430.640,
				  430.850 -
				  430.955,
				  443.400 -
				  443.460,
				  443.991,
				  743A.168
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 22 - CHILDREN AND ADOLESCENTS: INTENSIVE TREATMENT SERVICES; INTEGRATED LICENSES; CHILDREN'S EMERGENCY SAFETY INTERVENTION SPECIALISTS › Section 309-022-0125 - Specific Staff Qualifications and Competencies

Current through Register Vol. 63, No. 7, July 1, 2024
Program staff in the following positions must meet applicable
				credentialing or licensing standards.
(1) Program administrators or program
			 directors shall demonstrate competence in leadership, program planning and
			 budgeting, fiscal management, supervision of program staff, personnel
			 management, program staff performance assessment, use of data, reporting,
			 program evaluation, quality assurance, and developing and coordinating
			 community resources.
(2) Clinical
			 supervisors in all programs shall demonstrate competence in leadership,
			 wellness, oversight and evaluation of services, staff development, service
			 planning, case management and coordination, and utilization of community
			 resources; group, family, and individual therapy or counseling; and
			 documentation and rationale for services to promote intended outcomes and
			 implementation of all provider policies.
(3) Clinical supervisors in mental health
			 programs shall meet QMHP requirements and complete two years of post-graduate
			 clinical experience in a mental health treatment setting.
(4) Clinical supervisors in Substance Use
			 Disorders Treatment Programs shall meet the requirements as specified in OAR
			 309-018-0125
			 (3).
(5) Peer Delivered Services Supervisors shall
			 be a certified Peer Support Specialist (PSS) or Peer Wellness Specialist (PWS)
			 with at least one-year experience.
(6) QMHAs shall demonstrate the ability to
			 communicate effectively; understand mental health assessment, treatment, and
			 service terminology and apply each of these concepts; implement skills
			 development strategies; and identify, implement, and coordinate the services
			 and supports identified in a service plan. QMHAs shall meet the following
			 minimum qualifications:
(a) Bachelor's degree
			 in a behavioral science field; or
(b) A combination of at least three years of
			 relevant work, education, training, or experience; or
(c) A qualified mental health intern, as
			 defined in OAR 309-022-0105.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 22 - CHILDREN AND ADOLESCENTS: INTENSIVE TREATMENT SERVICES; INTEGRATED LICENSES; CHILDREN'S EMERGENCY SAFETY INTERVENTION SPECIALISTS › Section 309-022-0130 - Documentation, Training, and Supervision

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Providers shall maintain personnel
			 records for each program staff that contains all the following documentation:
(a) An employment application;
(b) Verification of a criminal record check
			 pursuant to OAR 943-007-0001 through
			 943-007-0501;
(c) A current job description that includes
			 applicable competencies;
(d) Copies
			 of relevant licensure or certification, diploma, or certified transcripts from
			 an accredited college, indicating that the program staff meets applicable
			 qualifications;
(e) Periodic
			 performance appraisals;
(f) Staff
			 orientation and development activities;
(g) Program staff incident reports;
(h) Disciplinary documentation;
(i) Reference checks;
(j) Emergency contact information;
			 and
(k) Documentation of a
			 tuberculosis screening pursuant to OAR
			 333-071-0057.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 22 - CHILDREN AND ADOLESCENTS: INTENSIVE TREATMENT SERVICES; INTEGRATED LICENSES; CHILDREN'S EMERGENCY SAFETY INTERVENTION SPECIALISTS › Section 309-022-0135 - Entry and Assessment

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The
			 program shall utilize a written entry procedure to ensure the following:
(a) Individuals shall be considered for entry
			 without regard to race, ethnicity, gender, gender identity, gender
			 presentation, sexual orientation, religion, creed, national origin, age, except
			 when program eligibility is restricted to children, adults or older adults,
			 familial status, marital status, source of income, and disability;
(b) Individuals shall receive services in the
			 timeliest manner feasible consistent with the presenting
			 circumstances;
(c) Written informed
			 consent for services shall be obtained from the individual or guardian, if
			 applicable, prior to the start of services. If such consent is not obtained,
			 the reason shall be documented and further attempts to obtain informed consent
			 shall be made as appropriate;
(d)
			 The provider shall develop and maintain service records and other documentation
			 for each individual that demonstrates the specific services and supports and
			 the applicable date;
(e) The
			 provider shall report the entry of all individuals on the mandated state data
			 system;
(f) In accordance with ORS
			 179.505 and HIPAA, an
			 authorization for the release of information shall be obtained for any
			 confidential information concerning the individual being considered for or
			 receiving services.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 22 - CHILDREN AND ADOLESCENTS: INTENSIVE TREATMENT SERVICES; INTEGRATED LICENSES; CHILDREN'S EMERGENCY SAFETY INTERVENTION SPECIALISTS › Section 309-022-0140 - Service Planning and Coordination

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The provider shall deliver or coordinate
			 for each individual appropriate services and supports to collaboratively
			 facilitate intended service outcomes as identified by the individual and
			 family:
(a) Qualified program staff shall
			 facilitate a planning process, resulting in a service plan that reflects the
			 assessment;
(b) A service plan
			 shall be completed prior to the start of services;
(c) A licensed health care professional shall
			 recommend the services and supports by signing the service plan;
(d) Individuals and family members shall be
			 invited to participate in the development of the service plan;
(e) Providers shall fully inform the
			 individual and guardian when applicable of the proposed services and supports
			 in developmentally and culturally appropriate language, obtain informed consent
			 for all proposed services, offer peer delivered services, and give the
			 individual and guardian a written copy of the service plan;
(f) Providers shall collaborate with
			 community partners to coordinate or deliver services and supports identified in
			 the service plan;
(g) Providers
			 shall collaborate to exchange information with any applicable physical health
			 care providers for the individual to promote regular and adequate health
			 care.