reglab/statecodes huggingface dataset:
Oregon Administrative Rules › Chapter 409 - OREGON HEALTH AUTHORITY, HEALTH POLICY AND ANALYTICS › Division 25 - ALL PAYER ALL CLAIMS DATA REPORTING PROGRAM › Section 409-025-0140 - Waivers, Exemptions and Extensions

Current through Register Vol. 63, No. 7, July 1, 2024
(1)
			 The Authority may grant a waiver, deadline extension, or exemption to the
			 reporting and validation requirements.
(2) A mandatory reporter is required by law
			 and rule to submit all required data files no later than the submission
			 deadline and at sufficient quality to meet or exceed the published validation
			 requirements. Mandatory reporters shall notify the Authority of their inability
			 to meet any requirement within the timeline stated in rule or incorporated by
			 reference.
(3) A mandatory reporter
			 may request a waiver of reporting requirements. The request shall be submitted
			 60 calendar days prior to the applicable reporting deadline using the APAC-1a
			 form.
(a) Mandatory reporters may request a
			 waiver of reporting for the following reasons:
(A) A mandatory reporter who is a carrier or
			 a third party administrator and, either due to decrease in covered lives or
			 covered lives excluded as reporting to the federal Department of Labor under
			 the Employment Retirement Income Security Act (ERISA), has fewer than 5,000
			 covered lives in Oregon to report;
(B) A mandatory reporter does not bill
			 subscribers for premiums (Appendix F only);
(C) A mandatory reporter has no contracts
			 sitused in Oregon for Appendices 1 and 2 under OAR 409-025-0125; or
(D) A mandatory reporter whose data is
			 reported by another affiliated or contracted Oregon All Payer All Claims
			 mandatory reporter if submitting files would create duplicate claims.
Oregon Administrative Rules › Chapter 409 - OREGON HEALTH AUTHORITY, HEALTH POLICY AND ANALYTICS › Division 25 - ALL PAYER ALL CLAIMS DATA REPORTING PROGRAM › Section 409-025-0150 - Compliance and Enforcement

Current through Register Vol. 63, No. 7, July 1, 2024
(1)
			 Unless approved by a waiver or extension, failure to comply with general
			 reporting requirements includes but is not limited to:
(a) Failure to submit data files for a
			 required line of business; or
(b)
			 Submitting health information for an excluded line of business.
Oregon Administrative Rules › Chapter 409 - OREGON HEALTH AUTHORITY, HEALTH POLICY AND ANALYTICS › Division 25 - ALL PAYER ALL CLAIMS DATA REPORTING PROGRAM › Section 409-025-0170 - Public Disclosure

Current through Register Vol. 63, No. 7, July 1, 2024
The Authority and applicable contractors, shall perform data
				analyses and publish data and reports that serve the public's interest. This
				may include, but is not limited to:
(1) Comparing healthcare cost and
			 quality;
(2) Assessing health care
			 utilization;
(3) Assessing the
			 capacity and distribution of healthcare resources;
(4) Assessing health care purchasing
			 decisions;
(5) Assessing the
			 effectiveness of public health programs; or
(6) Assessing disparities in health care
			 delivery and outcomes.
Statutory/Other Authority: ORS
				  442.466
Statutes/Other Implemented: ORS
				  442.464 &
				  442.466
Oregon Administrative Rules › Chapter 409 - OREGON HEALTH AUTHORITY, HEALTH POLICY AND ANALYTICS › Division 25 - ALL PAYER ALL CLAIMS DATA REPORTING PROGRAM › Section 409-025-0180 - APAC Technical Advisory Group

Current through Register Vol. 63, No. 7, July 1, 2024
The Oregon Health Authority shall convene a technical advisory
				group to advise the Authority on submission specifications including but not
				limited to file layouts, the Data Submission Schedule, and any additional data
				submission requirements. The advisory group shall include but is not limited to
				representatives from:
(1) Mandatory
			 reporters;
(2) Providers;
(3) Researchers, and;
(4) Other stakeholders and interested
			 parties.
Statutory/Other Authority: ORS
				  442.466
Statutes/Other Implemented: ORS
				  442.464  & 442.466
Oregon Administrative Rules › Chapter 409 - OREGON HEALTH AUTHORITY, HEALTH POLICY AND ANALYTICS › Division 25 - ALL PAYER ALL CLAIMS DATA REPORTING PROGRAM › Section 409-025-0190 - Data Review Committee

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The
			 Authority shall convene a Data Review Committee (DRC) to evaluate completed
			 applications.
(2) The Authority may
			 accept nominations for and make appointments to the DRC. The DRC shall include
			 at least one mandatory reporter to serve in an advisory capacity.
(3) The DRC evaluation shall include, but is
			 not limited to:
(a) Whether proposed purpose
			 for accessing APAC data is allowable under Authority policies and state and
			 federal rules, regulations, and statutes;
(b) Whether IRB documentation is required
			 and, if submitted, is sufficient;
(c) Whether the proposed privacy and security
			 protections are sufficient; and
(d)
			 Whether additional clarification is needed to complete the review.
Oregon Administrative Rules › Chapter 409 - OREGON HEALTH AUTHORITY, HEALTH POLICY AND ANALYTICS › Division 26 - OREGON HEALTHCARE WORKFORCE DATABASE › Section 409-026-0100 - Definitions

Current through Register Vol. 63, No. 7, July 1, 2024
The following definitions apply to OAR 409-026-0100  to
				409-026-0140:
(1) "Authority" means
			 the Oregon Health Authority.
(2)
			 "Electronic media" means an electronic data storage medium.
(3) "Health care workforce information" means
			 data collected using the license renewal process for selected Oregon health
			 care professionals.
(4) "Health
			 care workforce regulatory board" means the following:
(a) Board of Licensed Dietitians;
(b) Board of Medical Imaging;
(c) Occupational Therapy Licensing Board;
(d) Oregon Board of Dentistry;
(e) Oregon Board of Examiners for
			 Speech-Language Pathology and Audiology;
(f) Oregon Board of Licensed Professional
			 Counselors and Therapists;
(g)
			 Oregon Board of Naturopathic Medicine;
(h) Oregon Board of Optometry;
(i) Oregon Medical Board;
(j) Oregon State Board of Licensed Social
			 Workers;
(k) Oregon State Board of
			 Nursing;
(l) Physical Therapist
			 Licensing Board;
(m) Respiratory
			 Therapist and Polysomnographic Technologist Licensing Board;
(n) State Board of Chiropractic Examiners;
(o) State Board of Massage
			 Therapists;
(p) State Board of
			 Pharmacy; and
(q) State Board of
			 Psychologist Examiners.
Oregon Administrative Rules › Chapter 409 - OREGON HEALTH AUTHORITY, HEALTH POLICY AND ANALYTICS › Division 26 - OREGON HEALTHCARE WORKFORCE DATABASE › Section 409-026-0110 - Data Elements

Current through Register Vol. 63, No. 7, July 1, 2024
(1)
			 Pursuant to ORS 676.410, a health care workforce
			 regulatory board must collaborate with the Oregon Health Authority to collect
			 health care workforce information. The information may include but is not
			 limited to the following:
(a) Gender;
(b) Race;
(c) Ethnicity
(d) Languages spoken;
(e) Year of birth;
(f) Educational background;
(g) Specialty training or certification;
(h) Practice status and hours;
(i) Practice type and setting;
(j) Geographic location of
			 practice; and
(k) Future practice
			 plans.
Oregon Administrative Rules › Chapter 409 - OREGON HEALTH AUTHORITY, HEALTH POLICY AND ANALYTICS › Division 26 - OREGON HEALTHCARE WORKFORCE DATABASE › Section 409-026-0120 - Reporting Schedule and Format

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Health care licensing boards shall
			 include data collection set forth OAR 409-026-0110  in the license renewal
			 process, using the Authority's provided data collection tool or other tool
			 agreed upon by the Authority.
(2)
			 Collection of the health care workforce information required by this rule shall
			 begin on the following dates:
(a) For health
			 care professionals licensed by the Oregon State Board of Nursing; May 1, 2009;
(b) For health care professionals
			 licensed by the Oregon Medical Board; October 1, 2009;
(c) For health care professionals licensed by
			 the Oregon Occupational Therapy Licensing Board, the Oregon Board of Dentistry,
			 the Oregon Physical Therapist Licensing Board, the State Board of Pharmacy, and
			 the Board of Examiners of Licensed Dieticians; for license renewal periods on
			 or after January 1, 2010.
(d) For
			 health care professionals licensed by the Respiratory Therapist and
			 Polysomnographic Technologist Licensing Board, and Oregon State Board of Social
			 Workers; June 1, 2016.
(e) For
			 chiropractic physicians licensed by the Oregon Board of Chiropractic Examiners;
			 June 1, 2016. For chiropractic assistants licensed by the Oregon Board of
			 Chiropractic Examiners; June 1, 2017.
(f) For health care professionals licensed by
			 the Oregon Board of Massage Therapists, Oregon State Board of Licensed
			 Professional Counselors and Therapists, and Oregon State Board of Psychologist
			 Examiners; July 1, 2016.
(g) For
			 the health care professionals licensed by the Oregon Board of Medical Imaging;
			 September 1, 2016.
(h) For health
			 care professionals licensed by the Oregon Board of Naturopathic Medicine;
			 November 1, 2016.
(i) For the
			 health care professionals licensed by the Oregon Board of Optometry; June 1,
			 2017.
(j) For the health care
			 professionals licensed by the Oregon Board of Examiners for Speech-language
			 Pathology and Audiology; November 1, 2017.
Oregon Administrative Rules › Chapter 409 - OREGON HEALTH AUTHORITY, HEALTH POLICY AND ANALYTICS › Division 26 - OREGON HEALTHCARE WORKFORCE DATABASE › Section 409-026-0130 - Fees

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The Authority
			 shall establish a per-license fee to cover the cost of collecting and reporting
			 health care workforce information. The fee shall be calculated by adding the
			 costs necessary to compile, maintain, and analyze the health care workforce
			 information and dividing that cost by the approximate number of individuals
			 licensed in Oregon.
(2) Each
			 health care licensing board shall submit, in a format agreed to by the
			 Authority and each Board, the total number of individuals renewed in accordance
			 with the schedule set forth in OAR 409-026-0120  for use in determination of fee
			 calculation for the previous license period.
(3) The fee may not exceed $4.00 per
			 individual licensed for two years and $2.00 per individual licensed for one
			 year for individuals renewing on or after January 1, 2016. If the per-license
			 fee calculation results in a figure above $4.00, the Authority shall review the
			 process for calculating the fee with a stakeholder group with representation
			 from each health care workforce regulatory board.
(4) The health care workforce information
			 fees collected by health care workforce regulatory boards shall be paid to the
			 Authority on a schedule agreed to by the Authority and each health care
			 workforce regulatory board.
(5)
			 Late payments are subject to recovery in accordance with the laws of the State
			 of Oregon.
Stat. Auth.: ORS
				  676.410
Stats. Implemented: ORS
				  676.410
Oregon Administrative Rules › Chapter 409 - OREGON HEALTH AUTHORITY, HEALTH POLICY AND ANALYTICS › Division 26 - OREGON HEALTHCARE WORKFORCE DATABASE › Section 409-026-0140 - Data Access

Current through Register Vol. 63, No. 7, July 1, 2024
(1) For
			 purposes of planning or analysis, the Authority may share de-identified,
			 individual-level health care workforce data with other state agencies,
			 including but not limited to:
(a) Agencies,
			 offices, or contractors of the Authority.
(b) The Oregon Employment Department.
Oregon Administrative Rules › Chapter 409 - OREGON HEALTH AUTHORITY, HEALTH POLICY AND ANALYTICS › Division 27 - PRIMARY CARE SERVICES REPORTING (REPEALED) › Section 409-027-0005

Current through Register Vol. 63, No. 7, July 1, 2024
Statutory/Other Authority: 413.042; Sec. 1 to 4, Ch. 575, OL
				  2015; & Sec. 7, Ch. 26 & OL 2016
Statutes/Other Implemented: Sec. 1 to 4, Ch. 575, OL 2015;
				  & Sec. 7, Ch. 26 & OL 2016
Oregon Administrative Rules › Chapter 409 - OREGON HEALTH AUTHORITY, HEALTH POLICY AND ANALYTICS › Division 27 - PRIMARY CARE SERVICES REPORTING (REPEALED) › Section 409-027-0015

Current through Register Vol. 63, No. 7, July 1, 2024
Statutory/Other Authority: ORS
				  413.042, Ch. 575, Sec. 1 to
				  4 (OL 2015), Ch. 26, Sec. 7 (OL 2016) & Ch. 489, Sec. 19 (OL 2017)
Statutes/Other Implemented: Ch. 575, Sec. 1 to 4 (OL 2015),
				  Ch. 26, Sec. 7 (OL 2016) & Ch. 489, Sec. 19 (OL
				  2017)
Oregon Administrative Rules › Chapter 409 - OREGON HEALTH AUTHORITY, HEALTH POLICY AND ANALYTICS › Division 27 - PRIMARY CARE SERVICES REPORTING (REPEALED) › Section 409-027-0025

Current through Register Vol. 63, No. 7, July 1, 2024
Statutory/Other Authority: 413.042; Sec. 1 to 4, Ch. 575, OL
				  2015; & Sec. 7, Ch. 26 & OL 2016
Statutes/Other Implemented: Sec. 1 to 4, Ch. 575, OL 2015;
				  & Sec. 7, Ch. 26 & OL 2016
Oregon Administrative Rules › Chapter 409 - OREGON HEALTH AUTHORITY, HEALTH POLICY AND ANALYTICS › Division 28 - PRIMARY CARE PAYMENTS › Section 409-028-0000 - Purpose and Scope

Current through Register Vol. 63, No. 7, July 1, 2024
Senate Bill 934 (2017 Legislature) requires all commercial
				carriers and coordinated care organizations (CCOs) participating in a national
				primary care medical home payment model, conducted by the Center for Medicare
				and Medicaid Innovation, that includes performance-based incentive payments for
				primary care, to offer a similar alternative payment methodology (APM) to all
				Patient-Centered Primary Care Homes (PCPCHs) that serve their members or
				beneficiaries. These rules (OAR 409-028-0000  to 409-028-0120) define CCO
				reporting requirements to the Oregon Health Authority (OHA). The data will
				inform the work of the Primary Care Payment Reform Collaborative as it develops
				and reports on the progress of the legislatively-mandated Primary Care
				Transformation Initiative, the purpose of which is to direct greater health
				care resources and investments towards supporting and facilitating health care
				innovation and care improvement in primary care as a means to achieve the
				triple aim.
Statutory/Other Authority: ORS 413.432 & OL 2017, Ch.
				  489
Statutes/Other Implemented: OL 2017, Ch.
				  489
Oregon Administrative Rules › Chapter 409 - OREGON HEALTH AUTHORITY, HEALTH POLICY AND ANALYTICS › Division 28 - PRIMARY CARE PAYMENTS › Section 409-028-0010 - Definitions

Current through Register Vol. 63, No. 7, July 1, 2024
The following definitions apply to OAR 409-028-0000  to OAR
				409-028-0120:
(1) "APAC Data Reporting
			 Program" means the all payer all claims data reporting program pursuant to ORS
			 442.464,
			 442.466, and
			 442.993.
(2) "APM" means alternative payment
			 methodologies.
(3) "Annual
			 Supplemental Provider Level APM Summary report" means a data set composed of
			 total and primary care-related dollars disbursed, by payment arrangement and
			 line of business in the APAC Data Reporting Program, pursuant to OAR
			 409-025-0120.
(4) "Authority" means
			 the Oregon Health Authority.
(5)
			 "Comprehensive Primary Care Plus (CPC +)"means a national primary care medical
			 home payment model, conducted by the Center for Medicare and Medicaid
			 Innovation in accordance with
			 42 U.S.C.
			 1315a, that includes performance-based
			 incentive payments for primary care.
(6) "Coordinated care organization (CCO)"
			 shall have the meaning pursuant to ORS
			 414.025.
(7) "Patient-Centered Primary Care Home
			 (PCPCH)" means a health care team or clinic as defined in ORS
			 414.655 that meets the standards
			 and has been recognized pursuant to OAR 409-055-0040.
Statutory/Other Authority: ORS 413.432 & OL 2017, Ch.
				  489
Statutes/Other Implemented: OL 2017, Ch.
				  489
Oregon Administrative Rules › Chapter 409 - OREGON HEALTH AUTHORITY, HEALTH POLICY AND ANALYTICS › Division 28 - PRIMARY CARE PAYMENTS › Section 409-028-0020 - Coordinated Care Organization Reporting Requirements

Current through Register Vol. 63, No. 7, July 1, 2024
(1) No later than September 30 of each year
			 beginning September 30, 2019, a coordinated care organization (CCO)
			 participating in CPC+ shall submit to the Authority the Annual Supplemental
			 Provider Level APM Summary report using the APAC Data Reporting Program for the
			 prior calendar year [Example: January 1, 2018 through December 31, 2018 data
			 needs to be submitted by September 30, 2019.].
(2) No later than September 30 of each year
			 beginning September 30, 2019, a CCO participating in CPC+ shall submit to the
			 Authority a PCPCH APM Reporting Form (PCPCH APM-1) for the prior calendar year
			 [Example: January 1, 2018 through December 31, 2018 data needs to be submitted
			 by September 30, 2019] providing the following information:
(a) The number of PCPCHs in their
			 network;
(b) The number of PCPCHs
			 in their network with an APM in their contract;
(c) The number of PCPCHs in their network
			 offered an APM.
Oregon Administrative Rules › Chapter 409 - OREGON HEALTH AUTHORITY, HEALTH POLICY AND ANALYTICS › Division 30 - HEALTH PROFESSION STUDENT CLINICAL TRAINING ADMINISTRATIVE REQUIREMENTS › Section 409-030-0100 - Purpose

Current through Register Vol. 63, No. 7, July 1, 2024
These rules (OAR 409-030-0100  to 409-030-0250) establish
				standards for administrative requirements for health professional student
				placements in clinical training settings within the state of Oregon. The
				purpose of these rules is to mitigate inconsistencies that currently exist
				across clinical placements; to promote efficient solutions to reduce costs for
				students, health profession programs and clinical placement sites; and to
				ensure patient, clinical staff and student safety. These rules pertain to
				credentials that students must obtain and requirements that clinical placement
				sites may set.
Statutory/Other Authority:ORS
				  413.435
Statutes/Other Implemented:ORS
				  413.435
Oregon Administrative Rules › Chapter 409 - OREGON HEALTH AUTHORITY, HEALTH POLICY AND ANALYTICS › Division 30 - HEALTH PROFESSION STUDENT CLINICAL TRAINING ADMINISTRATIVE REQUIREMENTS › Section 409-030-0120 - General applicability

Current through Register Vol. 63, No. 7, July 1, 2024
(1) These rules
			 apply to all students who:
(a) Plan to undergo
			 clinical training at a setting listed in OAR 409-030-0140  within the state of
			 Oregon; regardless of the location of the health profession or health-related
			 profession program in which the student is matriculated;
(b) Concentrate on a health professional or
			 health-related professional discipline listed in OAR 409-030-0130;
(c) Have direct contact with patients at any
			 point during the clinical placement; and
(d) Are matriculated into and currently
			 enrolled in a health professional or health related professional training
			 program as described in OAR 409-030-0130.
Oregon Administrative Rules › Chapter 409 - OREGON HEALTH AUTHORITY, HEALTH POLICY AND ANALYTICS › Division 30 - HEALTH PROFESSION STUDENT CLINICAL TRAINING ADMINISTRATIVE REQUIREMENTS › Section 409-030-0130 - Health Professional Disciplines

Current through Register Vol. 63, No. 7, July 1, 2024
(1)
			 Except as provided in OAR 409-030-0150, these rules apply to students of the
			 following health professions:
(a)
			 Audiologists, as defined in ORS 681.205;
(b) Clinical laboratory science specialists,
			 including medical technologists, medical laboratory scientists, and laboratory
			 assistants, as defined in ORS 438.010;
(c) Dental assistants, as defined in ORS
			 679.010;
(d) Dental hygienists, as
			 defined in ORS 679.010;
(e) Dental
			 therapists, as defined in ORS 679.603;
(f) Dentists, as defined in ORS
			 679.010;
(g) Dieticians, as defined
			 in ORS 691.405;
(h) Emergency
			 medical services providers, as defined in ORS 682.025;
(i) Hemodialysis technicians, as defined in
			 ORS 688.635;
(j) Marriage and
			 family therapists, as defined in ORS 675.705;
(k) Medical personnel (trained medical office
			 and ancillary healthcare personnel who perform clinical tasks such as taking
			 vital signs, preparing patients for examinations, or recording medical
			 histories of patients, administrative duties, and other duties);
(l) Medical imaging practitioners and limited
			 x-ray machine operators, as defined in ORS 688.405;
(m) Nurses, including registered nurses,
			 practical nurses, advanced practice nurses, nurse practitioners, nursing
			 assistants, medication aides and any other assistive nursing personnel licensed
			 or certified under ORS 678.010 to 678.445;
(n) Occupational therapists and occupational
			 therapy assistants, as defined in ORS 675.210;
(o) Optometrists, as described in ORS 683.010 to 683.310.
(p) Pharmacists and
			 pharmacy technicians, as defined in ORS 689.005;
(q) Physical therapists, physical therapist
			 aides, and physical therapist assistants, as defined in ORS 688.010;
(r) Physician assistants, as defined in ORS
			 677.495;
(s) Physicians
			 (Medical/Osteopathic and Naturopathic), as defined in ORS 677.010 and
			 685.010;
(t) Podiatrists, as
			 defined in ORS 677.805;
(u)
			 Professional counselors, as defined in ORS 675.705;
(v) Psychologists, as defined in ORS
			 675.010;
(w) Regulated social
			 workers, as defined in ORS 675.510;
(x) Speech-language pathologists and
			 speech-language pathologist assistants, as defined in ORS 681.205;
			 and
(y) Surgical technologists
			 (allied health professionals under the supervision of a surgeon who are trained
			 in advanced sterile techniques and theories and facilitate safety throughout
			 the operative procedure);
(z) All
			 other health-related disciplines not listed above that fall under the
			 regulatory authority of the Oregon Health Licensing Office established in ORS
			 676.560-625 and ORS 676.990-992.
Oregon Administrative Rules › Chapter 409 - OREGON HEALTH AUTHORITY, HEALTH POLICY AND ANALYTICS › Division 30 - HEALTH PROFESSION STUDENT CLINICAL TRAINING ADMINISTRATIVE REQUIREMENTS › Section 409-030-0140 - Clinical Settings

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Except as
			 provided in OAR 409-030-0140  section (2) and 409-030-0150, these rules apply to
			 the following clinical facilities hosting health professions students in the
			 disciplines described in OAR 409-030-0130:
(a)
			 Ambulatory care settings, including but not limited to clinics, private
			 practices, Federally Qualified Health Centers, and primary care
			 homes;
(b) Ambulatory surgical
			 centers, as defined in ORS 442.015;
(c) Funeral establishments, as defined in ORS
			 692.146;
(d) Hospice, as defined in
			 ORS 443.860;
(e) Hospitals and
			 emergency departments, as defined in ORS 442.015;
(f) Long term care facilities, as defined in
			 ORS 442.015;
(g) Residential care
			 facilities, as defined in ORS 443.400; and
(h) Skilled nursing facilities, as defined in
			 ORS 442.015;
(i) Other sites not
			 listed above where health care is delivered.
Oregon Administrative Rules › Chapter 409 - OREGON HEALTH AUTHORITY, HEALTH POLICY AND ANALYTICS › Division 30 - HEALTH PROFESSION STUDENT CLINICAL TRAINING ADMINISTRATIVE REQUIREMENTS › Section 409-030-0150 - Exceptions

Current through Register Vol. 63, No. 7, July 1, 2024
(1) In addition to the exceptions listed in
			 OAR 409-030-0130(2)  and 409-030-0140(2), the standards in these rules do not
			 apply to students who will not have direct patient contact as part of their
			 clinical placement, who are undergoing training overseen by their employer,
			 academic institution, or training program at facilities that are located on the
			 premises of or operated solely by the employer, academic institution or
			 training program, or are otherwise considered "in-house" clinics.
(2) Clinical placement sites that have fewer
			 or less stringent administrative requirements for newly hired non-student
			 employees may request exemption from specific provisions of OAR 409-030-0170  through 409-030-0240  for students performing clinical placements at that site.
			 For example, a clinical placement site that does not require regular employees
			 to take a drug screen prior to being hired may request exemption from the
			 section of these rules that require students to take a drug screen prior to
			 being placed at that clinical site. However:
(a) All exemptions must be documented with
			 the Authority prior to implementation of the exemption; and
(b) Clinical placement sites may only request
			 exemptions from the specific category or section of these rules in which their
			 requirements for newly-hired non-student employees are less (such as
			 immunizations, screenings, trainings or other listed in Table 1). Clinical
			 placement sites with an exemption to a specific category of the administrative
			 requirements must still comply with all other sections of these
			 rules.
Oregon Administrative Rules › Chapter 409 - OREGON HEALTH AUTHORITY, HEALTH POLICY AND ANALYTICS › Division 30 - HEALTH PROFESSION STUDENT CLINICAL TRAINING ADMINISTRATIVE REQUIREMENTS › Section 409-030-0160 - Regular Review of Clinical Placement Standards

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The Authority shall convene an advisory
			 group that may include representatives of affected students, health profession
			 programs, clinical settings, and healthcare boards that regulate health
			 profession programs. The Authority and the advisory group shall review the
			 standards set forth in sections OAR 409-030-0170  through 409-030-0240  of these
			 rules annually. Affected parties may bring proposed changes to the annual
			 review process.
(2) Standards for
			 immunizations are based on CDC guidance and other state and federal regulatory
			 bodies overseeing immunization and vaccinations for health care workers. Rules
			 shall be updated as needed to remain in compliance with suggested vaccination
			 schedules and other recommendations from these regulatory bodies related to the
			 applicable immunizations and screenings listed in Table 1 in OAR
			 409-030-0150.
(3) State and
			 nationwide criminal background check standards are based on rules determined by
			 authorized state and federal regulatory bodies, including but not limited to
			 the Joint Commission.
To view attachments referenced in rule text,
click here to view
				  rule
Statutory/Other Authority: ORS 413.435
Statutes/Other Implemented: ORS
				  413.435
Oregon Administrative Rules › Chapter 409 - OREGON HEALTH AUTHORITY, HEALTH POLICY AND ANALYTICS › Division 30 - HEALTH PROFESSION STUDENT CLINICAL TRAINING ADMINISTRATIVE REQUIREMENTS › Section 409-030-0170 - Administrative Requirements for Clinical Placement

Current through Register Vol. 63, No. 7, July 1, 2024
(1) To qualify for a clinical placement at a
			 covered site within the state of Oregon, covered students must satisfy
			 requirements for each of the following categories prior to the start of the
			 intended placement period. See Table 1 in OAR 409-030-0150  for an expanded list
			 relating to:
(a) Immunizations;
(b) Screenings;
(c) Trainings; and
(d) Evidence of coverage for professional
			 liability and general liability.
Oregon Administrative Rules › Chapter 409 - OREGON HEALTH AUTHORITY, HEALTH POLICY AND ANALYTICS › Division 30 - HEALTH PROFESSION STUDENT CLINICAL TRAINING ADMINISTRATIVE REQUIREMENTS › Section 409-030-0180 - Immunization Standards

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Table 1 in
			 OAR 409-030-0150  lists the diseases and the corresponding required
			 immunizations that students must have in order to receive a clinical placement
			 or the immunizations that students are recommended to have but that are not
			 required in order to receive a clinical placement.
(2) Evidence of immunization may be
			 demonstrated through the following:
(a) A
			 document appropriately signed or officially stamped and dated by a qualified
			 medical professional or an authorized representative of the local health
			 department, which must include the following:
(A) The month and year of each dose of each
			 vaccine received; or
(B)
			 Documentation of proof of immunity to the disease via titer; or
(C) In the case where a student has the
			 disease, written documentation by a qualified medical professional indicating
			 the month and year the diagnosis of the disease was confirmed
Oregon Administrative Rules › Chapter 409 - OREGON HEALTH AUTHORITY, HEALTH POLICY AND ANALYTICS › Division 30 - HEALTH PROFESSION STUDENT CLINICAL TRAINING ADMINISTRATIVE REQUIREMENTS › Section 409-030-0190 - Screening Standards

Current through Register Vol. 63, No. 7, July 1, 2024
Table 1 in OAR 409-030-0150  provides detailed information
				related to required screenings for students' clinical placements. Required
				screenings consist of:
(1)
			 Tuberculosis (OAR 409-030-0200);
(2) Substance abuse or misuse (OAR
			 409-030-0210); and
(3) State and
			 nationwide criminal background check (OAR 409-030-0220).
To view attachments referenced in rule text,
click here to view
				  rule
Statutory/Other Authority: ORS 413.435
Statutes/Other Implemented: ORS
				  413.435
Oregon Administrative Rules › Chapter 409 - OREGON HEALTH AUTHORITY, HEALTH POLICY AND ANALYTICS › Division 30 - HEALTH PROFESSION STUDENT CLINICAL TRAINING ADMINISTRATIVE REQUIREMENTS › Section 409-030-0200 - Tuberculosis Screening

Current through Register Vol. 63, No. 7, July 1, 2024
(1) A student
			 must obtain and provide documentation for TB screening consistent with the
			 requirements for immunization in OAR 409-030-0180.
(2) TB screening must be conducted in a
			 manner consistent with the CDC guidelines available at
https://www.cdc.gov/tb/topic/testing/
or other Oregon or federal health authority guidelines prior to the start date
			 of the initial clinical placement.
Statutory/Other Authority: ORS 413.435
Statutes/Other Implemented: ORS
				  413.435
Oregon Administrative Rules › Chapter 409 - OREGON HEALTH AUTHORITY, HEALTH POLICY AND ANALYTICS › Division 30 - HEALTH PROFESSION STUDENT CLINICAL TRAINING ADMINISTRATIVE REQUIREMENTS › Section 409-030-0210 - Drug Testing for Substance Abuse and Misuse

Current through Register Vol. 63, No. 7, July 1, 2024
(1) A student must undergo a drug test prior
			 to the start date of initial placement at a covered clinical setting.
			 Completion of a ten-panel drug testmust take place prior to initial placement,
			 but no more than three months before entry into the health profession training
			 program requiring clinical training experience. A drug test is considered
			 current while the student is enrolled and progressing in the health profession
			 training program. Subsequent drug tests may not be required except for cause,
			 or at re-entry into a program from which the student has taken more than three
			 months of leave or has fallen out of progression. These rules do not aim to
			 define an "acceptable" result to a drug screen. These rules ensure completion
			 of the administrative requirements necessary for administrative clearance for
			 students. Clinical placement settings shall make all final clearance and
			 placement decisions.
(2) At a
			 minimum, a covered student seeking a clinical placement at a covered clinical
			 site must undergo a standard 10-panel drug test and must sign any necessary
			 authorizations. Screens for the following eight substances must be included in
			 the 10-panel drug screen:
(a) Amphetamines
			 (including methamphetamines);
(b)
			 Barbiturates;
(c)
			 Benzodiazepines;
(d)
			 Cocaine;
(e) Marijuana;
(f) Methadone;
(g) Opiates; and
(h) Phencyclidine.
Oregon Administrative Rules › Chapter 409 - OREGON HEALTH AUTHORITY, HEALTH POLICY AND ANALYTICS › Division 30 - HEALTH PROFESSION STUDENT CLINICAL TRAINING ADMINISTRATIVE REQUIREMENTS › Section 409-030-0220 - State and Nationwide Criminal Background Checks

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Students must undergo a state and
			 nationwide criminal background check in advance of the start of their initial
			 clinical placements, but no more than three months before entry into the health
			 profession training program requiring clinical training experience. A criminal
			 background check is considered current while the student is enrolled and
			 progressing in the health profession training program. Subsequent criminal
			 background checks may not be required except for cause, or at re-entry into a
			 program from which the student has taken leave or fallen out of
			 progression.
(2) These rules do not
			 aim to establish or define the composition of an "acceptable" result to a state
			 and nationwide criminal background check. These rules ensure completion of the
			 administrative requirements necessary for administrative clearance for
			 students. Clinical placement settings shall make all final clearance and
			 placement.
(3) Clinical placement
			 settings may have the discretion to determine if state and national background
			 checks are adequate or if more stringent requirements are required for students
			 that resided in a foreign country for more than three months in the three years
			 prior to their admission to the rotation program.
(4) State and nationwide criminal background
			 checks must be:
(a) Performed by a vendor that
			 is accredited by the National Association of Professional Background Screeners
			 (NAPBS); or
(b) Performed by a
			 vendor that meets the following criteria:
(A)
			 Has been in the business of criminal background checks for at least two
			 years;
(B) Has a current business
			 license and private investigator license, if required in the company's home
			 state; and
(C) Maintains an errors
			 and omissions insurance policy in an amount not less than $1 million;
			 or
(c) Conducted through
			 an Oregon health professional licensing board, if required for students by such
			 Board. (For example students of pharmacy are required by the Oregon Board of
			 Pharmacy to obtain an intern license prior to engaging in clinical training and
			 must undergo a national fingerprint-based background check.)
Oregon Administrative Rules › Chapter 409 - OREGON HEALTH AUTHORITY, HEALTH POLICY AND ANALYTICS › Division 30 - HEALTH PROFESSION STUDENT CLINICAL TRAINING ADMINISTRATIVE REQUIREMENTS › Section 409-030-0230 - Training Standards

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Students
			 must complete all listed trainings in advance of the start date of the
			 students' initial clinical placement. See Table 1 in OAR 409-030-0150  for
			 additional descriptions and recommended training resources.
(2) Students must complete the following
			 steps for trainings that require certification:
(a) Complete an in-person training program in
			 cardiopulmonary resuscitation (CPR), also known as Basic Life Support (BLS), at
			 the healthcare provider level. On-line training will not meet this requirement.
			 Training programs for CPR/BLS must include the following components:
(A) 1-Rescuer CPR and AED for adult, child
			 and infant;
(B) 2-Rescuer CPR and
			 AED for adult, child and infant;
(C) Differences between adult, child and
			 infant rescue techniques;
(D)
			 Bag-mask techniques for adult, child and infant;
(E) Rescue breathing for adult, child and
			 infant;
(F) Relief of choking for
			 adult, child and infant;
(G) CPR
			 with an advanced airway; and
(H)
			 Skills testing.
Oregon Administrative Rules › Chapter 409 - OREGON HEALTH AUTHORITY, HEALTH POLICY AND ANALYTICS › Division 30 - HEALTH PROFESSION STUDENT CLINICAL TRAINING ADMINISTRATIVE REQUIREMENTS › Section 409-030-0240 - Insurance and Liability Coverage

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Prior to clinical training, students or
			 health profession programs must demonstrate that students have one of the
			 following types of coverage and that the coverage will remain in place for the
			 entire duration of each placement:
(a)
			 Professional liability insurance coverage, and
(b) General liability insurance coverage; or
(c) Coverage under a combined
			 policy for professional and general liability insurance.
Oregon Administrative Rules › Chapter 409 - OREGON HEALTH AUTHORITY, HEALTH POLICY AND ANALYTICS › Division 30 - HEALTH PROFESSION STUDENT CLINICAL TRAINING ADMINISTRATIVE REQUIREMENTS › Section 409-030-0250 - Information Sharing or Use of Data

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Only clinical sites that have a
			 contractual agreement with a student's training program may access the
			 documentation and evidence related to completion of the administrative
			 requirements.
(2) Students must
			 provide written, signed permission that explicitly allows the sharing of
			 required documents and necessary evidence with clinical sites, including but
			 not limited to any release required under HIPAA or other applicable lawsto
			 disseminate the student's personal health information under these
			 rules.
(3) Dissemination of
			 information received under these rules may only be made to individuals with a
			 demonstrated and legitimate need to know the information.
Statutory/Other Authority:ORS
				  413.435
Statutes/Other Implemented:ORS
				  413.435
Oregon Administrative Rules › Chapter 409 - OREGON HEALTH AUTHORITY, HEALTH POLICY AND ANALYTICS › Division 35 - PHYSICIAN VISA WAIVER PROGRAM › Section 409-035-0000 - Purpose of the Physician Visa Waiver Program

Current through Register Vol. 63, No. 7, July 1, 2024
The purpose of the Physician Visa Waiver program is to make
				recommendations to the United States Department of State to waive the foreign
				country residency requirement of foreign medical graduates on behalf of
				physicians holding visas who seek employment in federally designated areas
				having a shortage of physicians. These rules set forth the requirements for
				Oregon to make requests to waive the foreign country residency requirement as
				authorized under  8 U.S.C. secs. 1182(e) and 1184(l).
Statutory/Other Authority: ORS
				  413.248
Statutes/Other Implemented: ORS
				  413.248
Oregon Administrative Rules › Chapter 409 - OREGON HEALTH AUTHORITY, HEALTH POLICY AND ANALYTICS › Division 35 - PHYSICIAN VISA WAIVER PROGRAM › Section 409-035-0010 - Definitions

Current through Register Vol. 63, No. 7, July 1, 2024
For the purposes of this Division, the following definitions
				apply:
(1) "Application" means the
			 Physician Visa Waiver Program application form and supporting
			 documentation.
(2) "Authority"
			 means the Oregon Health Authority.
(3) "Department of State" means the federal
			 agency that reviews J-1 waiver applications.
(4) "Flex Option" means the placement of a
			 physician in an area that is not a federally designated shortage area, who will
			 serve patients living in designated shortage areas, as determined by the Health
			 Resources and Services Administration.
(5) "Health Care Facility" means the clinic
			 or hospital that employs the J-1 physician.
(6) "Health Services and Resources
			 Administration" (HRSA) means the branch of the Department of Health and Human
			 Services that designates federal shortage areas.
(7) "Health Care Shortage Area" means a
			 geographic area or site approved by HRSA. Categories include Health
			 Professional Shortage area (HPSA), Medically Underserved Area (MUA), and
			 Medically Underserved Population (MUP).
(8) "J-1 Application" means the application
			 form and supporting material submitted jointly by the health care facility and
			 the J-1 physician to the Authority.
(9) "J-1 Physician" means allopathic or
			 osteopathic physician who is requesting a waiver of the two-year foreign
			 country residency requirement in order to practice in a facility in Oregon that
			 is either located in a federally designated shortage area or serves patients
			 living in designated shortage areas.
(10) "Low Income" means a patient whose
			 income does not exceed 200% of the current Federal Poverty Guidelines (see:
https://aspe.hhs.gov/poverty
).
(11) "Mental Health Facility" means an agency
			 that provides mental health services in an outpatient, residential, or hospital
			 setting.
(12) "Oregon Health Plan"
			 means the joint Federal/State entitlement program, enacted in 1965 as Title XIX
			 of the Social Security Act, that pays for medical care on behalf of certain
			 groups of low-income persons, as operated in Oregon.
(13) "Primary Care Physician" means a
			 physician licensed in Oregon to practice family medicine, general internal
			 medicine, obstetrics and gynecology, pediatrics, or general
			 psychiatry.
(14) "United States
			 Citizenship and Immigration Services" means the agency that replaced the
			 Immigration and Naturalization Service, effective March 1, 2003.
Statutory/Other Authority: ORS
				  413.248
Statutes/Other Implemented: ORS
				  413.248
Oregon Administrative Rules › Chapter 409 - OREGON HEALTH AUTHORITY, HEALTH POLICY AND ANALYTICS › Division 35 - PHYSICIAN VISA WAIVER PROGRAM › Section 409-035-0020 - Health Care Facility Participation Requirements

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Federally Qualified Health Centers with
			 a:
(a) HPSA score at or above the requirements
			 of 22 CFR
			 41.63 shall apply for a J-1 Waiver either
			 through the Authority or through the United States Department of Health and
			 Human Services (see:
http://www.globalhealth.gov/global-programs-and-initiatives/exchange-visitor-program
);
(b) HPSA score below the requirements of
			 22 CFR
			 41.63 shall apply for a J-1 Waiver through
			 the Authority.
Oregon Administrative Rules › Chapter 409 - OREGON HEALTH AUTHORITY, HEALTH POLICY AND ANALYTICS › Division 35 - PHYSICIAN VISA WAIVER PROGRAM › Section 409-035-0030 - Physician Participation Requirements

Current through Register Vol. 63, No. 7, July 1, 2024
To qualify for consideration by this program the physician
				must:
(1) Obtain a Department of State
			 case number prior to submitting an application to the Authority;
(2) Submit a completed application that:
(a) Documents having, or having applied for,
			 an active Oregon medical license. If the residency or fellowship is not
			 completed, the license application may be listed as "pending";
(b) Includes either a "No Objection" letter
			 from the home country, or a statement that the physician is not contractually
			 obligated to return to the home country;
(c) Includes a signed and dated statement
			 certifying that the physician does not have any other pending J-1 waiver
			 requests;
(d) Includes a copy of
			 the medical degree or diploma;
(e)
			 Includes legible copies of all DS 2019 Forms;
(f) Includes a curriculum vitae that
			 documents the physician's date of birth, city and country of birth.
Oregon Administrative Rules › Chapter 409 - OREGON HEALTH AUTHORITY, HEALTH POLICY AND ANALYTICS › Division 35 - PHYSICIAN VISA WAIVER PROGRAM › Section 409-035-0040 - Application Review Process

Current through Register Vol. 63, No. 7, July 1, 2024
(1)
			 The Authority shall review completed health care facility applications that
			 meet all requirements of 409-035-0020. Potential physician participants must
			 meet all requirements set forth in 409-035-0030.
(2) The following factors shall be considered
			 in determining whether to recommend a request for waiver of the foreign country
			 residency requirement:
(a) The type of
			 medicine to be practiced.
(b)
			 Applications from community health centers with HPSA scores below 7 and from
			 mental health facilities shall receive priority.
(c) Geographic distribution of physicians. To
			 the extent possible, the Authority shall attempt equitable distribution of
			 waiver requests for eligible areas of the state. The number of physicians
			 already working under waivers or recommended for waivers in a particular
			 geographic area shall be taken into consideration.
(d) Distribution of physicians among
			 employers. The Authority may limit the number of slots to six per employer (as
			 defined by EIN) in a program year.
(e) Facility patient profile. The health care
			 facility's percentage of patient visits which are covered by the Oregon Health
			 Plan, Medicare, or are low income, uninsured.
Oregon Administrative Rules › Chapter 409 - OREGON HEALTH AUTHORITY, HEALTH POLICY AND ANALYTICS › Division 35 - PHYSICIAN VISA WAIVER PROGRAM › Section 409-035-0050 - Monitoring and Follow-up Requirements

Current through Register Vol. 63, No. 7, July 1, 2024
To maintain participation in the Physician Visa Waiver Program
				the health care facility must:
(1)
			 Notify the Authority in writing as soon as the physician starts work.
(2) Promptly submit annual reports signed by
			 the physician and the Chief Executive Officer of the health care facility or
			 their designee. These reports shall include:
(a) Verification that the physician is
			 employed full-time;
(b) A current
			 breakdown of patient visits from Oregon Health Plan members, Medicare, and
			 low-income uninsured patients served by the physician; and
(c) The current number of Oregon Health Plan
			 member visits as a percentage of the total patient visits at the
			 facility.
Oregon Administrative Rules › Chapter 409 - OREGON HEALTH AUTHORITY, HEALTH POLICY AND ANALYTICS › Division 35 - PHYSICIAN VISA WAIVER PROGRAM › Section 409-035-0060 - Transfer of J-1 Waiver Physician Obligation

Current through Register Vol. 63, No. 7, July 1, 2024
(1) A physician who is granted a visa waiver
			 and who encounters a practice failure due to extenuating circumstances may,
			 with Authority approval, finish the three-year service obligation at another
			 approved health care facility. A written notification of the intended transfer
			 must be submitted to the Authority documenting the need for the transfer before
			 the transfer takes place. Failure to submit written notification prior to a
			 transfer may adversely affect the facility's eligibility for future
			 participation in the program.
(2)
			 The notification must include the reason for transfer, proposed new employer,
			 the health care facility director's name, practice name, address, telephone
			 number, and proposed date of transfer.
(3) The original employer must provide a
			 letter releasing the physician from the employment contract and providing an
			 explanation for the termination. The Authority may waive this requirement if
			 the original employer is in non-compliance with federal requirements, federal
			 or state law, or with these rules.
(4) The new employer must:
(a) Provide a letter of intent to employ the
			 physician;
(b) Provide a copy of
			 the new employment contract;
(c)
			 Meet health care facility participation requirements as set forth in these
			 rules;
(d) Work with the physician
			 to jointly submit annual Verification of Employment forms as required by the
			 Authority.
Oregon Administrative Rules › Chapter 409 - OREGON HEALTH AUTHORITY, HEALTH POLICY AND ANALYTICS › Division 36 - HEALTH CARE PROVIDER INCENTIVE PROGRAM › Section 409-036-0000 - Purpose and Scope

Current through Register Vol. 63, No. 7, July 1, 2024
These rules (OAR 409-036-0000  to 409-036-0150) establish the
				Health Care Provider Incentive Program within the Oregon Health Authority. The
				program offers incentives to qualified health providers who commit to serving
				the health care needs of medical assistance and Medicare enrollees in both
				rural and non-rural underserved areas of the state.
Statutory/Other Authority: ORS
				  676.454
Statutes/Other Implemented: ORS
				  676.454