Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 8 - CERTIFICATION OF BEHAVIORAL HEALTH TREATMENT SERVICES › Section 309-008-0200 - Definitions

Current through Register Vol. 63, No. 7, July 1, 2024
(1) "ASAM Criteria"
			 means the most current publication of the American Society of Addiction
			 Medicine criteria; Treatment Criteria for Addictive, Substance-Related, and
			 Co-Occurring Conditions, which is a clinical guide used in matching individuals
			 to appropriate levels of care, and incorporated by reference in these
			 rules.
(2) "Applicant" means any
			 provider with an existing certificate listed in OAR
			 309-008-0100(2)
			 to provide behavioral health treatment services or any person, organizational
			 provider, tribal organization, or Community Mental Health Program seeking
			 initial certification listed in OAR
			 309-008-0100(2)
			 by submitting an application to provide behavioral health treatment
			 services.
(3) "Behavioral Health"
			 means mental health, mental illness, addictive health, and addiction and
			 gambling disorders.
(4) "Behavioral
			 Health Treatment Services" means mental health treatment, substance use
			 disorder treatment, and problem gambling treatment services.
(5) "Certificate" means the document issued
			 by the Division that identifies and declares provider certification. A letter
			 accompanying issuance of the certificate shall detail the scope and approved
			 service delivery locations of the certificate.
(6) "Certification Review" means an
			 assessment of a provider or applicant by the Division or by another state
			 agency or contractor on behalf of the Division for the purpose of assessing
			 compliance with these rules with applicable service delivery rules and other
			 applicable regulations.
(7)
			 "Community Mental Health Program" (CMHP) means the organization of various
			 services for individuals with a mental health diagnosis or addictive disorders
			 operated by or contractually affiliated with a local mental health authority
			 and operated in a specific geographic area of the state under an agreement with
			 the Division pursuant to OAR
			 309-014-0000.
(8) "Condition" means a provision attached to
			 a new or existing certificate that limits or restricts the scope of the
			 certificate or imposes additional requirements on the applicant or
			 provider.
(9) "Coordinated Care
			 Organization" (CCO) means an entity that has been contracted by the Authority
			 to provide coordinated and integrated health services.
(10) "Director" means the Director of the
			 Oregon Health Authority or designee.
(11) "Division" means the Health Systems
			 Division of the Oregon Health Authority or designee.
(12) "Division Staff" means those staff
			 employed by the Division to conduct certification activities under these rules
			 or a contracted entity delegated the authority by the Division to conduct
			 certification activities under these rules.
(13) "Individual" means the person requesting
			 or receiving behavioral health treatment services from a provider certified by
			 the Division.
(14) "Individual
			 Services Records" means documentation, written or electronic, regarding an
			 individual including information relating to entry, assessment, orientation,
			 services and supports planning, services and supports provided, and
			 transfer.
(15) "Initial
			 Certification" means a certificate issued to a new provider.
(16) "Non-Inpatient Provider" means a
			 provider not contractually affiliated with the Division, a CMHP, or other
			 Division contractor, providing behavioral health treatment services under group
			 health insurance coverage that seeks or maintains Division approval under ORS
			 743A.168.
(17) "Oregon Health Authority" (Authority)
			 means the agency established in ORS Chapter 413 that administers the funds for
			 Titles XIX and XXI of the Social Security Act. It is the single state agency
			 for the administration of the medical assistance program under ORS chapter 414.
			 For purposes of these rules, divisions of the Oregon Health Authority include
			 the Public Health Division and the Health Systems Division.
(18) "Plan of Correction" (POC) means a
			 written plan and attached supporting documentation created by the provider when
			 required by the Division to address findings of noncompliance with these rules
			 or applicable service delivery rules.
(19) "Provider" means an individual,
			 organizational provider as defined in ORS
			 430.637(1)(b),
			 tribal organization, or CMHP that holds a current certificate listed in OAR
			 309-008-0100(2)
			 to provide behavioral health treatment services pursuant to these and
			 applicable service delivery rules.
(20) "Program Staff" includes employees of
			 the provider, individuals who provide services by contract with the provider,
			 program administrators, directors, or others who manage the provision of
			 services, and the provider itself when the provider is an individual or group
			 of individuals.
(21) "Program
			 Director" means an individual with appropriate professional qualifications and
			 experience as regulated by the applicable service delivery rules listed on the
			 certificate who is designated to manage the operation of a program.
(22) "Public Funds" means financial support,
			 in part or in full, provided directly or indirectly by a local, state, or
			 federal government.
(23)
			 "Regulatory Standard" means a rule, condition, or requirement describing the
			 following information for products, systems, or practices:
(a) Classification of components;
(b) Specification of materials, performance,
			 or operations; or
(c) Delineation
			 of procedures.