reglab/statecodes huggingface dataset:
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 15 - MEDICAID PAYMENT FOR PSYCHIATRIC HOSPITAL INPATIENT SERVICES › Section 309-015-0052 - Provider Sanctions

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Basis
			 for sanctioning. The Division will follow the Division of Medical Assistance
			 Program rules OAR 410-120-0000 through
			 410-120-1980 and Section 1902 of
			 the Social Security Act for provider sanctions. The basis for sanctioning will
			 include:
(a) Criminal convictions;
(b) Exclusion, by the Secretary of Health and
			 Human Services, from participation in the Medicare program;
(c) Not meeting the federal regulatory
			 requirements for services in an institution for mental diseases or a
			 psychiatric hospital as set forth at
42 CFR
			 435.1009
and
42 CFR 441
,
Subparts C
and
D
;
(d) Having deficiencies which immediately
			 jeopardize, or may jeopardize, the health and safety of patients;
(e) Abuse and misutilization, as described in
			 OAR 410-120-0000 through
			 410-120-1980;
(f) Termination:
(A) From another governmental health/medical
			 program;
(B) For failure to repay
			 identified overpayments; or
(C) Due
			 to commission, by a provider formerly suspended by the Division, of additional
			 abuse or misutilization.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 15 - MEDICAID PAYMENT FOR PSYCHIATRIC HOSPITAL INPATIENT SERVICES › Section 309-015-0055 - Appeals

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Rate appeals. A
			 letter will be sent notifying the provider of the interim per diem rate, the
			 year-end settlement rate, or the final settlement rate. A provider shall notify
			 the Division in writing within 15 days of receipt of the letter if the provider
			 wishes to appeal the rate. Letters of appeal must be postmarked within the
			 15-day limit and addressed to the Assistant Administrator, Administrative
			 Services (the Medicaid Intermediary).
(2) The Medicaid Intermediary will forward
			 all rate appeals to the Manager of the Division's Audit Section for initial
			 consideration. If no resolution is forthcoming, the provider will be given an
			 opportunity for administrative review or a contested case hearing as outlined
			 in OAR 410-120-1400 through
			 410-120-1600, except that final
			 orders shall be issued by the Administrator of the Division.
(3) Monetary recovery, sanctions, or other
			 appeals. A provider may appeal the Division's proposed action by letter within
			 the same 15-day period as allowed for rate appeals above; address the letter to
			 the Assistant Administrator, Administrative Services (the Medicaid
			 Intermediary).
Stat. Auth.: ORS
				  413.042
Stats. Implemented: ORS
				  414.025 &
				  414.065
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 15 - MEDICAID PAYMENT FOR PSYCHIATRIC HOSPITAL INPATIENT SERVICES › Section 309-015-0060 - Emergency Services in Non-Participating Hospitals

Current through Register Vol. 63, No. 7, July 1, 2024
Reimbursable services. Emergency services provided in licensed
				psychiatric hospitals not participating in Medicaid will be reimbursed if the
				Division determines they meet federal requirements for Medicare reimbursement
				of emergency services as outlined in
Subpart G
,
Part
				424
of the Medicare regulations.
Stat. Auth.: ORS
				  413.042
Stats. Implemented: ORS
				  414.025 &
				  414.065
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 18 - RESIDENTIAL SUBSTANCE USE DISORDERS AND PROBLEM GAMBLING TREATMENT AND RECOVERY SERVICES › Section 309-018-0100 - Purpose and Scope

Current through Register Vol. 63, No. 7, July 1, 2024
(1)
			 Purpose: These rules prescribe minimum standards for services and supports
			 provided by addictions and mental health providers approved by the Health
			 Systems Division of the Oregon Health Authority.
(2) Scope: In addition to applicable
			 requirements in OAR 410-120-0000 through
			 410-120-1980 and 943-120-0000
			 through 943-120-1550, these rules specify standards for services and supports
			 provided in:
(a) Residential Substance Use
			 Disorders Treatment and Recovery Services; and
(b) Residential Problem Gambling Treatment
			 and Recovery Services.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 18 - RESIDENTIAL SUBSTANCE USE DISORDERS AND PROBLEM GAMBLING TREATMENT AND RECOVERY SERVICES › Section 309-018-0107 - Certification Required

Current through Register Vol. 63, No. 7, July 1, 2024
Entities providing or seeking to provide residential treatment
				services under these rules shall also hold or successfully obtain from the
				Division a certificate to provide behavioral health treatment services under
				OAR 309-008-0100 to
				309-008-1600 if they intend to
				provide an outpatient service regulated by the Division's service delivery
				rules.
Statutory/Other Authority: ORS
				  413.042,
				  428.205 -
				  428.270,
				  430.640 &
				  443.450
Statutes/Other Implemented: ORS
				  109.675,
				  161.390 -
				  161.400,
				  179.505,
				  430.010,
				  430.205 -
				  430.210,
				  430.240 -
				  430.640,
				  430.850 -
				  430.955,
				  443.400 -
				  443.460,
				  443.991,
				  461.549 &
				  743A.168
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 18 - RESIDENTIAL SUBSTANCE USE DISORDERS AND PROBLEM GAMBLING TREATMENT AND RECOVERY SERVICES › Section 309-018-0108 - Licensing Standards

Current through Register Vol. 63, No. 7, July 1, 2024
(1)
			 Residential Substance Use Disorders Treatment and Recovery Services Programs
			 shall be licensed by the Division in accordance with OAR 415-012 in order to
			 render residential substance use disorder treatment and recovery services. A
			 License issued to a program shall be effective for a duration not to exceed two
			 years from the date of issue and may be renewed, conditioned, denied,
			 suspended, or revoked by the Division in the manner set forth in OAR 415-012.
			 Licensed programs shall meet the standards set forth in these rules and all
			 applicable statutes.
(2) Adolescent
			 and adult programs shall be licensed separately.
(3) Effective January 1, 2022, the following
			 designations shall be contained within the residential substance use disorder
			 treatment and recovery services license, as applicable:
(a) For all residential substance use
			 disorder treatment and recovery programs, the IMD status shall be determined by
			 the Division to be either:
(A) IMD
			 Residential; or
(B) NON-IMD
			 Residential.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 18 - RESIDENTIAL SUBSTANCE USE DISORDERS AND PROBLEM GAMBLING TREATMENT AND RECOVERY SERVICES › Section 309-018-0110 - Provider Policies

Current through Register Vol. 63, No. 7, July 1, 2024
(1) All
			 providers shall develop and implement written policies and procedures compliant
			 with these rules.
(2) Policies
			 shall be available to individuals, guardians, and family members upon
			 request.
(3) Providers shall
			 develop and implement written policies and procedures including but not limited
			 to:
(a) Personnel qualifications,
			 credentialing and training;
(b)
			 Criminal Records Checks that address program and milieu staff, compliant with
			 ORS 181.533 through
			 181.575 and OAR
			 943-007-0001 through 0501, where
			 applicable;
(c) Fraud, waste and
			 abuse in Federal Medicaid and Medicare programs compliant with OAR
			 410-120-1380 and
			 410-120-1510;
(d) Drug free workplace;
(e) Fee agreements;
(f) Confidentiality and compliance with
			 HIPAA, Federal Confidentiality Regulations (42 CFR, Part 2), and state
			 confidentiality regulations as specified in ORS
			 179.505 and
			 192.518 through
			 192.530;
(g) Compliance with Title 2 of the Americans
			 with Disabilities Act of 1990 (ADA);
(h) Grievances and appeals;
(i) Individual rights;
(j) Quality assessment and performance
			 improvement;
(k) Crisis prevention
			 and response;
(l) Incident and
			 critical incident reporting;
(m)
			 Family involvement;
(n)
			 Trauma-informed service delivery, consistent with the Division's Trauma
			 Informed Services Policy;
(o)
			 Provision of culturally and linguistically appropriate services;
(p) Medical protocols;
(q) Medication administration, storage, and
			 disposal;
(r) Facility
			 standards;
(s) General safety and
			 emergency procedures to include an evacuation plan and emergency plan in case
			 of fire, explosion, accident, death, or other emergencies. The evacuation and
			 emergency procedures and plans shall be current and posted in a common
			 area;
(t) Delivery of services and
			 supports consistent with
The ASAM Criteria, Third Edition
for
			 each licensed level of care;
(u)
			 Code of conduct that includes professional boundaries and ethics; and
(v) Referral, Care Coordination and Transfer
			 of Services.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 18 - RESIDENTIAL SUBSTANCE USE DISORDERS AND PROBLEM GAMBLING TREATMENT AND RECOVERY SERVICES › Section 309-018-0120

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: ORS
				  430.640 &
				  443.450
Stats. Implemented: ORS
				  430.010,
				  430.205 -
				  430.210,
				  430.240 -
				  430.640,
				  430.850 -
				  430.955,
				  443.400 -
				  443.460,
				  443.991,
				  461.549,
				  743A.168,
				  813.010 -
				  813.052 &
				  813.200 -
				  813.270
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 18 - RESIDENTIAL SUBSTANCE USE DISORDERS AND PROBLEM GAMBLING TREATMENT AND RECOVERY SERVICES › Section 309-018-0125 - Specific Staff Qualifications and Competencies

Current through Register Vol. 63, No. 7, July 1, 2024
Provider must assure that staff in the following positions meet
				applicable qualifications, credentialing or licensing standards and
				competencies, including those set forth in these rules:
(1) Program staff providing treatment
			 services or Peer-Delivered Services in substance use disorders or problem
			 gambling treatment programs shall be trained in and familiar with strategies
			 for the delivery of trauma informed and culturally responsive treatment
			 services. All treatment services shall be provided in a trauma informed and
			 culturally responsive manner.
(2)
			 Medical Directors shall be licensed under ORS 677 or 685 and may perform health
			 maintenance and restoration measures consistent with generally recognized and
			 accepted principles of medicine, including but not limited to:
(a) Administering, dispensing, or writing
			 prescriptions for medications;
(b)
			 Recommending the use of specific and appropriate over-the-counter
			 pharmaceuticals;
(c) Ordering
			 diagnostic tests; and
(d) Perform
			 tasks required by OAR
			 309-019-0200.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 18 - RESIDENTIAL SUBSTANCE USE DISORDERS AND PROBLEM GAMBLING TREATMENT AND RECOVERY SERVICES › Section 309-018-0130 - Documentation, Training, and Supervision

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Providers shall maintain personnel
			 records for each program and milieu staff that contain all of the following
			 documentation:
(a) The results of a criminal
			 records check applicable to the current position or title, and:
(A) For personnel who render mental health
			 services or have access to mental health protected health information such as
			 service records or billing information, the program shall use The Oregon
			 Criminal Records Check and those processes and procedures required by OAR
			 943-007-0001 through 0501;
			 and
(B) For personnel who render
			 only substance use disorder treatment services or have access to only substance
			 use disorder protected health information such as service records or billing
			 information, the program shall use national and state-wide criminal records
			 check processes.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 18 - RESIDENTIAL SUBSTANCE USE DISORDERS AND PROBLEM GAMBLING TREATMENT AND RECOVERY SERVICES › Section 309-018-0135 - Entry

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The program
			 shall utilize an entry procedure that at a minimum shall ensure the provision
			 and documentation of 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 most timely manner feasible
			 consistent with the presenting circumstances; and
(c) The provider may not deny entry to
			 individuals based on the individual's decision to continue their currently
			 prescribed medication to treat opioid dependence while receiving residential
			 substance use disorder services.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 18 - RESIDENTIAL SUBSTANCE USE DISORDERS AND PROBLEM GAMBLING TREATMENT AND RECOVERY SERVICES › Section 309-018-0140 - Assessment

Current through Register Vol. 63, No. 7, July 1, 2024
(1) At the time of
			 entry, the assessment process must begin, be updated or completed and signed by
			 a qualified program staff. Each assessment document shall provide record, or
			 documented review of past record, at minimum;
(a) Sufficient information and documentation
			 to justify the presence of a DSM-5-TR or ICD-10 diagnosis that is the medically
			 necessary reason for services, including identification of each DSM-5-TR-
			 criteria established per diagnosis, and the symptoms supporting each criteria;
(A) Screening for the presence of suicide
			 risk and interventions based on the information gathered; and
(B) A determination of the need for follow-up
			 actions, additional services and supports, and the level of risk to the
			 individual or to others.
(C) For
			 updated assessments or assessments for participants returning to services in
			 less than one calendar year, collateral information such as previous
			 assessments can be used to inform the current assessment. Information
			 supporting medical necessity, immediate risk screenings must be verified in
			 initial assessment interviews.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 18 - RESIDENTIAL SUBSTANCE USE DISORDERS AND PROBLEM GAMBLING TREATMENT AND RECOVERY SERVICES › Section 309-018-0140 - Assessment

Current through Register Vol. 63, No. 7, July 1, 2024
(1) At the time of
			 entry, an assessment shall be completed, or updated and signed by a qualified
			 program staff.
(2) Each assessment
			 shall include:
(a) Sufficient information and
			 documentation to justify the presence of a DSM-5-TR diagnosis that is the
			 medically necessary reason for services, including identification of each
			 DSM-5-TR- criteria established per diagnosis, and the symptoms supporting each
			 criteria;
(b) Screening for the
			 presence of:
(A) Substance use;
(B) Problem gambling;
(C) Mental health conditions;
(D) Chronic medical conditions;
(E) Presence of symptoms related to
			 psychological and physical trauma; and
(F) Suicide risk.
(c) When the screening process determines the
			 presence of any of the above conditions or any risk to health and safety to the
			 individual or others:
(A) Further assessment
			 shall be completed to determine the need for follow-up actions, additional
			 services and supports and the level of risk to the individual or to others;
			 and
(B) Documentation shall contain
			 referral for further assessment, planning, and intervention from an appropriate
			 professional, either with the same provider or with a collaborative community
			 provider.
(d) In
			 addition, for substance use disorder services each assessment and update
			 thereof shall be a multidimensional assessment, consistent with
The
			 ASAM Criteria, Third Edition,
and include, at a minimum the following
			 components, each consistent with
The ASAM Criteria, Third
			 Edition
:
(A) An ASAM Level of Care
			 determination per dimension, overall, and noting any applicable discrepancies;
			 and
(B) A Risk Assessment that is
			 comprised of:
(i) A consideration of the
			 history of each risk as well as the present concern(s);
(ii) An identification of immediate
			 need(s);
(iii) A severity of risk
			 for each dimension; and
(iv) An
			 overall determination of the severity of risk the individual currently is
			 experiencing.
(e) Any changes to the ASAM Level of Care
			 placement decision shall be justified within an update to the multidimensional
			 assessment on file; and
(f)
			 Providers shall update assessments within the scope of their practice when
			 there are changes in clinical circumstances.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 18 - RESIDENTIAL SUBSTANCE USE DISORDERS AND PROBLEM GAMBLING TREATMENT AND RECOVERY SERVICES › Section 309-018-0145 - Service Plan and Service Notes

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The Service
			 Plan shall be a written, individualized plan to improve the individual's
			 condition to the point where the individual's continued participation in the
			 program or level of care is no longer necessary. The Service Plan is included
			 in the individual's service record and shall:
(a) Be started prior to the rendering of
			 treatment services;
(b) Reflect the
			 assessment in its' most updated form;
(c) Address areas of concern identified in
			 the assessment that the individual agrees to address;
(d) Include a safety plan when the assessment
			 indicates risk to the health and safety of the individual or to others and be
			 updated as circumstances change. The safety plan may be a separate document
			 from the Service Plan;
(e) Include
			 the participation of the individual and family members as applicable;
			 and
(f) Be completed and signed by
			 qualified program staff as follows:
(A)
			 Supervisory or treatment staff in substance use disorders treatment and
			 recovery programs; and
(B)
			 Supervisory or treatment staff in problem gambling treatment and recovery
			 programs.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 18 - RESIDENTIAL SUBSTANCE USE DISORDERS AND PROBLEM GAMBLING TREATMENT AND RECOVERY SERVICES › Section 309-018-0145 - Service Plan and Service Notes

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The Service
			 Plan shall be a written, individualized plan to improve the individual's
			 condition to the point where the individual's continued participation in the
			 program or level of care is no longer necessary. The Service Plan is included
			 in the individual's service record and shall:
(a) Be started prior to the rendering of
			 services;
(b) Reflect the
			 assessment;
(c) Address areas of
			 concern identified in the assessment that the individual agrees to
			 address;
(d) When applicable,
			 document the ASAM Level of Care placement. When there is a discrepancy,
			 document the individual's preferred ASAM Level of Care placement;
(e) Include a safety plan when the assessment
			 indicates risk to the health and safety of the individual or to others and be
			 updated as circumstances change. The safety plan may be a separate document
			 from the Service Plan;
(f) Include
			 the participation of the individual and family members as applicable;
			 and
(g) Be completed and signed by
			 qualified program staff as follows:
(A)
			 Supervisory or treatment staff in substance use disorders treatment and
			 recovery programs; and
(B)
			 Supervisory or treatment staff in problem gambling treatment and recovery
			 programs.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 18 - RESIDENTIAL SUBSTANCE USE DISORDERS AND PROBLEM GAMBLING TREATMENT AND RECOVERY SERVICES › Section 309-018-0150 - Service Record

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Documentation
			 shall be appropriate in quality and quantity to meet professional standards
			 applicable to the provider and any additional standards for documentation in
			 the provider's policies and any pertinent contracts.
(2) All providers shall develop and maintain
			 a Service Record for each individual. The record shall, at a minimum, include:
(a) Identifying information or documentation
			 of attempts to obtain the information, including:
(A) The individual's name, address, telephone
			 number, date of birth, gender, and for adults, marital status, and military
			 status;
(B) Name, address, and
			 telephone number of the parent or legal guardian, primary care giver or
			 emergency contact; and
(C) Contact
			 information for medical and dental providers.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 18 - RESIDENTIAL SUBSTANCE USE DISORDERS AND PROBLEM GAMBLING TREATMENT AND RECOVERY SERVICES › Section 309-018-0155 - Transfer and Continuity of Care

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Providers shall maintain direct
			 affiliation with or close coordination for referral to other levels of care and
			 other types of services and supports to coordinate biomedical, psychological,
			 pharmacotherapy, laboratory, community engagement, educational, vocational and
			 other such services and supports that are not offered by the
			 provider.
(2) Prior to transfer,
			 providers shall:
(a) When applicable,
			 coordinate and provide appropriate referrals for medical care and medication
			 management. The transferring provider shall assist the individual to identify
			 the medical provider who provides continuing care and to arrange an initial
			 appointment with that provider;
(b)
			 Document a transfer summary of treatment services; and
(c) Report all instances of transfers on the
			 mandated state data system.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 18 - RESIDENTIAL SUBSTANCE USE DISORDERS AND PROBLEM GAMBLING TREATMENT AND RECOVERY SERVICES › Section 309-018-0160 - Co-Occurring Mental Health and Substance Use Disorders (COD)

Current through Register Vol. 63, No. 7, July 1, 2024
Services shall be integrated and address treatment and recovery
				for co-occurring Mental Health, Substance Use and/or Gambling Disorders. In
				addition to requirements in OAR Chapter 309, these rules specify standards and
				requirements for providers delivering co-occurring mental health, substance use
				disorder and problem gambling services and supports.
(1) Access to services shall:
(a) Be trauma informed, culturally relevant,
			 linguistically, and developmentally appropriate, and utilize a harm reduction
			 model where indicated and appropriate; and
(b) Be adapted for individuals with
			 intellectual and developmental disabilities.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 18 - RESIDENTIAL SUBSTANCE USE DISORDERS AND PROBLEM GAMBLING TREATMENT AND RECOVERY SERVICES › Section 309-018-0162 - Residential Specialty Programs

Current through Register Vol. 63, No. 7, July 1, 2024
Residential Specialty Programs focused on treatment programming
				and planning must be specialized to the population and individuals being
				served. The majority of the population being served within the program must
				fall within the specific specialty population. The Specialty populations
				recognized under publicly funded services and supports include:
(1) Pregnant and/or parenting with dependent
			 children. Programs shall be designed to meet the unique service needs of this
			 population and shall ensure:
(a) Individuals
			 receiving services:
(A) That are pregnant
			 or;
(B) Have their infant(s) and/or
			 toddler(s)/ young child(ren) reside with them in the treatment facility,
			 or;
(C) Are complying with a
			 Department of Human Services (DHS) plan to regain custody of their child(ren)
			 and have a recommendation from the DHS caseworker to attend a parenting
			 program;
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 18 - RESIDENTIAL SUBSTANCE USE DISORDERS AND PROBLEM GAMBLING TREATMENT AND RECOVERY SERVICES › Section 309-018-0165 - Residential Problem Gambling Treatment Services

Current through Register Vol. 63, No. 7, July 1, 2024
Residential problem gambling treatment services shall include
				group, individual, and family treatment consistent with the following
				requirements:
(1) Service sessions
			 shall address the challenges of the individual as they relate, directly or
			 indirectly, to the problem gambling behavior.
(2) Providers may provide telephone
			 counseling when person-to-person contact involves an unwise delay, as follows:
(a) Individuals shall be currently enrolled
			 in the problem gambling treatment program;
(b) Phone counseling shall be provided by a
			 qualified program staff within their scope of practice;
(c) Service notes for phone counseling shall
			 follow the same criteria as face-to-face counseling and identify the session
			 was conducted by phone and the clinical rationale for the phone
			 session;
(d) Telephone counseling
			 shall meet HIPAA and 42 CFR standards for privacy; and
(e) There shall be an agreement of informed
			 consent for phone counseling that is discussed with the individual and
			 documented in the individual's service record.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 18 - RESIDENTIAL SUBSTANCE USE DISORDERS AND PROBLEM GAMBLING TREATMENT AND RECOVERY SERVICES › Section 309-018-0170 - Culturally Specific Substance Use Disorders Treatment and Recovery Services

Current through Register Vol. 63, No. 7, July 1, 2024
Programs approved and designated as culturally specific
				programs shall meet the following criteria:
(1) Serve a majority of individuals
			 representing culturally specific populations;
(2) Maintain a current demographic and
			 cultural profile of the community;
(3) Ensure that individuals from the
			 identified cultural group receive effective and respectful care that is
			 provided in a manner compatible with their cultural health beliefs, practices,
			 and preferred language;
(4)
			 Implement strategies to recruit, retain, and promote a diverse staff at all
			 levels of the organization that are representative of the population being
			 served;
(5) Ensure that staff at
			 all levels and across all disciplines receive ongoing education and training in
			 culturally and linguistically appropriate service delivery;
(6) Ensure that a majority of the substance
			 use disorders treatment staff be representative of the specific culture being
			 served;
(7) Ensure that individuals
			 are offered customer satisfaction surveys that address all areas of service and
			 that the results of the surveys are used for quality improvement;
(8) Consider race, ethnicity, and language
			 data in measuring customer satisfaction;
(9) Develop and implement cultural competency
			 policies;
(10) Ensure that data on
			 individual's race, ethnicity, and spoken and written language are collected in
			 health records, integrated into the organization's management information
			 systems, and periodically updated;
(11) Develop and maintain a governing or
			 advisory board as follows:
(a) Have a
			 majority representation of the culturally specific group being
			 served;
(b) Receive training
			 concerning the significance of culturally relevant services and
			 supports;
(c) Meet at least
			 quarterly; and
(d) Monitor agency
			 quality improvement mechanisms and evaluate the ongoing effectiveness and
			 implementation of culturally relevant services (CLAS) and supports within the
			 organization.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 18 - RESIDENTIAL SUBSTANCE USE DISORDERS AND PROBLEM GAMBLING TREATMENT AND RECOVERY SERVICES › Section 309-018-0175

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: ORS
				  428.205 -
				  428.270,
				  430.640 &
				  443.450
Stats. Implemented: ORS
				  430.010,
				  430.205 -
				  430.210,
				  430.240 -
				  430.640,
				  430.850 -
				  430.955,
				  443.400 -
				  443.460,
				  443.991,
				  461.549,
				  743A.168,
				  813.010 -
				  813.052 &
				  813.200 -
				  813.270
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 18 - RESIDENTIAL SUBSTANCE USE DISORDERS AND PROBLEM GAMBLING TREATMENT AND RECOVERY SERVICES › Section 309-018-0180 - Residential Substance Use Disorders Treatment and Recovery Programs

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Programs
			 approved to provide residential substance use disorders treatment services
			 shall meet the following standards:
(a) The
			 assessment shall contain an evaluation that identifies and assesses needs such
			 as social isolation, self-reliance, parenting issues, domestic violence,
			 physical health, housing, and financial considerations;
(b) The service plan shall address all areas
			 identified in the assessment and applicable service coordination details to
			 address the identified needs;
(c)
			 The program shall provide or coordinate services and supports that meet the
			 special access needs such as childcare, mental health services, and
			 transportation, as indicated; and
(d) The program shall provide or coordinate
			 the following services and supports unless clinically contraindicated:
(A) Gender-specific services and
			 supports;
(B) Family services,
			 including therapeutic services for children in the custody of individuals in
			 treatment;
(C) Reintegration with
			 family;
(D) Peer delivered
			 supports;
(E) Smoking
			 cessation;
(F) Housing;
(G) Transportation; and
(H) Housing and Employment support services
			 for those who qualify under OAR
			 309-019-0105.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 18 - RESIDENTIAL SUBSTANCE USE DISORDERS AND PROBLEM GAMBLING TREATMENT AND RECOVERY SERVICES › Section 309-018-0181 - SUD Residential ASAM Level of Care 3.1

Current through Register Vol. 63, No. 7, July 1, 2024
Clinically Managed Low-Intensity Residential Substance Use
				Disorder Services ASAM Level of Care 3.1 In addition to any other requirements
				described in these rules and applicable statutes, programs licensed to render
				adolescent or adult residential ASAM Level of care 3.1 services shall, at a
				minimum, meet and maintain documentation demonstrating ongoing compliance with
				each of the following standards:
(1)
			 ASAM Level 3.5 programs shall ensure:
(a) ASAM
			 dimensional admission criteria:
(A) The
			 individual meets ASAM dimensional admission criteria in each of the
			 Dimensions;
(B) Dimensions 1, 2 and
			 3 symptoms are assessed as mild to moderate risk, or are stabilized by this
			 24-hour structured environment;
(C)
			 Dimensions 4, 5 and 6 are assessed as moderate to high risk;
(D) Individual needs 24-hour structured
			 environment to make therapeutic gains;
(E) Individual is able to tolerate and
			 benefit from a planned program of therapeutic services and supports;
			 and
(F) Individual meets diagnostic
			 criteria for a moderate or severe substance use or addictive disorder, per
			 DSM-5-TR, or the probability of such a diagnosis is determined through
			 collateral information.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 18 - RESIDENTIAL SUBSTANCE USE DISORDERS AND PROBLEM GAMBLING TREATMENT AND RECOVERY SERVICES › Section 309-018-0182 - SUD Residential ASAM Level of Care 3.3

Current through Register Vol. 63, No. 7, July 1, 2024
Clinically Managed Population-Specific High-Intensity Substance
				Use Disorder Residential Services, ASAM Level of Care 3.3 In addition to any
				other requirements described in these rules and applicable statutes, programs
				licensed to render residential adolescent and adult Clinically Managed
				Population-Specific High-Intensity Substance Use Disorder Residential Services,
				ASAM Level of Care 3.3 shall, at a minimum, meet and maintain documentation
				demonstrating ongoing compliance with each of the following standards
				programming:
(1) ASAM Level 3.3
			 programs shall ensure:
(a) ASAM dimensional
			 admission criteria:
(A) Dimensions 1, 2 and 3
			 symptoms are assessed as mild to moderate risk, or are stabilized by this
			 24-hour structured environment;
(B)
			 Dimensions 4, 5 and 6 are assessed as moderate to high risk;
(C) Individual needs 24-hour structured
			 environment to make therapeutic gains;
(D) Individual is able to tolerate and
			 benefit from a planned program of therapeutic services and supports;
			 and
(E) Individual meets diagnostic
			 criteria for a moderate or severe substance use or addictive disorder, per
			 DSM-5-TR, or the probability of such a diagnosis is determined through
			 collateral information.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 18 - RESIDENTIAL SUBSTANCE USE DISORDERS AND PROBLEM GAMBLING TREATMENT AND RECOVERY SERVICES › Section 309-018-0183 - SUD Residential ASAM Level of Care 3.5

Current through Register Vol. 63, No. 7, July 1, 2024
Adolescent Clinically Managed Medium-Intensity Substance Use
				Disorder Residential Services, ASAM Level of Care 3.5 and Adult Clinically
				Managed High-Intensity Substance Use Disorder Residential Services, ASAM Level
				of Care 3.5. In addition to any other requirements described in these rules and
				applicable statutes, programs licensed to render residential adolescent or
				adult Clinically Managed High-Intensity Substance Use Disorder Residential
				Services, ASAM Level of care 3.5 services shall, at a minimum, meet and
				maintain documentation demonstrating ongoing compliance with each of the
				following requirements:
(1) ASAM Level
			 3.5 programs shall ensure:
(a) ASAM
			 dimensional admission criteria:
(A) Dimensions
			 1 and 2 are stable or can be managed at this Level of Care; and
(B) Dimensions 3, 4, 5 and 6 are rated as
			 moderate to severe risk without the structure of this setting.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 18 - RESIDENTIAL SUBSTANCE USE DISORDERS AND PROBLEM GAMBLING TREATMENT AND RECOVERY SERVICES › Section 309-018-0184 - SUD Residential ASAM Level of Care 3.7

Current through Register Vol. 63, No. 7, July 1, 2024
Medically Monitored Intensive Substance Use Disorder Inpatient
				Services, ASAM Level of Care 3.7. In addition to any other requirements
				described in these rules and applicable statutes, programs approved to render
				Adult Medically Monitored Intensive Inpatient Services, ASAM Level of Care 3.7,
				or Adolescent Medically Monitored High-Intensity Impatient Services, ASAM Level
				of Care 3.7, offer a planned and structured regimen of 24-hour professionally
				directed evaluation, observation, medically monitoring and substance use
				disorder treatment to in an inpatient setting, and shall, at a minimum, meet
				and maintain documentation demonstrating ongoing compliance with each of the
				following requirements:
(1) ASAM Level
			 3.7 programs shall ensure:
(a) ASAM
			 dimensional admission criteria:
(A) Meet
			 specifications for at least two of the six dimensions and one of those two
			 dimensions is Dimension 1, 2, or 3.
(B) The individual meets diagnostic criteria
			 for a co-occurring mental health disorder, per DSM-5-TR, that meet the
			 stability criteria for placement in a co-occurring capable program, or are
			 experiencing difficulties with mood, behavior, or cognition related to a
			 substance use or mental health condition, or mood, behavior, or cognition
			 symptoms are problematic but do not meet DSM-5-TR criteria for a mental health
			 disorder; and
(C) Individual needs
			 24-hour structured environment to make therapeutic gains;
(D) Individual is able to tolerate and
			 benefit from a planned program of therapeutic services and supports;
			 and
(E) Individual meets diagnostic
			 criteria for a moderate or severe substance use or addictive disorder, per
			 DSM-5-TR, or the probability of such a diagnosis is determined through
			 collateral information.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 18 - RESIDENTIAL SUBSTANCE USE DISORDERS AND PROBLEM GAMBLING TREATMENT AND RECOVERY SERVICES › Section 309-018-0185 - Medical Protocols in Residential Substance Use Disorders Treatment Programs

Current through Register Vol. 63, No. 7, July 1, 2024
Medical protocols shall be approved by a medical director under
				contract with a program or written reciprocal agreement with a medical
				practitioner under managed care. The protocols shall:
(1) Require a medical history be included in
			 the assessment;
(2) Designate those
			 medical symptoms and conditions that, when found, require further
			 investigation, physical examinations, treatment, or laboratory
			 testing;
(3) Require that
			 individuals admitted to the program who are currently injecting or
			 intravenously using a drug, or have injected or intravenously used a drug
			 within the past 30 days, or who are at risk of withdrawal from a drug, or who
			 may be pregnant, shall be referred for a physical examination and appropriate
			 lab testing within 30 days of entry to the program. This requirement may be
			 waived by the medical director if these services have been received within the
			 past 90 days and documentation is provided;
(4) Require pregnant women be referred for
			 prenatal care within two weeks of entry to the program;
(5) Require that the program provide HIV and
			 AIDS, TB, sexually transmitted disease, Hepatitis, and other infectious disease
			 information and risk assessment, including any needed referral, within 30 days
			 of entry;
(6) Specify the steps for
			 follow up and coordination with physical health care providers in the event the
			 individual is found to have an infectious disease or other major medical
			 problem.
Statutory/Other Authority: ORS
				  413.042,
				  428.205 -
				  428.270,
				  430.640 &
				  443.450
Statutes/Other Implemented: ORS
				  430.010,
				  430.205 -
				  430.210,
				  430.254 -
				  430.640,
				  430.850 -
				  430.955,
				  443.400 -
				  443.460,
				  443.991,
				  461.549 &
				  743A.168
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 18 - RESIDENTIAL SUBSTANCE USE DISORDERS AND PROBLEM GAMBLING TREATMENT AND RECOVERY SERVICES › Section 309-018-0190 - Administration of Medications

Current through Register Vol. 63, No. 7, July 1, 2024
The following guidelines shall be followed in policies on
				administration of medications in residential programs:
(1) Medications prescribed for one individual
			 may not be administered to or self-administered by another individual or
			 program staff.
(2) When an
			 individual self-administers medication in a residential program,
			 self-administration shall be approved in writing by a physician and closely
			 monitored by the residential program staff.
(3) No unused, outdated, or recalled drugs
			 shall be kept in a program. On a monthly basis any unused, outdated, or
			 recalled drugs shall be disposed of in a manner that assures they cannot be
			 retrieved.
(4) A written record of
			 all disposal of prescription drugs in a residential program shall be maintained
			 in the program and shall include:
(a) A
			 description of the drug, including the amount;
(b) The individual for whom the medication
			 was prescribed;
(c) The reason for
			 disposal; and
(d) The method of
			 disposal.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 18 - RESIDENTIAL SUBSTANCE USE DISORDERS AND PROBLEM GAMBLING TREATMENT AND RECOVERY SERVICES › Section 309-018-0195

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: ORS
				  428.205 -
				  428.270,
				  430.640 &
				  443.450
Stats. Implemented: ORS
				  430.010,
				  430.205 -
				  430.210,
				  430.240 -
				  430.640,
				  430.850 -
				  430.955,
				  443.400 -
				  443.460,
				  443.991,
				  461.549,
				  743A.168,
				  813.010 -
				  813.052 &
				  813.200 -
				  813.270
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 18 - RESIDENTIAL SUBSTANCE USE DISORDERS AND PROBLEM GAMBLING TREATMENT AND RECOVERY SERVICES › Section 309-018-0200 - Facility Standards for Substance Use Disorders and Problem Gambling Residential Treatment and Recovery Programs

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Residential programs shall meet the
			 following standards:
(a) Maintain up-to-date
			 documentation verifying that they meet and comply with all applicable local
			 business license, zoning and building codes, and federal, state, and local fire
			 and safety regulations. It is the responsibility of the provider to check with
			 local government to make sure all applicable local codes have been
			 met;
(b) Prior to construction of a
			 new building or major alteration of or addition to an existing building:
(A) One set of plans and specifications shall
			 be submitted to the State Fire Marshal for approval;
(B) Plans shall be in accordance with the
			 State of Oregon Structural Specialty Code and Fire and Life Safety
			 Regulations;
(C) Plans for
			 construction containing 4,000 square feet or more shall be prepared and bear
			 the stamp of an Oregon licensed architect or engineer; and
(D) The water supply, sewage, and garbage
			 disposal system shall be approved by the agency having jurisdiction.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 18 - RESIDENTIAL SUBSTANCE USE DISORDERS AND PROBLEM GAMBLING TREATMENT AND RECOVERY SERVICES › Section 309-018-0205 - Quality Assessment and Performance Improvement

Current through Register Vol. 63, No. 7, July 1, 2024
Providers shall develop and implement a structured and ongoing
				process to assess, monitor, and improve the quality and effectiveness of
				services provided to individuals and their families.
Statutory/Other Authority: ORS
				  413.042,
				  428.205 -
				  428.270,
				  430.640 &
				  443.450
Statutes/Other Implemented: ORS
				  430.010,
				  430.205 -
				  430.210,
				  430.254 -
				  430.640,
				  430.850 -
				  430.955,
				  443.400 -
				  443.460,
				  443.991,
				  461.549 &
				  743A.168
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 18 - RESIDENTIAL SUBSTANCE USE DISORDERS AND PROBLEM GAMBLING TREATMENT AND RECOVERY SERVICES › Section 309-018-0210 - Grievances and Appeals

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Any
			 individual receiving services or the parent or guardian of the individual
			 receiving services may file a grievance with the provider, the individual's
			 managed care plan, or the Division.
(2) The provider's grievance process shall:
(a) Notify each individual or guardian of the
			 grievance procedures by reviewing a written copy of the policy upon
			 entry;
(b) Assist individuals and
			 parents or guardians, as applicable, to understand and complete the grievance
			 process and notify them of the results and basis for the decision;
(c) Encourage and facilitate resolution of
			 the grievance at the lowest possible level;
(d) Complete an investigation of any
			 grievance within 30 calendar days;
(e) Implement a procedure for accepting,
			 processing, and responding to grievances including specific timelines for
			 each;
(f) Designate a program staff
			 person to receive and process the grievance;
(g) Document any action taken on a
			 substantiated grievance within a timely manner; and
(h) Document receipt, investigation, and
			 action taken in response to the grievance.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 18 - RESIDENTIAL SUBSTANCE USE DISORDERS AND PROBLEM GAMBLING TREATMENT AND RECOVERY SERVICES › Section 309-018-0215 - Variances

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Variances may
			 be granted to a provider holding a license under this rule:
(a) If there is a lack of resources to
			 implement the standards required in these rules; or
(b) If implementation of the proposed
			 alternative services, methods, concepts, or procedures results in improved
			 outcomes for the individual.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 19 - OUTPATIENT BEHAVIORAL HEALTH SERVICES › Section 309-019-0100 - Purpose and Scope

Current through Register Vol. 63, No. 7, July 1, 2024
(1) These
			 rules prescribe minimum service delivery standards for services and supports
			 provided by providers certified by the Health Systems Division (Division) of
			 the Oregon Health Authority (Authority).
(2) In addition to applicable requirements in
			 OAR 410-120-0000 through
			 410-120-1980 and 943-120-0000
			 through 943-120-1550, these rules specify standards for behavioral health
			 treatment services and supports provided in:
(a) Outpatient Community Mental Health
			 Services and Supports for Children and Adults;
(b) Outpatient Substance Use Disorders
			 Treatment Services; and
(c)
			 Outpatient Problem Gambling Treatment Services.