reglab/statecodes huggingface dataset:
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 19 - OUTPATIENT BEHAVIORAL HEALTH SERVICES › Section 309-019-0110 - Provider Policies

Current through Register Vol. 63, No. 7, July 1, 2024
(1) All
			 providers shall develop and implement written service delivery policies and
			 specific procedures compliant with these rules, to be made available to
			 individuals and family members upon request, and shall include, at a minimum,
			 the following:
(a) Personnel qualifications,
			 credentialing, and training;
(b)
			 Mandatory abuse reporting compliant with ORS
			 430.735 -
			 430.768 and OAR chapter 407
			 division 45;
(c) Criminal Records
			 Checks that address program and volunteer staff, compliant with ORS
			 181.533 through
			 181.575 and OAR
			 943-007-0001 through 0501, where
			 applicable;
(d) Fraud, waste, and
			 abuse in federal Medicaid and Medicare programs compliant with OAR
			 410-120-1380 and
			 410-120-1510;
(e) Drug and Gambling Free
			 Workplace;
(f) Fee
			 agreements;
(g) 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;
(h) Compliance with Title 2 of the Americans
			 with Disabilities Act of 1990 (ADA);
(i) Grievances and appeals;
(j) Individual rights;
(k) Quality assessment and performance
			 improvement;
(l) Trauma informed
			 service delivery consistent with the Division Trauma Informed Services
			 Policy;
(m) Provision of culturally
			 and linguistically appropriate services;
(n) Crisis prevention and response;
(o) Incident reporting;
(p) Peer delivered services;
(q) Prevention of communicable disease
			 transmission;
(r) Emergency
			 evacuation;
(s) Care
			 coordination;
(t) Delivery of
			 substance use disorders treatment services and supports consistent with
The ASAM Criteria
for each certified level of care;
(u) Code of conduct that includes
			 professional boundaries and ethics;
(v) Referral, Care Coordination and Transfer
			 of Services
(w) Medical Protocols
			 consistent with these rules; and
(x) Urinalysis Testing.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 19 - OUTPATIENT BEHAVIORAL HEALTH SERVICES › Section 309-019-0120

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: ORS
				  430.256,
				  430.640
Stats. Implemented: ORS
				  109.675,
				  161.390 -
				  161.400,
				  179.505,
				  430.010,
				  428.205 -
				  428.270,
				  430.205 -
				  430.210,
				  430.254 -
				  430.640,
				  430.850 -
				  430.955,
				  743A.168
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 19 - OUTPATIENT BEHAVIORAL HEALTH SERVICES › Section 309-019-0125 - Specific Staff Qualifications and Competencies

Current through Register Vol. 63, No. 7, July 1, 2024
Provider must ensure 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, problem
			 gambling, or mental health 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) Program administrators and program
			 directors shall demonstrate competence in leadership, cultural responsiveness,
			 program planning and budgeting, fiscal management, supervision of program
			 staff, personnel management, program staff performance assessment, use of data,
			 reporting, program evaluation, quality assurance, and developing and
			 coordinating community resources.
(3) 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 19 - OUTPATIENT BEHAVIORAL HEALTH SERVICES › Section 309-019-0130 - Personnel Documentation, Training, and Supervision

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Providers shall maintain personnel
			 records for each program staff that contains all 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 19 - OUTPATIENT BEHAVIORAL HEALTH SERVICES › Section 309-019-0135 - Entry and Assessment

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 expression, 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) The
			 provider may not deny entry to individuals based on their decision to continue
			 their currently prescribed or dispensed medication to treat opioid dependence
			 while receiving outpatient behavioral health services and supports;
(c) Individuals shall receive services in the
			 timeliest manner feasible consistent with the presenting
			 circumstances;
(d) Except as
			 permitted by law in emergencies, informed consent for services must be obtained
			 prior to services. Written, voluntary informed consent for services shall be
			 obtained from the individual or guardian, if applicable, prior to the start of
			 services. If such consent is not obtained, the reason and any further attempts
			 to obtain informed consent shall be documented in the service record.
(e) Per CFR 440.230, the provider shall
			 develop and maintain service records and other documentation that demonstrates
			 the amount, duration and scope of each specific services and supports provided
			 for each individual;
(f) The
			 provider shall submit the identified status and service data, including
			 Non-Medicaid Service Data where required, in the mandated state data system
			 according to the timelines required by the Division for each individual whose
			 services are paid for in-full or in-part by public funds and for individuals
			 enrolled in DUII services;
(g) In
			 accordance with ORS 179.505, HIPAA, and 42 CFR Part
			 2, an authorization for the release of information shall be obtained and
			 contained in the service record for the release of any confidential information
			 concerning the individual being considered for or receiving services;
(h) Prior to or at the start of treatment
			 services, the program shall offer to the individual and guardian, if
			 applicable, written program orientation information. The written information
			 shall be in a language understood by the individual and shall include:
(A) An opportunity to complete a Declaration
			 for Mental Health Treatment with the individual's participation and informed
			 consent;
(B) A description of
			 individual rights consistent with these rules;
(C) Policy concerning grievances and appeals
			 consistent with these rules, including an example grievance form;
(D) Notice of privacy practices;
			 and
(E) An opportunity to register
			 to vote, per the National Voter Registration Act of 1993, Section 7.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 19 - OUTPATIENT BEHAVIORAL HEALTH SERVICES › Section 309-019-0140 - Service Plan and Service Notes

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The service plan must be a written,
			 individualized plan designed 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 must:
(a) Be started prior
			 to rendering of treatment services, with a comprehensive service plan completed
			 no later than 90 days from date of initial service contact;
(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;
(f) Be completed and signed by qualified
			 program staff as follows:
(A) A QMHP in mental
			 health programs;
(B) Supervisory or
			 treatment staff in substance use disorders treatment programs; and
(C) Supervisory or treatment staff in problem
			 gambling treatment programs.
(g) For mental health services, a QMHP who
			 meets the qualifications of a Clinical Supervisor shall recommend the services
			 and supports by signing the service plan within ten business days of the start
			 of services; and a QMHP who meets the qualifications of a Clinical Supervisor
			 shall approve the service plan at least annually for each individual receiving
			 mental health services for one or more continuous years.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 19 - OUTPATIENT BEHAVIORAL HEALTH SERVICES › Section 309-019-0140 - 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 designed 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 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;
(g) Be completed and
			 signed by qualified program staff as follows:
(A) A QMHP in mental health
			 programs;
(B) Supervisory or
			 treatment staff in substance use disorders treatment programs; and
(C) Supervisory or treatment staff in problem
			 gambling treatment programs.
(h) For mental health services, a QMHP who
			 meets the qualifications of a Clinical Supervisor shall recommend the services
			 and supports by signing the service plan within ten business days of the start
			 of services; and
(i) A QMHP who
			 meets the qualifications of a Clinical Supervisor shall approve the service
			 plan at least annually for each individual receiving mental health services for
			 one or more continuous years.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 19 - OUTPATIENT BEHAVIORAL HEALTH SERVICES › Section 309-019-0145 - Co-Occurring Mental Health and Substance Use Disorders (COD)

Current through Register Vol. 63, No. 7, July 1, 2024
This rule is effective January 1, 2023. 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 needed; 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 19 - OUTPATIENT BEHAVIORAL HEALTH SERVICES › Section 309-019-0150 - Community Mental Health Programs (CMHP)

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Crisis services shall be provided
			 directly or through linkage to a local crisis services provider and shall
			 include the following:
(a) Twenty-four hours,
			 seven days per week telephone or face-to-face screening within one hour of
			 notification of the crisis event to determine an individual's need for
			 immediate community mental health services; and
(b) Twenty-four hours, seven days per week
			 capability to conduct, by or under the supervision of a QMHP, an assessment,
			 resulting in a plan that includes the crisis services necessary to assist the
			 individual and family to stabilize and transition to the appropriate level of
			 care.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 19 - OUTPATIENT BEHAVIORAL HEALTH SERVICES › Section 309-019-0151

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: ORS
				  413.042
Stats. Implemented: ORS
				  109.675,
				  161.390 -
				  161.400,
				  413.520 -
				  413.522,
				  430.010,
				  430.205-
				  430.210,
				  430.254 -
				  430.640,
				  430.850 -
				  430.955,
				  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 19 - OUTPATIENT BEHAVIORAL HEALTH SERVICES › Section 309-019-0152

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: ORS
				  413.042
Stats. Implemented: ORS
				  430.630 &
				  430.634
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 19 - OUTPATIENT BEHAVIORAL HEALTH SERVICES › Section 309-019-0155 - Enhanced Care Services (ECS) and Enhanced Care Outreach Services (ECOS)

Current through Register Vol. 63, No. 7, July 1, 2024
(1) To be eligible
			 for ECS/ECOS, an individual shall:
(a) Be APD
			 service eligible;
(b) Meet the
			 diagnostic criteria of severe mental illness with complex behaviors or be
			 approved by the enhanced care services team;
(c) Require intensive community mental health
			 services to transition to a lower level of care;
(d) Have a history of multiple APD placements
			 due to complex behaviors; and
(e)
			 Be currently or have been a patient at the Oregon State Hospital or have
			 received inpatient services in an acute psychiatric unit for over 14 days and
			 have been referred to non-enhanced APD facilities and denied admission due to
			 severe mental illness with complex behaviors and be currently exhibiting two or
			 more of the following: self-endangering behavior, aggressive behavior,
			 intrusive behavior, intractable psychiatric symptoms, complex medication needs,
			 sexually inappropriate behavior, and elopement behavior.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 19 - OUTPATIENT BEHAVIORAL HEALTH SERVICES › Section 309-019-0160 - Psychiatric Security Review Board and Juvenile Psychiatric Security Review Board

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Services and
			 supports shall include all appropriate services, including peer delivered
			 services, determined necessary to assist the individual in maintaining
			 community placement and that are consistent with Conditional Release Orders and
			 the Agreement to Conditional Release.
(2) Providers of PSRB and JPSRB services
			 acting through the designated qualified individual shall submit reports to the
			 PSRB or JPSRB as follows:
(a) For individuals
			 under the jurisdiction of the PSRB or the JPSRB, providers shall take the
			 following action upon receipt of an Order for Evaluation:
(A) Within 15 days of receipt of the order,
			 schedule an interview with the individual for the purpose of initiating or
			 conducting the evaluation;
(B)
			 Appoint a QMHP to conduct the evaluation and to provide an evaluation report to
			 the PSRB or JPSRB;
(C) Within 30
			 days of the evaluation interview, submit the evaluation report to the PSRB or
			 JPSRB responding to the questions asked in the Order for Evaluation;
			 and
(D) If supervision by the
			 provider is recommended, notify the PSRB or JPSRB of the name of the individual
			 designated to serve as the individual's qualified person who shall be primarily
			 responsible for delivering or arranging for the delivery of services and the
			 submission of reports under these rules.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 19 - OUTPATIENT BEHAVIORAL HEALTH SERVICES › Section 309-019-0163 - Youth Wraparound Program Rules

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Wraparound providers shall:
(a) Make eligibility criteria and referral
			 processes available to the public. At a minimum, the following categories of
			 youth shall be eligible:
(A) Youth served in
			 two or more child-serving systems and experiencing complex needs;
(B) Youth who have been approved by the
			 Wraparound Review Committee.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 19 - OUTPATIENT BEHAVIORAL HEALTH SERVICES › Section 309-019-0165 - Intensive Outpatient Services and Supports (IOSS) for Children

Current through Register Vol. 63, No. 7, July 1, 2024
(1) IOSS services
			 may be delivered at a clinic, facility, home, school, other provider or allied
			 agency location, or other setting as identified by the child and family team.
			 In addition to services specified by the service plan and the standards for
			 outpatient mental health services, IOSS services shall include:
(a) Provider participation on the child and
			 family team or wraparound team;
(b)
			 A documented proactive safety and crisis plan developed by the child and family
			 team. The proactive safety and crisis plan shall at minimum include:
(A) Strategies designed to facilitate
			 positive alternatives to challenging behavior and to assist the individual in
			 developing adaptive and functional living skills;
(B) Strategies to avert potential crisis
			 without placement disruptions;
(C)
			 Professional and natural supports to provide 24 hours, seven days per week
			 flexible response; and
(D)
			 Documented informed consent from the parent or guardian.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 19 - OUTPATIENT BEHAVIORAL HEALTH SERVICES › Section 309-019-0167 - Intensive In-Home Behavioral Health Treatment (IIBHT) for Children

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The Intensive
			 In-Home Behavioral Health Treatment (IIBHT) for Children is a program that
			 offers a combination of services and supports delivered in a community-based
			 setting to a child, infant through 20 years of age and their family.
(2) IIBHT Providers shall have program staff
			 that includes LMP, QMHP, QMHA, Peer Support Specialists available and
			 sufficient to meet the individual needs of the child and their
			 family.
(3) IIBHT Services shall
			 include a minimum of the following types of services:
(a) Child Psychiatric Services provided by:
(A) A Board Eligible or Certified Child and
			 Adolescent Psychiatrist or;
(B) A
			 Psychiatric Mental Health Nurse Practitioner (PMHNP) under the weekly
			 consultation of a Board Eligible or Certified Child and Adolescent
			 Psychiatrist.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 19 - OUTPATIENT BEHAVIORAL HEALTH SERVICES › Section 309-019-0170 - Outpatient Problem Gambling Treatment and Recovery Services

Current through Register Vol. 63, No. 7, July 1, 2024
Outpatient problem gambling treatment services 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 face-to-face contact involves an unwise delay, as follows:
(a) The individual 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 19 - OUTPATIENT BEHAVIORAL HEALTH SERVICES › Section 309-019-0175 - 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 awareness
			 policies;
(10) Ensure that data on
			 an 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 19 - OUTPATIENT BEHAVIORAL HEALTH SERVICES › Section 309-019-0180

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: ORS
				  161.390,
				  413.042,
				  430.640
Stats. Implemented: ORS
				  161.390 -
				  161.400,
				  430.010,
				  428.205 -
				  428.270,
				  430.205 -
				  430.210,
				  430.254-
				  430.640,
				  430.850 -
				  430.955,
				  743A.168
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 19 - OUTPATIENT BEHAVIORAL HEALTH SERVICES › Section 309-019-0181 - Early Intervention ASAM Level 0.5

Current through Register Vol. 63, No. 7, July 1, 2024
Programs shall be certified by the Division in accordance with
				OAR 309 Division 008 in order to render outpatient substance use disorder
				treatment and recovery services. A certificate issued to a program shall be
				effective for a duration not to exceed three 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 309-008. Certified programs shall meet the
				standards set forth in these rules and all applicable statutes.
(1) Currently certified providers shall
			 submit complete outpatient substance use disorder treatment and recovery
			 services applications to render each selected ASAM Level(s) of Care no later
			 than October 1, 2023.
(2) Division
			 approved ASAM level(s) of Care shall be added to the outpatient substance use
			 disorder treatment and recovery services certificate starting January 1,
			 2024.
(3) Effective April 1, 2024,
			 all outpatient substance use disorder treatment programs must have a valid
			 certificate designating each ASAM Level(s) of Care that they are certified by
			 the Division to provide.
(4) Each
			 program shall operate within the scope of the service(s) and ASAM Level of Care
			 types listed on their certificate.
(5) In addition to any other requirements
			 described in these rules and applicable statutes, programs certified to render
			 adolescent or adult Early Intervention ASAM Level 0.5 services shall, at a
			 minimum, meet and maintain documentation demonstrating ongoing compliance with
			 each of the following standards; Individuals placed at this ASAM Level of Care
			 shall meet the following ASAM admission criteria:
(a) ASAM dimensional admission criteria in at
			 least one of Dimensions 4, 5, or 6;
(b) Identifiable concerns in Dimensions 1, 2
			 and 3 are stable or being addressed through program or other community-based
			 services;
(c) Evidence of concern
			 or risk factors that appear to be related to substance use behavior;
			 and
(d) Risk factors for developing
			 a substance use disorder when the information is insufficient to diagnose a
			 DSM-5-TR substance use, substance induced or other type of addictive
			 disorder.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 19 - OUTPATIENT BEHAVIORAL HEALTH SERVICES › Section 309-019-0182 - Outpatient Substance Use Disorder Services ASAM Level 1

Current through Register Vol. 63, No. 7, July 1, 2024
Programs shall be certified by the Division in accordance with
				OAR 309 Division 008 in order to render outpatient substance use disorder
				treatment and recovery services. A certificate issued to a program shall be
				effective for a duration not to exceed three 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 309-008. Certified programs shall meet the
				standards set forth in these rules and all applicable statutes.
(1) Currently certified providers shall
			 submit complete outpatient substance use disorder treatment and recovery
			 services applications to render each selected ASAM Level(s) of Care and any
			 optional Enhanced ASAM Service Designation(s) no later than October 1,
			 2023.
(2) Division approved ASAM
			 level(s) of Care and optional Enhanced ASAM Service designation(s), if any,
			 shall be added to the outpatient substance use disorder treatment and recovery
			 services certificate starting January 1, 2024.
(3) Effective April 1, 2024, all outpatient
			 substance use disorder treatment programs must have a valid certificate
			 designating each the following ASAM Level(s) of Care and any optional Enhanced
			 ASAM Service designation(s) that they are certified by the Division to
			 provide.
(4) Each program shall
			 operate within the scope of the service and ASAM Level of Care types listed on
			 their certificate.
(5) In addition
			 to any other requirements described in these rules and applicable statutes,
			 programs certified to render adolescent or adult residential ASAM Level 1
			 services shall, at a minimum, meet and maintain documentation demonstrating
			 ongoing compliance with each of the following standards:
(a) ASAM Level of Care 1 programs shall
			 ensure the individual meets ASAM dimensional admission criteria:
(A) ASAM dimensional admission criteria in
			 each of the Dimensions;
(B)
			 Diagnostic criteria for a substance use, substance-induced or other addictive
			 disorder, per DSM-5-TR, or the probability of such a diagnosis is determined
			 through collateral information; and
(C) When the ASAM Level of Care placement is
			 not the same as the ASAM Level of Care assessed, the documentation shall
			 include a rationale for this discrepancy.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 19 - OUTPATIENT BEHAVIORAL HEALTH SERVICES › Section 309-019-0183 - Intensive Outpatient Substance Use Disorder Services ASAM Level 2.1

Current through Register Vol. 63, No. 7, July 1, 2024
Programs shall be certified by the Division in accordance with
				OAR 309 Division 008 in order to render outpatient substance use disorder
				treatment and recovery services. A certificate issued to a program shall be
				effective for a duration not to exceed three 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 309-008. Certified programs shall meet the
				standards set forth in these rules and all applicable statutes.
(1) Currently certified providers shall
			 submit complete outpatient substance use disorder treatment and recovery
			 services applications to render each selected ASAM Level(s) of Care and any
			 optional Enhanced ASAM Service Designation(s) no later than October 1,
			 2023.
(2) Division approved ASAM
			 level(s) of Care and optional Enhanced ASAM Service designation(s), if any,
			 shall be added to the outpatient substance use disorder treatment and recovery
			 services certificate starting January 1, 2024.
(3) Effective April 1, 2024, all outpatient
			 substance use disorder treatment programs must have a valid certificate
			 designating each the following ASAM Level(s) of Care and any optional Enhanced
			 ASAM Service designation(s) that they are certified by the Division to
			 provide.
(4) Each program shall
			 operate within the scope of the service(s) and Level(s) of Care listed on their
			 certificate. ASAM Level 2.1 services and supports may be rendered within an
			 ASAM Level 3.1 service setting that is owned and operated by the same
			 provider.
(5) In addition to any
			 other requirements described in these rules and applicable statutes, programs
			 certified to render adolescent or adult residential ASAM Level 2.1 services
			 shall, at a minimum, meet and maintain documentation demonstrating ongoing
			 compliance with each of the following standards:
(a) The individual meets ASAM dimensional
			 admission criteria for ASAM Level 2.1 when:
(A) Adult ASAM dimensional admission criteria
			 is met in Dimensions 2, 3 and one of 4, 5, or 6;
(B) Adolescent ASAM dimensional admission
			 criteria is met in Dimensions 1 and 2, and the severity specifications in at
			 least one of Dimensions 3, 4, 5, or 6;
(C) Diagnostic criteria for a substance use
			 or other addictive disorder, per DSM-5-TR, or the probability of such a
			 diagnosis is determined through collateral information; and
(D) When the ASAM Level of Care placement is
			 not the same as the ASAM Level of Care assessed, the documentation shall
			 include a rationale for this discrepancy.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 19 - OUTPATIENT BEHAVIORAL HEALTH SERVICES › Section 309-019-0184 - Partial Hospitalization Substance Use Disorder Services ASAM Level 2.5

Current through Register Vol. 63, No. 7, July 1, 2024
Programs shall be certified by the Division in accordance with
				OAR 309 Division 008 in order to render outpatient substance use disorder
				treatment and recovery services. A certificate issued to a program shall be
				effective for a duration not to exceed three 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 309-008. Certified programs shall meet the
				standards set forth in these rules and all applicable statutes.
(1) Currently certified providers shall
			 submit complete outpatient substance use disorder treatment and recovery
			 services applications to render each selected ASAM Level(s) of Care and any
			 optional Enhanced ASAM Service Designation(s) no later than October 1,
			 2023.
(2) Division approved ASAM
			 level(s) of Care and optional Enhanced ASAM Service designation(s), if any,
			 shall be added to the outpatient substance use disorder treatment and recovery
			 services certificate starting January 1, 2024.
(3) Effective April 1, 2024, all outpatient
			 substance use disorder treatment programs must have a valid certificate
			 designating each the following ASAM Level(s) of Care and any optional Enhanced
			 ASAM Service designation(s) that they are certified by the Division to
			 provide.
(4) Each program shall
			 operate within the scope of the service and Level of Care types listed on their
			 certificate. ASAM Level 2.5 services and supports may be rendered within an
			 ASAM Level 3.1 service setting that is owned and operated by the same
			 provider.
(5) In addition to any
			 other requirements described in these rules and applicable statutes, programs
			 certified to render adolescent or adult residential ASAM Level 2.1 services
			 shall, at a minimum, meet and maintain documentation demonstrating ongoing
			 compliance with each of the following standards:
(a) The individual meets ASAM dimensional
			 admission criteria for ASAM Level 2.5 when:
(A) Adult ASAM dimensional admission criteria
			 is met in Dimensions 2, 3 and one of 4, 5, or 6;
(B) Adolescent ASAM dimensional admission
			 criteria is met when:
(i) Stability
			 specifications are met in Dimensions 1 and 2; and
(ii) The severity specifications in at least
			 one of Dimensions 3, 4, 5, or 6.
(C) Diagnostic criteria for a substance use
			 or other addictive disorder, per DSM-5-TR, or the probability of such a
			 diagnosis is determined through collateral information; and
(D) When the ASAM Level of Care placement is
			 not the same as the ASAM Level of Care assessed, the documentation shall
			 include a rationale for this discrepancy.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 19 - OUTPATIENT BEHAVIORAL HEALTH SERVICES › Section 309-019-0185 - Outpatient Substance Use Disorders Treatment and Recovery Programs

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Programs
			 approved to provide outpatient substance use disorders treatment services shall
			 meet the following standards:
(a) Programs
			 shall ensure documentation at the time of entry contains an evaluation that
			 identifies and assesses needs such as social isolation, self-reliance,
			 parenting issues, domestic violence, physical health, housing, and financial
			 considerations;
(b) Programs shall
			 ensure the service plan addresses all areas of concern identified in the
			 assessment that the individual agrees to address, and applicable service
			 coordination details to address the identified needs;
(c) The program shall provide or coordinate
			 services and supports that meet special access needs such as childcare, mental
			 health services, and transportation; and
(d) The program shall provide or coordinate
			 the following services and supports that the individual agrees to address:
(A) Gender-specific services and
			 supports;
(B) Family services,
			 including therapeutic services for children in the custody of women in
			 treatment;
(C) Reintegration with
			 family or community;
(D) Peer
			 delivered services;
(E) Smoking
			 cessation;
(F) Housing;
(G) Transportation; and
(H) Housing and Employment support services
			 for those who qualify under OAR 309-0190-0105.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 19 - OUTPATIENT BEHAVIORAL HEALTH SERVICES › Section 309-019-0190 - Community-Based Substance Use Treatment Programs for Individuals in the Criminal Justice System

Current through Register Vol. 63, No. 7, July 1, 2024
(1) For
			 individuals in the criminal justice system, community-based substance use
			 treatment services and supports are for individuals who are under the
			 supervision of a probation officer or on parole or post-prison supervision or
			 participating in a drug treatment court program or otherwise under the direct
			 supervision of the court.
(2)
			 Services and supports shall incorporate interventions and strategies that
			 target criminogenic risk factors and include:
(a) Cognitive behavioral
			 interventions;
(b) Motivational
			 interventions;
(c) Relapse
			 prevention; and
(d) Healthy
			 relationships education.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 19 - OUTPATIENT BEHAVIORAL HEALTH SERVICES › Section 309-019-0195 - DUII Services Providers

Current through Register Vol. 63, No. 7, July 1, 2024
(1)
			 Outpatient Substance Use Disorders (SUD) Treatment Programs approved by the
			 Division as DUII Services Providers and for ASAM Levels of Care 0.5 and 1.0,,
			 shall provide DUII Education and DUII Rehabilitation as outlined in this
			 rule.
(2) A DUII Services Provider
			 may not provide Alcohol and Other Drug Screening Specialist (ADSS) services
			 except as allowed in OAR
			 415-054-0545 through
			 415-054-0570.
(3) DUII Services Providers shall assess, as
			 outlined in OAR 309-019-0135(3),
			 all individuals seeking DUII services. Level of care, diagnosis, frequency of
			 contact, and duration of treatment services shall be consistent with the
			 current DSM-5-TR diagnostic and
The ASAM Criteria
.
(4) DUII Education shall be provided for
			 individuals who:
(a) Do not currently meet
			 DSM-5-TR diagnostic criteria for a SUD; and
(b) Meet ASAM Level of Care 0.5;
			 and
(c) Have never been diagnosed
			 with a SUD; and
(d) Have never been
			 enrolled in a DUII or SUD treatment program.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 19 - OUTPATIENT BEHAVIORAL HEALTH SERVICES › Section 309-019-0200 - Medical Protocols in Outpatient Substance Use Disorders Treatment and Recovery 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 coordinated 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
				  430.640 &
				  443.450
Statutes/Other Implemented: ORS
				  428.205 -
				  428.270,
				  430.010,
				  430.205 -
				  430.210,
				  430.254 -
				  430.640,
				  430.850 -
				  430.955 &
				  443.400 -
				  443.460
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 19 - OUTPATIENT BEHAVIORAL HEALTH SERVICES › Section 309-019-0205 - Building Requirements in Behavioral Health Programs

Current through Register Vol. 63, No. 7, July 1, 2024
All behavioral health treatment programs must:
(1) Comply with all applicable state and
			 local building, electrical, plumbing, fire, safety, and zoning codes.
(2) Maintain up-to-date documentation
			 verifying that they meet applicable local business license, zoning, and
			 building codes and federal, state, and local fire and safety regulations. It is
			 the responsibility of the program to check with local government to make sure
			 all applicable local codes have been met.
(3) Provide space for services including but
			 not limited to intake, assessment, counseling, and telephone conversations that
			 assure the privacy and confidentiality of individuals and is furnished in an
			 adequate and comfortable fashion including plumbing, sanitation, heating, and
			 cooling.
(4) Provide rest rooms for
			 individuals, visitors, and staff that are accessible to individuals with
			 disabilities pursuant to Title II of the Americans with Disabilities Act if the
			 program receives any public funds or Title III of the Act if no public funds
			 are received.
(5) Adopt and
			 implement emergency policies and procedures, including an evacuation plan and
			 emergency plan in case of fire, explosion, accident, death, or other emergency.
			 The policies and procedures and emergency plans must be current and posted in a
			 conspicuous area.
(6) Outpatient
			 programs may not allow tobacco use in program facilities and on program
			 grounds.
Statutory/Other Authority: ORS
				  413.042,
				  430.640 &
				  443.450
Statutes/Other Implemented: ORS
				  428.205 -
				  428.270,
				  430.010,
				  430.205 -
				  430.210, 430.524 -
				  430.640,
				  430.850 -
				  430.955 &
				  443.400 -
				  443.460
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 19 - OUTPATIENT BEHAVIORAL HEALTH SERVICES › Section 309-019-0210 - 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.
Stat. Auth.: ORS
				  430.640
Stats. Implemented: ORS
				  430.010,
				  430.205 -
				  430.210,
				  430.254 -
				  430.640,
				  430.850 -
				  430.955
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 19 - OUTPATIENT BEHAVIORAL HEALTH SERVICES › Section 309-019-0215 - Grievances and Appeals

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Any
			 individual or parent or guardian receiving services may file a grievance with
			 the provider, the individual's coordinated 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 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
			 individual 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 19 - OUTPATIENT BEHAVIORAL HEALTH SERVICES › Section 309-019-0220 - Variances

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Requirements
			 and standards for requesting and granting variances or exceptions are found in
			 OAR 309-008-1600.
(2) The Division's chief officer or designee
			 shall approve or deny the request for a variance to these rules. The request
			 shall be made in writing using the Division approved variance request form and
			 following the variance request procedure pursuant to OAR
			 309-008-1600.
(3) Granting a variance for one request does
			 not set a precedent that shall be followed by the Division when evaluating
			 subsequent requests for variance.
Statutory/Other Authority: ORS
				  161.390,
				  413.042,
				  430.256 &
				  430.640
Statutes/Other Implemented: ORS
				  161.390 -
				  161.400,
				  179.505,
				  430.010,
				  430.205 -
				  430.210,
				  430.254 -
				  430.640,
				  430.850 -
				  430.955 &
				  743A.168