reglab/statecodes huggingface dataset:
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 50 - STANDARDS FOR ALCOHOL DETOXIFICATION CENTERS › Section 415-050-0110 - Licensing Standards

Current through Register Vol. 63, No. 7, July 1, 2024
(1)
			 Withdrawal management programs must be licensed by the Division in accordance
			 with OAR 415-012-0000  to render detoxification services under ORS
			 430.306, henceforth referred to
			 as withdrawal management services. A License issued to a program must 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 must meet the standards set
			 forth in these rules and all applicable statutes.
(2) In addition to any other information
			 requested by the Division, applicants for renewal or initial licensure must
			 provide sufficient detail in their application that the Division may determine
			 the IMD status. Effective January 1, 2022, the IMD status must be determined by
			 the Division to be either:
(a) IMD Withdrawal
			 Management; or
(b) Non-IMD
			 Withdrawal Management.
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 50 - STANDARDS FOR ALCOHOL DETOXIFICATION CENTERS › Section 415-050-0115 - Policies, Procedures and Protocols

Current through Register Vol. 63, No. 7, July 1, 2024
(1) All providers must develop and implement
			 written policies and procedures, compliant with OAR 415-050.
(2) Policies must be available upon
			 request.
(3) Providers must develop
			 and implement written policies and procedures including, but not limited to:
(a) The Program's philosophical approach to
			 withdrawal management;
(b) Code of
			 conduct that includes professional boundaries and ethics;
(c) Personnel Qualifications, Credentialing
			 and Training;
(d) Criminal Records
			 Checks that are conducted using a national and state-wide process for all
			 employees, contracted staff and interns that render medical or behavioral
			 health services and supports or have access to protected health information
			 such as service records or billing information;
(e) Fraud, waste and abuse in Federal
			 Medicaid and Medicare programs compliant with OAR 410-120-1380  and
			 410-120-1510;
(f) Fee
			 agreements;
(g) Confidentiality and
			 compliance with HIPAA, Federal Confidentiality Regulations (42 CFR, Part 2 and
			 HIPAA), 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, consistent with
			 these rules;
(j) Policy and
			 procedure containing criteria in accordance with ORS
			 430.397 through
			 430.401 for the voluntary
			 admission of patient to a withdrawal management program;
(k) Care coordination and the transition of
			 care;
(l) Patient Rights,
			 consistent with these rules;
(m)
			 Crisis prevention and response;
(n)
			 Incident and critical incident reporting;
(o) Trauma-informed service delivery,
			 consistent with the Division's Trauma Informed Services Policy;
(p) Provision of culturally and
			 linguistically appropriate services;
(q) Medical Protocols;
(r) Medication Administration, Storage and
			 Disposal;
(s) Delivery of services
			 and supports consistent with these rules and The ASAM Criteria for each
			 licensed Level of Care;
(t)
			 Facility Standards; and
(u) General
			 Safety and Emergency Procedures including providing immediate transportation of
			 a patient to a general hospital in case of a medical emergency.
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 50 - STANDARDS FOR ALCOHOL DETOXIFICATION CENTERS › Section 415-050-0120 - Patient Rights

Current through Register Vol. 63, No. 7, July 1, 2024
(1) In addition
			 to all applicable statutory and constitutional rights, every patient receiving
			 services has the right to:
(a) Choose from
			 available services and supports, those that are consistent with the
			 stabilization and care coordination plans, culturally competent, provided in
			 the most integrated setting in the community and under conditions that are
			 least restrictive to the patient's liberty, that are least intrusive to the
			 patient, and that provide for the greatest degree of independence;
(b) Be treated with dignity and
			 respect;
(c) Participate in the
			 development of a written stabilization Plan, receive services consistent with
			 that plan, and participate in periodic review and reassessment of service and
			 support needs, and receive a copy of the written stabilization and care
			 coordination plans;
(d) Have all
			 services explained, including expected outcomes and possible risks;
(e) Confidentiality, and the right to consent
			 to disclosure in accordance with ORS
			 107.154,
			 179.505,
			 179.507,
			 192.515,
			 192.507, 42 CFR Part 2 and  45
			 CFR Part 205.50 ;
(f) Give informed
			 consent in writing prior to the start of services, except as otherwise
			 permitted by law.
(g) Inspect their
			 Service Record in accordance with ORS
			 179.505 and applicable
			 law;
(h) Refuse participation in
			 experimentation;
(i) Receive
			 medication specific to the patient's diagnosed clinical needs, including
			 medications used to treat opioid dependence;
(j) Receive prior notice of transfer, unless
			 the circumstances necessitating transfer pose a threat to health and
			 safety;
(k) Be free from abuse or
			 neglect and to report any incident of abuse or neglect without being subject to
			 retaliation;
(l) Have religious
			 freedom;
(m) Be free from seclusion
			 and restraint;
(n) Be informed at
			 the start of services, and periodically thereafter, of the rights guaranteed by
			 this rule;
(o) Be informed of the
			 policies and procedures, service agreements and fees applicable to the services
			 provided, and to have a custodial parent, guardian, or representative assist
			 with understanding any information presented;
(p) Have family and guardian involvement in
			 stabilization and care coordination planning and delivery;
(q) File grievances, including appealing
			 decisions resulting from the grievance;
(r) Exercise all rights set forth in ORS
			 109.610 through
			 109.697 if the patient is a
			 child, as defined by these rules;
(s) Exercise all rights set forth in ORS
			 426.385 if the patient is
			 committed to the Authority; and
(t)
			 Exercise all rights described in this rule without any form of reprisal or
			 punishment.
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 50 - STANDARDS FOR ALCOHOL DETOXIFICATION CENTERS › Section 415-050-0125 - Personnel Records

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Providers
			 must maintain personnel records for each program staff and withdrawal
			 management technician that contains, at a minimum, all of the following
			 documentation:
(a) The results of national
			 and state-wide criminal records check processes applicable to the current
			 position or title for personnel who render substance use disorder treatment
			 services or have access to substance use disorder protected health information
			 such as service records or billing information;
(b) A current position description that
			 includes applicable qualifications, including credentials and
			 competencies;
(c) When applicable
			 to the position, copies of relevant licensure or certification, diploma, or
			 certified transcripts from an accredited college, indicating that the personnel
			 meets applicable qualifications;
(d) Copies of any action on the credentials
			 as reported by the certification or Licensing Board or body;
(e) Periodic performance appraisals that,
			 when deficiencies are noted, contain a performance improvement and training
			 plan, including completion of any required training(s) and resolution of the
			 performance plan;
(f) Orientations
			 and trainings required in OAR 415-050;
(g) Disciplinary documentation;
(h) Active First Aid and CPR certification
			 for each non-medical personnel; and
(i) Results of a Tuberculosis screening as
			 per OAR 333-071-0057.
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 50 - STANDARDS FOR ALCOHOL DETOXIFICATION CENTERS › Section 415-050-0130 - Staffing Standards

Current through Register Vol. 63, No. 7, July 1, 2024
Providers are responsible for all program staff. Programs must
				maintain the following minimum staffing standards:
(1) Program staff in the following positions
			 must meet applicable credentialing or licensing standards, including those set
			 forth in OAR 415-050.
(2) Program
			 administrators or program directors must demonstrate competence in leadership,
			 program planning and budgeting, fiscal management, supervision of program
			 staff, personnel management, program staff performance assessment, use of data,
			 reporting, program evaluation, quality assurance, and developing and
			 coordinating community resources. Professional qualifications and experience
			 must include:
(a) Five years of paid full-time
			 experience in withdrawal management, with at least one year in a paid
			 administrative capacity; or
(b) A
			 Bachelor's degree in a relevant field and four years of paid full-time
			 experience in withdrawal management with at least one year in a paid
			 administrative capacity; or
(c) A
			 Master's degree in a relevant field and three years of paid full-time
			 experience in withdrawal management with at least one year in a paid
			 administrative capacity; and
(d)
			 Knowledge and experience demonstrating competence in planning and budgeting,
			 fiscal management, supervision, personnel management, employee performance
			 assessment, data collection, and reporting.
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 50 - STANDARDS FOR ALCOHOL DETOXIFICATION CENTERS › Section 415-050-0135 - Quality Assurance and Performance Improvement

Current through Register Vol. 63, No. 7, July 1, 2024
Providers must develop and implement a structured and ongoing
				process to assess, monitor, and improve the quality and effectiveness of
				services provided to patients, including:
(1) The program must document a quality
			 assurance and performance improvement process that occurs at least quarterly
			 and, at a minimum, addresses:
(a) Process
			 improvement projects;
(b) Incident
			 reports; and
(c)
			 Grievances.
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 50 - STANDARDS FOR ALCOHOL DETOXIFICATION CENTERS › Section 415-050-0140 - Admission

Current through Register Vol. 63, No. 7, July 1, 2024
The program must utilize an admission procedure that at a
				minimum must ensure the provision and documentation of the following:
(1) Program orientation information must be
			 offered in written format in a language understood by the patient. The
			 orientation information must include:
(a) A
			 written description of the Program's services, including the Program's
			 philosophical approach to stabilization;
(b) Rights;
(c) Responsibilities;
(d) Grievance procedures;
(e) Consent to services; and
(f) Notice of Privacy Practices.
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 50 - STANDARDS FOR ALCOHOL DETOXIFICATION CENTERS › Section 415-050-0145 - Medical Services

Current through Register Vol. 63, No. 7, July 1, 2024
(1) At a
			 minimum, programs must ensure each of the following:
(a) Sufficient medical treatment staff
			 staffing with the ability to transfer or admit patients to ASAM Level 3.7-WM
			 program or a hospital as necessary;
(b) A LMP must be available daily for onsite
			 evaluation of patients;
(c) A LMP
			 must be available for phone consultation with staff 24 hours a day, 7 days per
			 week; and
(d) Medical treatment
			 staff, onsite and readily available 24 hours a day, 7 days per week, that are
			 trained and competent to:
(A) Facilitate entry
			 into withdrawal management services;
(B) Recognize the signs and symptoms of
			 intoxication and withdrawal;
(C)
			 Administer medical treatment;
(D)
			 Monitor conditions;
(E) Implement
			 LMP-approved protocols for patient; and
(F) Facilitate the transfer of patients to
			 other ASAM Levels of Care.
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 50 - STANDARDS FOR ALCOHOL DETOXIFICATION CENTERS › Section 415-050-0150 - Supportive Stabilization Services

Current through Register Vol. 63, No. 7, July 1, 2024
The Program must offer the following services to support
				stabilization:
(1) Motivational
			 counseling, care coordination and case management services.
(2) Information to assist patient choice to
			 remain in services for the duration determined by the stabilization plan,
			 including:
(a) Health education applicable to
			 the patient's medical condition, which may include:
(A) Information about current medications,
			 side effects of abrupt cessation, and which medications can be removed from the
			 facility by the patient when exiting the program;
(B) Information about the potential danger of
			 continued withdrawal in a non-medical setting;
(C) The use of opiates after withdrawal and
			 the use of Naloxone; and
(D)
			 Ability to return to withdrawal management services.
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 50 - STANDARDS FOR ALCOHOL DETOXIFICATION CENTERS › Section 415-050-0160 - Clinically Managed Residential Withdrawal Management, ASAM Level 3.2-WM

Current through Register Vol. 63, No. 7, July 1, 2024
In addition to any other requirements described in these rules
				and applicable statutes, programs approved to render Clinically Managed
				Residential Withdrawal Management Services, ASAM Level of Care 3.2-WM to adults
				and must, at a minimum, meet and maintain documentation demonstrating ongoing
				compliance with each of the following requirements:
(1) Programs must render a planned and
			 structured regimen of 24-hour professionally directed evaluation, observation
			 and support for patients who are intoxicated or experiencing moderate substance
			 use withdrawal management to in a residential setting. These programs emphasize
			 peer and social supports.
(2)
			 Clinically Managed Residential Withdrawal Management, ASAM Level 3.2-WM
			 Programs that are co-located within a Residential Substance Use Disorders
			 Treatment and Recovery facility licensed by the Division do not require
			 additional licensure under these rules. Patients placed at this ASAM Level of
			 Care must meet the following ASAM dimensional assessment criteria required for
			 ASAM Level of Care 3.2-WM:
(a) The patient is
			 experiencing signs and symptoms of moderate withdrawal or there is evidence,
			 based on history or other relevant factors, that moderate withdrawal syndrome
			 is imminent;
(b) The moderate
			 withdrawal syndrome is assessed as manageable at this level of care;
			 and
(c) The patient scores within a
			 defined range on CIWA-Ar, COWs or other assessment metric for the drug(s)
			 identified for withdrawal management services and meets physician-defined
			 protocol for admission at this Level of Care.
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 50 - STANDARDS FOR ALCOHOL DETOXIFICATION CENTERS › Section 415-050-0165 - Medically Monitored Inpatient Withdrawal Management, ASAM Level of Care 3.7-WM

Current through Register Vol. 63, No. 7, July 1, 2024
In addition to any other requirements described in these rules
				and applicable statutes, programs approved to render Medically Monitored
				Inpatient Withdrawal Management Services, ASAM Level of Care 3.7-WM to
				adolescents or adults must, at a minimum, meet and maintain documentation
				demonstrating ongoing compliance with each of the following
				requirements:
(1) Render a planned and
			 structured regimen of 24-hour professionally directed services delivered by
			 medical treatment staff that include evaluation, observation, medical
			 monitoring, and withdrawal management in an inpatient setting, under a defined
			 set of physician approved and monitored medical procedures and
			 protocols.
(2) Patients must meet
			 the following ASAM dimensional assessment criteria required for placement in
			 ASAM Level of Care 3.7-WM:
(a) The patient is
			 experiencing signs and symptoms of severe withdrawal or there is evidence,
			 based on history or other relevant factors, that severe withdrawal syndrome is
			 imminent;
(b) The severe withdrawal
			 syndrome is assessed as manageable at this level of care; and
(c) The patient scores within a defined range
			 on CIWA-Ar, COWs or other assessment metric for the drug(s) identified for
			 withdrawal management services and meets physician-defined protocol for
			 admission at this Level of Care.
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 50 - STANDARDS FOR ALCOHOL DETOXIFICATION CENTERS › Section 415-050-0170 - Building Requirements

Current through Register Vol. 63, No. 7, July 1, 2024
In addition to the building requirements for outpatient Alcohol
				and Other Drug treatment programs, withdrawal management programs must meet the
				following standards:
(1) Prior to
			 construction of a new building or major alteration of or addition to an
			 existing building:
(a) One set of plans and
			 specifications must be submitted to the State Fire Marshal for
			 approval;
(b) Plans must 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 must be prepared and bear the
			 stamp of an Oregon licensed architect or engineer; and
(d) The water supply, sewage, and garbage
			 disposal system must be approved by the agency having jurisdiction.
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 50 - STANDARDS FOR ALCOHOL DETOXIFICATION CENTERS › Section 415-050-0175 - Client Furnishings and Linens

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Each Program must provide furniture for
			 each patient which must include:
(a) A bed
			 with a frame and a clean mattress and pillow; and
(b) A private dresser or similar storage area
			 for personal belongings which is readily accessible to the
			 patient.
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 50 - STANDARDS FOR ALCOHOL DETOXIFICATION CENTERS › Section 415-050-0180 - Safety

Current through Register Vol. 63, No. 7, July 1, 2024
The program must the following safety requirements:
(1) At no time must the number of patients
			 served exceed the approved capacity;
(2) A written emergency plan must be
			 developed and posted next to the telephone used by program staff and must
			 include:
(a) Instructions for the program
			 staff or designated patient in the event of fire, explosion, accident, death,
			 or other emergency and the telephone numbers of the local fire department, law
			 enforcement agencies, hospital emergency rooms, and the withdrawal management
			 program's designated physician and on-call back-up program staff;
(b) The telephone number of the administrator
			 or supervisor and other individuals to be contacted in case of emergency;
			 and
(c) Instructions for the
			 evacuation of patient and program staff in the event of fire, explosion, or
			 other emergency.
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 50 - STANDARDS FOR ALCOHOL DETOXIFICATION CENTERS › Section 415-050-0185 - Sanitation

Current through Register Vol. 63, No. 7, July 1, 2024
Each Program must comply with the following sanitation
				standards:
(1) All floors, walls,
			 ceilings, window, furniture, and equipment must be kept in good repair, clean,
			 neat, orderly, and free from odors.
(2) Each bathtub, shower, hand-washing sink,
			 and toilet must be kept clean and free from odors.
(3) The water supply in the withdrawal
			 management program must meet the requirements of the rules of the Health
			 Division governing domestic water supplies.
(4) Soiled linens and clothing must be stored
			 in an area separate from kitchens, dining areas, clean linens and clothing and
			 unrefrigerated food.
(5) All
			 measures necessary to prevent the entry into the program of mosquitoes and
			 other insects must be taken.
(6)
			 All measures necessary to control rodents must be taken.
(7) The grounds of the program must be kept
			 orderly and free of litter, unused articles, and refuse.
(8) Garbage and refuse receptacles must be
			 clean, durable, water-tight, insect- and rodent proof and kept covered with a
			 tight-fitting lid.
(9) All garbage
			 solid waste must be disposed of at least weekly and in compliance with the
			 rules of the Department of Environmental Quality.
(10) Sewage and liquid waste must be
			 collected, treated and disposed of in compliance with the rules of the
			 Department of Environmental Quality.
Statutory/Other Authority: ORS
				  413.042 & 430.256
Statutes/Other Implemented: 430.345 - 430.375 & ORS
				  430.306
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 50 - STANDARDS FOR ALCOHOL DETOXIFICATION CENTERS › Section 415-050-0190 - Food Service

Current through Register Vol. 63, No. 7, July 1, 2024
The withdrawal management program must meet the requirements of
				the State of Oregon Sanitary Code for Eating and Drinking Establishments
				relating to the preparation, storage, and serving of food. At minimum:
(1) Menus must be prepared in advance to
			 provide a sufficient variety of foods served in adequate amounts for each
			 resident at each meal.
(2) Records
			 of menus as served must be filed and maintained in the withdrawal management
			 program records for at least 30 days.
(3) All modified or special diets must be
			 ordered by an LMP.
(4) At least
			 three meals must be provided daily.
(5) A variety of snack food options must be
			 accessible to the patients 24 hours per day, 7 days per week.
(6) Supplies of staple foods for a minimum of
			 one week and of perishable foods for a minimum of a two-day period must be
			 maintained on the premises.
(7)
			 Food must be stored and served at proper temperature.
(8) All utensils, including dishes,
			 glassware, and silverware used in the serving or preparation of drink or food
			 for the patient must be effectively washed, rinsed, sanitized, and stored after
			 each patient use to prevent contamination in accordance with Health Division
			 standards.
(9) Raw milk and
			 home-canned vegetables, meats, and fish must not be served or stored in a
			 program.
Publications: Publications referenced are available from the
				  agency.
Statutory/Other Authority: ORS
				  430.256
Statutes/Other Implemented: 430.345 - 430.375 & ORS
				  430.306
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 50 - STANDARDS FOR ALCOHOL DETOXIFICATION CENTERS › Section 415-050-0195 - Variances

Current through Register Vol. 63, No. 7, July 1, 2024
Requirements and standards for requesting and granting
				variances or exceptions are found in OAR 415-012-0090
Statutory/Other Authority: ORS
				  413.042 & 430.256
Statutes/Other Implemented: 430.345 - 430.375 & ORS
				  430.306
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 52 - RECOVERY HOMES FOR PEOPLE IN RECOVERY FROM ALCOHOL AND DRUG ABUSE OR DEPENDENCY › Section 415-052-0100 - Purpose

Current through Register Vol. 63, No. 7, July 1, 2024
These rules prescribe standards for providing financial
				assistance in the form of loans under
				42
				U.S.C. 300x-25 to support the establishment
				of recovery homes for people in recovery from alcohol and drug abuse or
				dependency.
Stat. Auth.: ORS
				  413.042 &
				  409.410
Stats. Implemented: ORS
				  90.100 -
				  90.459,
				  105.105 -
				  105.168,
				  430.265 -
				  430.920 &
				  279B
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 52 - RECOVERY HOMES FOR PEOPLE IN RECOVERY FROM ALCOHOL AND DRUG ABUSE OR DEPENDENCY › Section 415-052-0105 - Definitions

Current through Register Vol. 63, No. 7, July 1, 2024
(1) "Alcohol or
			 drug abuse" means repetitive, excessive use of alcohol, a drug or controlled
			 substance short of dependence, without medical supervision, which may have a
			 detrimental effect on the individual, the family, or society.
(2) "Alcohol or drug dependence" means the
			 loss of a person's ability to control the personal use of controlled substances
			 or other substances with abuse potential, including alcohol, or use of such
			 substances or controlled substances to the extent that the health of the person
			 or that of others is substantially impaired or endangered or the social or
			 economic functioning of the person is substantially disrupted. A drug-dependent
			 person may be physically dependent, a condition in which the body requires a
			 continuing supply of a drug or controlled substance to avoid characteristic
			 withdrawal symptoms, or psychologically dependent, a condition characterized by
			 an overwhelming mental desire for continued use of a drug or controlled
			 substance.
(3) "Division" means the
			 Addictions and Mental Health Division of the Oregon Health Authority.
(4) "In recovery" means an individual who is
			 recovering from alcohol or drug abuse or dependency.
(5) "Nonprofit Entity" means a charitable
			 organization that has been approved for tax exemption by the Internal Revenue
			 Code under Section 501(c)(3) or an affiliate of such charitable
			 organization.
(6) "Recovery home"
			 means a group home for individuals in recovery, as described in
			 42
			 U.S.C. 300x-25, that is developed by a
			 nonprofit entity and prohibits the use of alcohol or any illegal drug on the
			 premises. Recovery homes operate consistent with the following provisions:
(a) The use of alcohol or any illegal drugs
			 in the housing is prohibited;
(b)
			 Any resident of the housing who violates this prohibition is immediately
			 expelled;
(c) The costs of the
			 housing, including fees for rent and utilities, and repayment of the loan, are
			 paid by the residents; and
(d) The
			 residents of the housing will, through a majority vote, otherwise establish
			 policies governing residence in the housing, including the manner in which
			 applications for residence in the housing are approved.
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 54 - DUII ALCOHOL/OTHER DRUG INFORMATION AND DUII ALCOHOL/OTHER DRUG REHABILITATION PROGRAMS; ALCOHOL AND DRUG EVALUATION AND SCREENING SPECIALIST › Section 415-054-0020

Current through Register Vol. 63, No. 7, July 1, 2024
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 54 - DUII ALCOHOL/OTHER DRUG INFORMATION AND DUII ALCOHOL/OTHER DRUG REHABILITATION PROGRAMS; ALCOHOL AND DRUG EVALUATION AND SCREENING SPECIALIST › Section 415-054-0030

Current through Register Vol. 63, No. 7, July 1, 2024
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 54 - DUII ALCOHOL/OTHER DRUG INFORMATION AND DUII ALCOHOL/OTHER DRUG REHABILITATION PROGRAMS; ALCOHOL AND DRUG EVALUATION AND SCREENING SPECIALIST › Section 415-054-0040

Current through Register Vol. 63, No. 7, July 1, 2024
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 54 - DUII ALCOHOL/OTHER DRUG INFORMATION AND DUII ALCOHOL/OTHER DRUG REHABILITATION PROGRAMS; ALCOHOL AND DRUG EVALUATION AND SCREENING SPECIALIST › Section 415-054-0400

Current through Register Vol. 63, No. 7, July 1, 2024
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 54 - DUII ALCOHOL/OTHER DRUG INFORMATION AND DUII ALCOHOL/OTHER DRUG REHABILITATION PROGRAMS; ALCOHOL AND DRUG EVALUATION AND SCREENING SPECIALIST › Section 415-054-0410

Current through Register Vol. 63, No. 7, July 1, 2024
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 54 - DUII ALCOHOL/OTHER DRUG INFORMATION AND DUII ALCOHOL/OTHER DRUG REHABILITATION PROGRAMS; ALCOHOL AND DRUG EVALUATION AND SCREENING SPECIALIST › Section 415-054-0420

Current through Register Vol. 63, No. 7, July 1, 2024
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 54 - DUII ALCOHOL/OTHER DRUG INFORMATION AND DUII ALCOHOL/OTHER DRUG REHABILITATION PROGRAMS; ALCOHOL AND DRUG EVALUATION AND SCREENING SPECIALIST › Section 415-054-0430

Current through Register Vol. 63, No. 7, July 1, 2024
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 54 - DUII ALCOHOL/OTHER DRUG INFORMATION AND DUII ALCOHOL/OTHER DRUG REHABILITATION PROGRAMS; ALCOHOL AND DRUG EVALUATION AND SCREENING SPECIALIST › Section 415-054-0440

Current through Register Vol. 63, No. 7, July 1, 2024
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 54 - DUII ALCOHOL/OTHER DRUG INFORMATION AND DUII ALCOHOL/OTHER DRUG REHABILITATION PROGRAMS; ALCOHOL AND DRUG EVALUATION AND SCREENING SPECIALIST › Section 415-054-0450

Current through Register Vol. 63, No. 7, July 1, 2024
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 54 - DUII ALCOHOL/OTHER DRUG INFORMATION AND DUII ALCOHOL/OTHER DRUG REHABILITATION PROGRAMS; ALCOHOL AND DRUG EVALUATION AND SCREENING SPECIALIST › Section 415-054-0460

Current through Register Vol. 63, No. 7, July 1, 2024
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 54 - DUII ALCOHOL/OTHER DRUG INFORMATION AND DUII ALCOHOL/OTHER DRUG REHABILITATION PROGRAMS; ALCOHOL AND DRUG EVALUATION AND SCREENING SPECIALIST › Section 415-054-0461 - Purpose

Current through Register Vol. 63, No. 7, July 1, 2024
(1) These rules:
(a) Establish procedures for the application,
			 initial certification, renewal of certification, review, and other actions on a
			 certificate including revocation, denial, suspension, and placement of
			 conditions for the types of services listed in section (2) of this rule; and
(b) 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).
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 54 - DUII ALCOHOL/OTHER DRUG INFORMATION AND DUII ALCOHOL/OTHER DRUG REHABILITATION PROGRAMS; ALCOHOL AND DRUG EVALUATION AND SCREENING SPECIALIST › Section 415-054-0462 - Definitions

Current through Register Vol. 63, No. 7, July 1, 2024
(1) "Alcohol and
			 Other Drug Screening Specialist (ADSS)" means an individual who possesses a
			 valid certificate issued by the Division of the Authority.
(2) "ASAM Criteria" means the most current
			 edition of the American Society of Addiction Medicine (ASAM) for the Treatment
			 of Addictive, Substance-related, and Co-Occurring Conditions, which is a
			 clinical guide to develop patient-centered service plans and make objective
			 decisions about patient admission, continuing care, and transfer or discharge
			 for individuals and is incorporated by reference in these rules."
(3) "Background Check" means the Oregon
			 Criminal Records Check and the processes and procedures required by OAR
			 943-007-0001  through 0501.
(4)
			 "Certificate" means a document issued to an individual by the Division that
			 authorizes the individual to provide ADSS services.
(5) "CFR 42 Part 2" means the Code of Federal
			 Regulations, Title 42, Volume 1, Chapter 1, Part 2 entitled Confidentiality of
			 Alcohol and Drug Abuse Patient Records.
(6) "Chief Officer" means the Chief Health
			 Systems Officer of the Division or designee.
(7) "Conflict of Interest" means use of a
			 personal relationship to obtain financial gain or avoidance of financial
			 detriment, making business decisions that create a pattern of biased or
			 preferential treatment, or initiating a professional role with someone with
			 whom there was a pre-existing personal relationship. The conflict of interest
			 may be actual or potential.
(8)
			 "Court" means the last convicting or ruling court unless specifically
			 noted.
(9) "Diversion Agreement"
			 means a petition approved by the court meeting the criteria established in ORS
			 813.200 through
			 813.260.
(10) "Division" means the Health
			 Systems Division of the Oregon Health Authority.
(11) "DUII" means driving under the influence
			 of intoxicants as defined in ORS Chapter 813.
(12) "DUII Education Program" means a
			 short-term, didactic alcohol and other drug education program that meets the
			 minimum curriculum and hourly standards established by the Division for an
			 individual who is either:
(a) A violator of
			 ORS
			 813.010 (Driving Under the Influence of Intoxicants); or
(b) A defendant participating in a diversion
			 agreement under ORS
			 813.200.
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 54 - DUII ALCOHOL/OTHER DRUG INFORMATION AND DUII ALCOHOL/OTHER DRUG REHABILITATION PROGRAMS; ALCOHOL AND DRUG EVALUATION AND SCREENING SPECIALIST › Section 415-054-0463 - Minimum Qualifications

Current through Register Vol. 63, No. 7, July 1, 2024
(1)
			 Minimum experience requirements for ADSS certification include:
(a) A Bachelor Degree in a behavioral health
			 field; or
(b) Four years of
			 full-time supervised experience in the behavioral health services field with a
			 minimum of two years of experience providing substance use disorder evaluation
			 or treatment; or
(c) A combination
			 of an Associate Degree in a behavioral health field and two years of full-time
			 supervised experience providing substance use disorder evaluation or treatment.
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 54 - DUII ALCOHOL/OTHER DRUG INFORMATION AND DUII ALCOHOL/OTHER DRUG REHABILITATION PROGRAMS; ALCOHOL AND DRUG EVALUATION AND SCREENING SPECIALIST › Section 415-054-0464 - Background Check Requirements

Current through Register Vol. 63, No. 7, July 1, 2024
(1)
			 For all new or renewal applications for ADSS certification, the Authority shall
			 conduct a background check in accordance with OAR 943-007-0010 through OAR
			 943-007-0501.
			 New or renewal certificates may not be issued prior to a background check being
			 completed.
(2) New or renewal ADSS
			 applicants may be denied certification or renewal of certification based on a
			 fitness determination that applies a weighing test for potentially
			 disqualifying convictions or conditions.
Statutory/Other Authority: 413.042 & 430.256
Statutes/Other Implemented: 430.256
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 54 - DUII ALCOHOL/OTHER DRUG INFORMATION AND DUII ALCOHOL/OTHER DRUG REHABILITATION PROGRAMS; ALCOHOL AND DRUG EVALUATION AND SCREENING SPECIALIST › Section 415-054-0465 - Terms of Certification

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Each
			 applicant and ADSS agrees as a term of certification:
(a) To permit Division staff to inspect the
			 service delivery location when the applicant or ADSS intends to provide or
			 currently provides ADSS services:
(A) During
			 regular business hours and at any other reasonable hour to verify information
			 contained in the application or to ensure compliance with all applicable
			 statutes, administrative rules, other applicable regulations, or contractual
			 obligations; and
(B) For immediate
			 entry and inspection, extending to any premises the Division has reason to
			 believe ADSS services are provided.
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 54 - DUII ALCOHOL/OTHER DRUG INFORMATION AND DUII ALCOHOL/OTHER DRUG REHABILITATION PROGRAMS; ALCOHOL AND DRUG EVALUATION AND SCREENING SPECIALIST › Section 415-054-0466 - The Application Process

Current through Register Vol. 63, No. 7, July 1, 2024
(1)
			 An applicant seeking initial certification or certification renewal must submit
			 a completed application to the Division that demonstrates the following:
(a) Minimum education or experience as
			 required in OAR 415-054-0463;
(b)
			 Three signed letters of reference from individuals in the behavioral health
			 services field with personal knowledge of the applicant who attests to the
			 applicant's character, work habits, and qualifications;
(c) A written statement signed by the
			 Presiding Judge or Court Administrator for the court or courts designating the
			 applicant to perform ADSS services.
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 54 - DUII ALCOHOL/OTHER DRUG INFORMATION AND DUII ALCOHOL/OTHER DRUG REHABILITATION PROGRAMS; ALCOHOL AND DRUG EVALUATION AND SCREENING SPECIALIST › Section 415-054-0467 - Response to Application

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Upon
			 receipt of application materials, the Division shall conduct a comprehensive
			 audit of the application materials to determine compliance with these rules:
(a) Within 60 days of the Division's receipt
			 of a complete application compliant with these rules, the Division shall notify
			 the applicant that the application has been accepted as complete;
(b) Within 60 days of the Division's receipt
			 of an incomplete application, the Division shall provide written feedback
			 describing any necessary amendment to the application prior to resubmission. To
			 resubmit, the applicant must submit an amended application to the Division for
			 review within 21 calendar days of receipt of the Division's written feedback.
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 54 - DUII ALCOHOL/OTHER DRUG INFORMATION AND DUII ALCOHOL/OTHER DRUG REHABILITATION PROGRAMS; ALCOHOL AND DRUG EVALUATION AND SCREENING SPECIALIST › Section 415-054-0468 - Appealing Denial of Application for Certification

Current through Register Vol. 63, No. 7, July 1, 2024
(1) When the Division has denied an
			 application, an applicant may request, in writing, an appeal review by the
			 Chief Officer:
(a) To obtain review, the
			 applicant must submit a written request for the appeal review to the Division
			 within 14 calendar days of receipt of the notice of denial;
(b) The Chief Officer, whose decision is
			 final, must conduct an appeal review meeting within 30 days of receipt of the
			 applicant's written request;
(c)
			 If the Chief Officer overturns the denial, the Division shall issue written
			 notice to the applicant within 14 calendar days of the appeal review meeting.
			 The notice shall inform the applicant of the outcome and shall either:
(A) Include an approved certification; or
(B) Include written notice of
			 required amendment to application materials and a timeframe for re-submission.
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 54 - DUII ALCOHOL/OTHER DRUG INFORMATION AND DUII ALCOHOL/OTHER DRUG REHABILITATION PROGRAMS; ALCOHOL AND DRUG EVALUATION AND SCREENING SPECIALIST › Section 415-054-0469 - Types of Reviews

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The Division
			 may conduct the following types of certification reviews:
(a) Within six months of initial
			 certification as an ADSS, Division staff shall complete a comprehensive audit
			 of the required application documentation and a comprehensive audit of the
			 service delivery locations to ensure compliance with applicable statute,
			 administrative rules, other applicable regulations, and contractual
			 obligations;
(b) Certification
			 renewal reviews must occur prior to the expiration of the existing certificate
			 and at least once every three years;
(c) The Division may conduct discretionary
			 certification reviews:
(A) With reasonable
			 notice to ensure compliance with applicable statute, administrative rules,
			 other applicable regulations, and contractual obligations;
(B) With or without notice for the following
			 reasons:
(i) The Division has reasonable
			 concern the ADSS may act to alter records or make them unavailable for
			 inspections;
(ii) The Division has
			 received a complaint or information that suggests or alleges conditions or
			 practices that could threaten the health, safety, rights, or welfare of
			 individuals; or
(iii) The Division
			 has reason to believe a certification review is necessary to ensure an ADSS is
			 in substantial compliance with these rules, service delivery rules, other
			 applicable administrative rules, contractual obligations or with conditions
			 placed on the certificate.
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 54 - DUII ALCOHOL/OTHER DRUG INFORMATION AND DUII ALCOHOL/OTHER DRUG REHABILITATION PROGRAMS; ALCOHOL AND DRUG EVALUATION AND SCREENING SPECIALIST › Section 415-054-0470

Current through Register Vol. 63, No. 7, July 1, 2024
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 54 - DUII ALCOHOL/OTHER DRUG INFORMATION AND DUII ALCOHOL/OTHER DRUG REHABILITATION PROGRAMS; ALCOHOL AND DRUG EVALUATION AND SCREENING SPECIALIST › Section 415-054-0471 - Conduct of Certification Reviews

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The Division shall employ review
			 procedures deemed adequate to determine applicant or ADSS compliance with
			 applicable administrative rules, statutes, other applicable regulations, and as
			 necessary, contractual obligations. These procedures may include but are not
			 limited to:
(a) Entry and inspection of any
			 service delivery location;
(b)
			 Review of documents; and
(c)
			 Interviews with or a request for completion of a questionnaire by individuals
			 knowledgeable about the ADSS or applicant. Individuals interviewed may include
			 program staff, managers, governing or advisory board members, allied agencies,
			 individuals, their family members, and significant others.
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 54 - DUII ALCOHOL/OTHER DRUG INFORMATION AND DUII ALCOHOL/OTHER DRUG REHABILITATION PROGRAMS; ALCOHOL AND DRUG EVALUATION AND SCREENING SPECIALIST › Section 415-054-0472 - Issuing Certificates

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The
			 Division shall issue an approved applicant a certificate to provide ADSS
			 services. Every certificate shall:
(a) Be
			 signed by the DUII Coordinator and Chief Officer;
(b) List the courts that have designated the
			 ADSS;
(c) List the service
			 delivery rules under which the applicant or ADSS is approved to provide
			 services;
(d) List the effective
			 and expiration dates of the certificate;
(e) List any conditions applied to the
			 certificate;
(f) List any
			 variances approved by the Division; and
(g) Be accompanied by a letter from the
			 Division noting:
(A) The courts that have
			 designated the ADSS; and
(B)
			 Approved alternative practices related to variances listed on the certificate.
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 54 - DUII ALCOHOL/OTHER DRUG INFORMATION AND DUII ALCOHOL/OTHER DRUG REHABILITATION PROGRAMS; ALCOHOL AND DRUG EVALUATION AND SCREENING SPECIALIST › Section 415-054-0473 - Conditions

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The Division
			 may at any time and at its discretion place conditions on a certificate upon a
			 finding that:
(a) The applicant or ADSS
			 employs or contracts with any program staff for whom there is substantiated
			 evidence of abuse, neglect, or mistreatment;
(b) The applicant or ADSS employs or
			 contracts with any program staff that fails to meet relevant minimum
			 qualifications described in these rules, service delivery rules, or other
			 applicable law;
(c) There is
			 substantiated evidence of abuse, neglect, or mistreatment;
(d) The applicant or ADSS operates such that
			 there is a threat to the health, welfare, or safety of an individual or the
			 public;
(e) The applicant or ADSS
			 has substantially failed to comply with these rules, service delivery rules, or
			 other applicable law;
(f) The
			 applicant or ADSS fails to fully implement a Plan of Correction or adequately
			 maintain a corrective action;
(g)
			 The Division has issued the applicant or ADSS through two or more consecutive
			 certification reviews substantially similar findings of non-compliance with
			 these rules, service delivery rules, or other applicable administrative rules,
			 statutes, or regulations;
(h)
			 There is a need for increased regulatory oversight of the applicant or ADSS; or
(i) The applicant or ADSS fails to
			 comply with any reporting requirements relating to funding certification.
Oregon Administrative Rules › Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES › Division 54 - DUII ALCOHOL/OTHER DRUG INFORMATION AND DUII ALCOHOL/OTHER DRUG REHABILITATION PROGRAMS; ALCOHOL AND DRUG EVALUATION AND SCREENING SPECIALIST › Section 415-054-0474 - Modification to Certification

Current through Register Vol. 63, No. 7, July 1, 2024
(1) An
			 ADSS with a current certificate seeking to be designated by additional courts
			 must submit a written request for Division approval prior to any such changes:
(a) The Division must receive the written
			 request for such changes at least 60 days prior to the desired effective date
			 for any changes;
(b) The Division
			 shall make reasonable efforts to make final determination for approval or
			 disapproval of changes to the certificate within 45 days of receiving the
			 written request.