reglab/statecodes huggingface dataset:
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 10 - HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Section 333-010-0205 - Definitions

Current through Register Vol. 63, No. 7, July 1, 2024
(1) "Agency number"
			 means the administrative number assigned to the service provider by the Center
			 for Prevention and Health Promotion (Center) for identification as a BCCP/WW
			 provider.
(2) "Ancillary provider"
			 means an individual or entity that has met the eligibility requirements for
			 enrollment in the WW Program, has executed a medical services agreement with
			 the Center, has been assigned a BCCP/WW Program agency number, and performs
			 services beyond the scope of an enrolling provider, such as laboratory,
			 imaging, or surgical services.
(3)
			 "Approved medical services agreement" means the completed WW Program agreement,
			 submitted to and approved by the Center for Prevention and Health Promotion.
(4) "Authority" means the Oregon
			 Health Authority.
(5) "BCCP" means
			 the Oregon Breast and Cervical Cancer Program.
(6) "Care coordination" or "case management"
			 means that a client is provided with services, results, follow-up
			 recommendations, and active tracking of progress towards follow-up
			 recommendations.
(7) "Center"
			 means the Center for Prevention and Health Promotion, within the Oregon Health
			 Authority, Public Health Division.
(8) "CLIA" means the federal Clinical
			 Laboratory Improvement Amendments of 1988 (
			 P.L.
			 100-578,  42 U.S.C. 201 and 263  a)
(9) "Client" means a woman 40 to 64 years of
			 age who is enrolled in and receives screening or services from the WW Program.
(10) "Enrolling provider" means an
			 individual or entity that has met the eligibility requirements for enrollment
			 in the WW Program, has executed a medical services agreement with the Center,
			 has been assigned a BCCP/WW Program agency number, and provides screening,
			 services, or care coordination for WW Program clients.
(11) "FPL" means the federal poverty level
			 guidelines established each year by the United States Department of Health and
			 Human Services, used to determine eligibility for the WW Program and other
			 federally funded programs.
(12)
			 "HIPAA" means the Health Insurance Portability and Accountability Act.
(13) "Site number" means the
			 administrative number assigned to the family planning service provider by the
			 Center for identification of the geographic location of each WW provider.
(14) "WISEWOMAN Program" or "WW
			 Program" means the program that provides statewide heart disease, stroke and
			 diabetes screening and services to eligible clients, that is administered by
			 the Center.
(15) "WW Program
			 provider network" means the combination of all contracted WW Program providers,
			 including enrolling and ancillary providers.
Stat. Auth.: ORS 413.042
Stats. Implemented: ORS 413.042,
				  431.250
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 10 - HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Section 333-010-0210 - Client Eligibility

Current through Register Vol. 63, No. 7, July 1, 2024
A person must meet the following WW Program eligibility
				criteria in order to be enrolled in the WW Program:
(1) Be a woman 40 to 64 years of age; and
(2) Be enrolled in the BCCP
			 program.
Stat. Auth.: ORS 413.042
Stats. Implemented: ORS 413.042,
				  431.250
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 10 - HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Section 333-010-0215 - Client Enrollment

Current through Register Vol. 63, No. 7, July 1, 2024
(1) A person
			 is determined eligible for the WW Program after submitting a completed and
			 signed BCCP/WW Program enrollment form.
(2) Eligibility is effective for one year.
(3) A person who enrolled in the
			 WW Program but who is later found to be ineligible shall be notified by the
			 Center or her enrolling provider in writing of such disenrollment and may be
			 responsible for the payment of services received from her provider.
Stat. Auth.: ORS 413.042
Stats. Implemented: ORS 413.042,
				  431.250
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 10 - HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Section 333-010-0220 - Provider Enrollment

Current through Register Vol. 63, No. 7, July 1, 2024
(1) An
			 individual or organization that wishes to be an enrolling provider or an
			 ancillary provider with the WW Program shall apply to the Center on a form
			 prescribed by the Center.
(2) In
			 order to be eligible for enrollment, an individual or organization shall:
(a) Have a valid Oregon business license if
			 such a license is a requirement of the state, federal, county or city
			 government to operate a business or to provide services; and
(b) Meet applicable licensing or regulatory
			 requirements set forth by federal and state statutes, regulations, and rules to
			 be enrolled and to bill as a health care provider.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 10 - HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Section 333-010-0225 - Standards of Care for WISEWOMAN Program Screening and Services

Current through Register Vol. 63, No. 7, July 1, 2024
An enrolling provider shall:
(1) Inform each client, verbally and with
			 supplementary written materials in a language the client understands, without
			 bias or coercion, that the client's decision to participate in the WW Program
			 screening and services is voluntary;
(2) Inform clients of the scope of services
			 available through the program;
(3)
			 Obtain informed consent from each client receiving WW screening and services;
(4) Provide services within the
			 scope by the WW Program without cost to eligible clients;
(5) Offer clients with abnormal or ALERT
			 values additional medical support even though treatment is not covered by the
			 WW Program. The WW Program Manual, October 2014, incorporated by reference,
			 includes a complete list of abnormal and ALERT values and medical support
			 services approved for reimbursement.
(6) Provide information to clients in need of
			 additional medical services beyond the scope of the WW Program provider network
			 with information about available local resources;
(7) Provide all services to eligible clients
			 without regard to marital status, race, parity, disability, or sexual
			 orientation;
(8) Take a health
			 history for all clients, including health risk facts and personal and family
			 medical history as it pertains to heart disease, stroke and diabetes screening;
(9) Provide follow-up
			 recommendations for each client;
(10) Provide care coordination to ensure that
			 appropriate follow-up screening, diagnostic testing and care is provided,
			 including:
(a) An explanation of the results
			 of the screening and laboratory tests; and
(b) The opportunity for questions concerning
			 procedures, methods and results.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 10 - HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Section 333-010-0230 - Submission of Information by Ancillary Providers

Current through Register Vol. 63, No. 7, July 1, 2024
Ancillary providers shall provide results of services to
				enrolled providers within 14 calendar days from the date of
				service.
Stat. Auth.: ORS 413.042
Stats. Implemented: ORS 413.042,
				  431.150
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 10 - HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Section 333-010-0235 - Covered Services

Current through Register Vol. 63, No. 7, July 1, 2024
The WW Program Manual, October 2014, incorporated by reference,
				includes a complete list of covered services.
Publications: Publications referenced are available from the
				  Oregon WW Program].
Stat. Auth.: ORS 413.042
Stats. Implemented: ORS 413.042,
				  431.250
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 10 - HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Section 333-010-0240 - Excluded Services

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Services and
			 laboratory tests not directly related to heart disease, stroke and diabetes, or
			 not included in the ICD-10 and CPT code lists provided in the WW Program Manual
			 are not covered by the WW Program.
(2) No payment will be made for any expense
			 incurred for any other medical service or laboratory tests whose primary
			 purpose is for a reason other than heart disease, stroke, or diabetes screening
			 and prevention.
Stat. Auth.: ORS
				  413.042
Stats. Implemented: ORS
				  413.042,
				  431.250
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 10 - HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Section 333-010-0245 - Claims and Billing

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Only an
			 enrolling or ancillary provider providing WW Program covered services pursuant
			 to a fully executed medical services agreement, and who has been assigned an
			 agency number may submit claims for payment to the Center for providing WW
			 Program covered services.
(2) An
			 enrolling or ancillary provider shall, as applicable:
(a) Submit claim information in the manner
			 specified by the WW Program;
(b)
			 Include a primary diagnosis code on all claims;
(c) Code all claims with the most current and
			 appropriate International Classification of Diseases, 10th Revision, Clinical
			 Modification (ICD-10-CM) diagnosis codes and the most appropriate Current
			 Procedural Terminology (CPT) codes as noted in the WW Program Manual;
(d) Submit to the Center all
			 claims for services within 12 months of the date of service;
(e) Submit a billing error edit correction,
			 or refund the amount of the overpayment, on any claim where a provider
			 identifies an overpayment made by the Center;
(f) Make all reasonable efforts to ensure
			 that the WW Program is the payor of last resort with the exception of clinics
			 or offices operated by the Indian Health Service (IHS) or individual American
			 Indian tribes. For the purposes of this rule "reasonable efforts" include:
(A) Determining the existence of insurance
			 coverage or other resource by asking the client; and
(B) Except in the case of the underinsured,
			 billing any known insurer in compliance with that insurer's billing and
			 authorization requirements.
(g) Submit to the Center a billing error edit
			 correction if it receives a third party payment and refund to the Center the
			 amount received from the other source within 30 days of the date the payment is
			 received.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 10 - HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Section 333-010-0250 - Payment

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The Center
			 shall only pay claims submitted by an enrolling or ancillary provider for a
			 client.
(2) The Center shall
			 reimburse an enrolling or ancillary provider an amount up to the Medicare
			 reimbursement rate for the Portland metropolitan area for WW Program approved
			 CPT codes, on a fee-for-service basis.
(3) A federally qualified health center or
			 rural health center shall not be paid at their Prospective Payment System (PPS)
			 rate, but will be paid at the reimbursement rate described in section (2) of
			 this rule.
(4) The Center payments
			 for WW Program provider services, unless in error, constitute payment in full.
(5) The Center may not make
			 payment on claims that have been assigned, sold, or otherwise transferred, or
			 on which a provider of billing services receives a percentage of the amount
			 billed or payment authorized, including claims that have been transferred to a
			 collection agency or individual who advances money to a provider for accounts
			 receivable.
Stat. Auth.: ORS 413.042
Stats. Implemented: ORS 413.042,
				  431.250
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 10 - HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Section 333-010-0255 - Denial or Recovery of Reimbursement Resulting from Review or Audit

Current through Register Vol. 63, No. 7, July 1, 2024
(1) OFH's staff,
			 contractor or auditor may review a claim for assurance that the specific
			 medical service was provided in accordance with the WW Program's rules or the
			 generally accepted standards of a provider's scope of practice or
			 specialty.
(2) Payment may be
			 denied or subject to recovery if a review or audit determines the service was
			 not provided in accordance with the WW Program's rules or the generally
			 accepted standards of a provider's scope of practice or specialty.
Stat. Auth.: ORS 413.042
Stats. Implemented: ORS 413.042,
				  431.250
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 10 - HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Section 333-010-0260 - Recovery of Overpayments to Providers Resulting from Review or Audit

Current through Register Vol. 63, No. 7, July 1, 2024
(1) If the Center
			 determines that an overpayment has been made to an enrolling or ancillary
			 provider, the Center shall seek to recover the amount of overpayment. The
			 Center may use a statistically valid random sampling, with sufficient sample
			 size allowing a confidence interval of 95 percent to determine if an
			 overpayment has been made.
(2) The
			 amount of the review or audit overpayment to be recovered:
(a) Will be the entire amount determined by
			 the Center;
(b) Is not limited to
			 amounts determined by criminal or civil proceedings; and
(c) Will include interest to be charged at
			 allowable state rates.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 10 - HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Section 333-010-0265 - Client Data Submission

Current through Register Vol. 63, No. 7, July 1, 2024
(1) In
			 addition to submitting the claim information required in OAR
			 333-010-0225,
			 in order to receive payment an enrolling provider shall submit client data to
			 the Center. The data shall be used by the WW Program to monitor the delivery of
			 services and clinical outcomes of the program.
(2) An enrolling provider shall submit client
			 data to the Center, in a manner specified by the Center, on the Enrollment
			 Form, Assessment Form and the Screening Form, included in the WW Program Manual
			 within 90 days from the date of enrollment. In the event that a client requires
			 additional diagnostic procedures and the information is not available within 90
			 days from the date of enrollment, the data shall be submitted to the Center
			 immediately once it is received by the provider.
(3) An ancillary provider shall report data
			 to an enrolling provider and is not required to provide data to the Center
			 directly.
(4) An enrolling
			 provider may update or correct client data not related to payment of the claim
			 at any time after the date of service.
(5) If an enrolling provider or the Center
			 terminates the medical services agreement, data are still required to be
			 submitted for each client that was provided services while the agreement was in
			 effect.
Publications: Publications referenced are available from the
				  agency
Stat. Auth.: ORS 413.042
Stats. Implemented: ORS 413.042,
				  431.250
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 10 - HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Section 333-010-0270 - Requirements for Financial, Clinical and Other Records

Current through Register Vol. 63, No. 7, July 1, 2024
(1) An enrolling provider shall:
(a) Develop and maintain adequate financial
			 and clinical records and other documentation that supports the services for
			 which payment has been requested;
(b) Ensure that all medical records document
			 the service provided, primary diagnosis code for the services, the date on
			 which the service was provided, and the individual who provided the services;
(c) Ensure that patient account
			 and financial records include documentation of charges, identify other payment
			 resources pursued, indicate the date and amount of all debit or credit billing
			 actions, and support the appropriateness of the amount billed and paid in
			 accurate and sufficient detail to substantiate the data reported;
(d) Ensure that clinical records sufficiently
			 document that the client's services were primarily for heart disease, stroke
			 and diabetes;
(e) Ensure that each
			 time a service is provided to a client, the client's record is signed or
			 initialed by the individual who provided the service or otherwise clearly
			 indicates who provided the service;
(f) Ensure that the information contained in
			 the record reflects that the standard of care for heart disease, stroke and
			 diabetes screening and services were met;
(g) Have policies and procedures to ensure
			 the confidentiality of medical records and that address the circumstances under
			 which information may be released in accordance with federal and state law; and
(h) Retain client enrollment
			 forms, clinical, financial and other records described in this rule for at
			 least four years from the date of last activity.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 10 - HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Section 333-010-0275 - Compliance with Federal and State Statutes

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Submission of a claim for medical
			 services or supplies provided to a client shall be deemed a representation by
			 the enrolling or ancillary provider to the Center of the provider's compliance
			 with the applicable sections of the following federal and state statutes:
(a)  45 CFR Part 84  which implements Title V,
			 Section 504 of the Rehabilitation Act of 1973;
(b) Title II and Title III of the Americans
			 with Disabilities Act of 1991;
(c)
			 Title VI of the Civil Rights Act of 1964; and
(d)  42 CFR Part 493  Laboratory Requirements
			 and ORS chapter 438 (Clinical Laboratories).
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 10 - HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Section 333-010-0285 - Provider Appeals (Level 1) - Claims Reconsideration

Current through Register Vol. 63, No. 7, July 1, 2024
An enrolling or ancillary provider disputing a claim or
				sanction decision by the Center may request reconsideration. The provider must
				submit the request for reconsideration in writing to the Center. The request
				must include the reason for the dispute, and any information pertinent to the
				outcome of the dispute. The Center will complete an additional review and
				respond back to the provider in writing. If the provider is not satisfied with
				the review, the provider may request a contested case hearing.
Stat. Auth.: ORS 413.042
Stats. Implemented: ORS 413.042 &
				  431.250
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 10 - HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Section 333-010-0290 - Provider Appeals (Level 2) - Contested Case Hearing

Current through Register Vol. 63, No. 7, July 1, 2024
An enrolling or ancillary provider may request a contested case
				hearing within 30 calendar days of the date of a decision affecting the
				provider. Contested case hearings will be held in accordance with ORS chapter
				183 and the Attorney General's model rules, OAR
				137-003-0501 through
				137-003-0700.
Stat. Auth.: ORS 413.042
Stats. Implemented: ORS 413.042 &
				  431.250
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 10 - HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Section 333-010-0310 - Purpose and Intent

Current through Register Vol. 63, No. 7, July 1, 2024
The purpose of this rule is to implement Chapter 2 of Oregon
				Laws of 1997, approved by the people as Ballot Measure 44, at the November 5,
				1996 General Election, which:
(1)
			 Authorizes 5.77% of the money received by the Department of Revenue under the
			 Tobacco Products Tax Act to be credited to the Tobacco Use Reduction Account;
			 and
(2) Requires the Public Health
			 Division to adopt rules for awarding grants to programs for educating the
			 public on the risk of tobacco use, including but not limited to, educating
			 children on the health hazards and consequences of tobacco use, and promoting
			 enrollment in smoking cessation programs.
Stat. Auth.: ORS 431.834
Stats. Implemented: ORS 431.831 -
				  431.836
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 10 - HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Section 333-010-0320 - Framework for Grant Awards

Current through Register Vol. 63, No. 7, July 1, 2024
(1) These
			 rules describe provisions for awarding grants and contracts for local,
			 regional, and statewide activities in four program areas. The program areas
			 are:
(a) Local Coalitions and Community-Based
			 Programs;
(b) School-Based
			 Prevention Programs;
(c) Statewide
			 Public Awareness and Education Programs; and
(d) Statewide and Regional Special
			 Programs.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 10 - HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Section 333-010-0330 - Local Coalitions and Community-Based Programs

Current through Register Vol. 63, No. 7, July 1, 2024
The goal of the Oregon Public Health Division under this
				section is to fulfill the purpose and intent of Chapter 2 of Oregon Laws of
				1997, approved by the people as Ballot Measure 44, at the November 5, 1996
				General Election, by having a tobacco prevention and education program serving
				every county.
(1) Eligibility for
			 Grant Awards:
(a) The Oregon Public Health
			 Division shall accept for funding a maximum of one proposal per county or
			 consortium of counties;
(b) For the
			 purposes of this program the local health department shall be considered the
			 Local Lead Agency in each county for submitting a proposal, except as provided
			 under (c) or (d) below;
(c) Any
			 local health department that elects not to submit a proposal under this section
			 may form a consortium with one or more health department(s) and jointly submit
			 one proposal;
(d) Any local health
			 department electing not to submit a proposal by itself or in consortium with
			 another county(s) shall designate an appropriate local governmental or
			 not-for-profit health-related organization and shall send a letter to the
			 Director identifying such organizations as the Local Lead Agency for that
			 county;
(e) Any Local Lead Agency
			 designated under subsection (d) above shall be eligible to submit a proposal
			 for that county directly to the Oregon Public Health Division;
(f) A local health department may revoke the
			 designated Local Lead Agency under subsection (d) upon mutual agreement of both
			 the local health department and the Local Lead Agency. The health department
			 and the Local Lead Agency shall jointly notify the Director of the agreement.
			 If the local health department and the Local Lead Agency do not reach an
			 agreement on the revocation of the designation under subsection (d) above the
			 Director may determine whether the revocation is in the best interest of the
			 public health.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 10 - HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Section 333-010-0350 - Statewide Public Awareness and Education Programs

Current through Register Vol. 63, No. 7, July 1, 2024
The goal of the Oregon Public Health Division under this
				section is to fulfill the purpose and intent of Chapter 2 of Oregon Laws of
				1997, approved by the people as Ballot Measure 44, at the November 5, 1996
				General Election, by developing a statewide tobacco public awareness and
				education program.
(1) Eligibility for
			 Grant Awards. Under this section the Director may award one or more contracts
			 to providers of public relations, public awareness, public education or
			 communications services.
(2)
			 Development of the Request for Proposals (RFP) Document. The RFP for Statewide
			 Public Awareness and Education Programs shall be developed by the Director in
			 consultation with representatives from appropriate groups, which may include,
			 but are not be limited to, the Governor's Tobacco Reduction Advisory Committee,
			 the Tobacco-Free Coalition of Oregon, the Oregon Department of Education, the
			 Office of Alcohol and Drug Abuse Programs, and the Centers for Disease Control
			 and Prevention.
(3) Grant
			 Application Process:
(a) The Director may
			 award one or more contracts using the RFP process provided for in Oregon
			 Administrative Rules, chapter 125;
(b) Proposals responding to the RFP must
			 contain, but shall not be limited to:
(A) A
			 plan to develop and utilize educational messages about the dangers of tobacco
			 use, the harm of second-hand smoke and the benefits of cessation;
(B) Detailed budget for proposed use of
			 funds;
(C) Plans for evaluating
			 effectiveness of contract services.
(c) The RFP shall include but is not limited
			 to the following elements:
(A) Minimum
			 standards and qualifications required from the contractor(s) to be eligible to
			 provide the service;
(B) The
			 evaluation process and criteria to be used to select the contractor(s),
			 including weights or points applicable to each criterion;
(C) The manner in which the proposers cost
			 and pricing proposal will be evaluated;
(D) A requirement to provide a list of
			 similar services completed, with references addressing past
			 performance;
(E) The closing date
			 and time and place of delivery for the proposal;
(F) Reservation about the right to seek
			 clarification of each proposal, and the right to negotiate a final contract
			 within the scope of the work described in the RFP;
(G) Reservation of the right to reject any or
			 all proposals, if rejection would be in the public interest;
(H) Reservation of the right to cancel the
			 solicitation, if such cancellation would be in the public interest;
(I) A sample of the standard contract
			 provisions;
(J) The possibility of
			 pre-proposal meetings and post-proposal interviews and presentations;
			 and
(K) Any other information
			 appropriate to, evaluate, rank, and select the best proposal(s).
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 10 - HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Section 333-010-0360 - Statewide and Regional Projects Programs

Current through Register Vol. 63, No. 7, July 1, 2024
The goal of the Oregon Public Health Division under this
				section is to fulfill the purpose and intent of Chapter 2 of Oregon Laws of
				1997, approved by the people as Ballot Measure 44, at the November 5, 1996
				General Election, by developing various programs serving special populations
				through innovative projects for tobacco prevention and education.
(1) Eligibility for Grant Awards:
(a) The Director may award grants under this
			 section to public and/or private agencies using the process specified in Oregon
			 Administrative Rules, chapter 125;
(b) Agencies eligible to apply for grants
			 under this section shall be those capable of developing and implementing
			 special statewide or regional projects, including but not limited to those:
(A) Serving multi-cultural populations,
			 including, but not limited to, Indian Tribes;
(B) Developing and implementing a toll-free
			 telephone service, which includes counseling, referral to cessation resources,
			 and follow-up;
(C) Developing and
			 implementing regional and statewide training, and technical assistance on the
			 best practices for effective tobacco prevention programs; and
(D) Developing other innovative,
			 demonstration, and research projects to decrease tobacco initiation by youth,
			 promote cessation for youth and adults, and promote smoke-free
			 communities.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 10 - HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Section 333-010-0370 - Reporting

Current through Register Vol. 63, No. 7, July 1, 2024
(1) During each
			 biennium the Director shall prepare a report regarding the awarding of grants
			 from the Tobacco Use Reduction Account and the formation of public-private
			 partnerships in connection with the receipt of funds from the account. The
			 report shall include an evaluation of the effectiveness of the program funded
			 by the Tobacco Use Reduction Account.
(2) The Public Health Division shall present
			 the report to the Governor and to those committees of the Legislative Assembly
			 to which matters of public health are assigned.
Stat. Auth.: ORS 431.834
Stats. Implemented: ORS 431.831 -
				  431.836
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 10 - HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Section 333-010-0405

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: 2011 OL Ch. 716
Stats. Implemented: 2011 OL Ch.
				  716
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 10 - HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Section 333-010-0415

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: 2011 OL Ch. 716
Stats. Implemented: 2011 OL Ch.
				  716
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 10 - HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Section 333-010-0435

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth.: 2011 OL Ch. 716
Stats. Implemented: 2011 OL Ch.
				  716
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 10 - HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Section 333-010-0600 - Definitions

Current through Register Vol. 63, No. 7, July 1, 2024
(1) "Case" means a
			 reportable case of type 1 or type 2 diabetes in an individual who is 18 years
			 of age or younger, and a resident of Oregon.
(2) "Diabetes Program" means the Oregon
			 Diabetes Prevention and Control Program of the Oregon Health Authority, Public
			 Health Division, the program authorized to collect, receive, and maintain a
			 childhood diabetes database under ORS 444.300.
(3) "Date of diagnosis" means the date of
			 initial diagnosis by a practitioner of a case of diabetes being reported to the
			 Diabetes Program.
(4) "Effective
			 Date" means the date after which reporting by schools and physicians shall be
			 required.
(5) "Identifying
			 information" includes, but is not limited to the student's name, address, date
			 of birth, and information that identifies the individual or could be used to
			 identify the individual, and relates to the individual's past, present or
			 future health, and the provision of healthcare to the individual. "Identifying
			 information" also includes "Individually Identifiable Health Information" as
			 that is defined in the 1996 Health Insurance Portability and Accountability Act
			 and "Directory Information" as that is defined in the Federal Family
			 Educational Right to Privacy Act (FERPA) (20 U.S.C. ¦ 1232g; 34 CFR Part
			 99).
(6) "Practitioner" means any
			 person whose professional license allows him or her to diagnose or treat
			 diabetes patients.
(7) "Reportable
			 childhood diabetes" means a medical condition, occurring in a person aged 18
			 years or younger, and meeting the criteria for diagnosis of diabetes in a child
			 as outlined by the American Diabetes Association. (Reference:
American
			 Diabetes Association. Standards of Medical Care in Diabetes
.
Diabetes Care 2005
; 28: S4-S36.)
(8) "School" means any public, public
			 charter, or registered private school in Oregon.
Publications: Publications referenced are available from the
				  agency.
Stat. Auth.: ORS 444.300
Stats. Implemented: ORS
				  444.300-444.330
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 10 - HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Section 333-010-0610 - General Authority and Purpose

Current through Register Vol. 63, No. 7, July 1, 2024
According to ORS 444.300(1), subject to available funding,
				including gifts, grants or donations, the Diabetes Program shall establish a
				uniform, statewide database for the collection of information on type 1 and
				type 2 diabetes occurring in children in Oregon. The purposes of the database
				shall be to collect and serve as a repository for data about the prevalence and
				incidence of diabetes occurring in the pediatric population of this state and
				to make the data available for scientific and medical research and for
				assistance in making decisions about the allocation of public
				resources.
Stat. Auth.: ORS 444.300
Stats. Implemented: ORS
				  444.300-444.330
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 10 - HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Section 333-010-0620 - Reporting Requirements for Schools

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The Diabetes Program shall conduct an
			 annual survey to collect information about diabetes occurring in students age
			 18 years or younger. Preferably the survey will be completed and returned to
			 the Diabetes Program within 30 days of the date the survey or electronic survey
			 link is sent out, but in no event, later than June 15 of each year.
(2) Each school surveyed, upon receipt of
			 written consent of the parent, guardian (or of the student if age18 years)
			 shall report to the Diabetes Program for each student enrolled at the school,
			 during the academic year, who has type 1 or type 2 diabetes, the following
			 information:
(a) The name and address of the
			 student;
(b) The sex of the
			 student;
(c) The date of birth of
			 the student;
(d) The type of
			 diabetes diagnosed (if known);
(e)
			 The date of diagnosis; (if known); and
(f) The name of the child's practitioner (if
			 known).
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 10 - HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Section 333-010-0630 - Reporting Requirements for Practitioners

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Upon diagnosing or first treating a case
			 of type 1 or type 2 diabetes in an Oregon child, a practitioner shall report
			 the following information to the Diabetes Program:
(a) The name and address of the
			 child;
(b) The sex of the
			 child;
(c) The date of birth of the
			 child;
(d) The type of diabetes
			 diagnosed;
(e) The date of
			 diagnosis or first treatment by the reporting practitioner; and
(f) The measured height and weight of the
			 child.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 10 - HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Section 333-010-0640 - Confidentiality and Access to Data

Current through Register Vol. 63, No. 7, July 1, 2024
(1)
			 All identifying information regarding individual patients, reporting schools,
			 and practitioners reported pursuant to OAR
			 333-010-0620  and
			 333-010-0630  shall be confidential and privileged. Except as required in connection with the
			 administration or enforcement of public health laws or rules, no public health
			 official, employee or agent shall be examined in an administrative or judicial
			 proceeding as to the existence or contents of data collected under the
			 childhood diabetes database.
(2)
			 The information collected and maintained by the diabetes database shall be
			 stored in physically secure locations and in a technologically secure manner,
			 and shall be used solely for the purposes stated in ORS 444.330
Stat. Auth.: ORS 444.300
Stats. Implemented: ORS
				  444.300-444.330
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 10 - HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Section 333-010-0650 - Research Studies

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Prior to any
			 confidential data from the database being released to a researcher, the
			 researcher must:
(a) Obtain approval from the
			 Oregon Health Authority, Public Health Division Institutional Review Board,
			 established in accordance with  45 C.F.R. 46.
(b) Obtain approval from the Diabetes
			 Program.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 10 - HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Section 333-010-0660 - Advisory Committee

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The Diabetes
			 Program may convene an advisory committee to make recommendations regarding the
			 Diabetes Program's use of the database, and to assist in reviewing research
			 proposals under OAR
			 333-010-0650.
(2) Advisory committee members may not have
			 access to confidential information provided to the program under ORS 444.300 to
			 444.320.
(3) The advisory committee
			 shall be composed of persons with a professional or personal interest in
			 childhood diabetes.
Stat. Auth.: ORS 444.300
Stats. Implemented: ORS
				  444.300-444.330
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 10 - HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Section 333-010-0700 - Dental Pilot Projects: Purpose

Current through Register Vol. 63, No. 7, July 1, 2024
(1)
			 The Dental Pilot Projects are intended to evaluate the quality of care, access,
			 cost, workforce, and efficacy by teaching new skills to existing categories of
			 dental personnel; developing new categories of dental personnel; accelerating
			 the training of existing categories of dental personnel; or teaching new oral
			 health care roles to previously untrained persons. The purpose of Dental Pilot
			 Projects are to encourage the development of innovative practices in oral
			 health care delivery systems with a focus on providing care to underserved
			 populations that evidence-based studies have shown have the highest disease
			 rates and the least access to dental care.
(2) These rules establish the requirements of
			 Dental Pilot Project applications; the process for reviewing applications;
			 approval or denial of applications; minimum standards for approved projects;
			 evaluation and monitoring of Dental Pilot Projects; suspension or termination
			 of an approved Dental Pilot Project; and discontinuation or closure of a
			 project.
(3) These rules apply to
			 all dental pilot projects. Dental pilot projects must come into compliance with
			 new minimum standards requirements in OAR
			 333-010-0760  by July 1, 2020.
Statutory/Other Authority: 2011 OL Ch. 716
Statutes/Other Implemented: 2011 OL Ch.
				  716
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 10 - HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Section 333-010-0710 - Dental Pilot Projects: Definitions

Current through Register Vol. 63, No. 7, July 1, 2024
For purposes of OAR
				333-010-0700 through
				333-010-0820,
				the following definitions apply:
(1)
			 "Adverse event" means unnecessary harm due to dental treatment.
(2) "Applicable standard of care" means the
			 standard of care that applies to a trainee and is the same standard of care
			 that applies to a person performing the same services with a license.
(3) "Authority" means the Oregon Health
			 Authority.
(4) "Business day" means
			 any 24-hour day other than a Saturday, Sunday or federal or state legal
			 holiday.
(5) "Clinical evaluator"
			 means a dentist, licensed in the State of Oregon or another state, who is
			 responsible for conducting an independent clinical evaluation of an approved
			 dental pilot project; who is unaffiliated with the project; and who has no
			 financial or commercial interest in the project.
(6) "Clinical instructor" means a person who:
(a) Is certified or licensed in the field for
			 which clinical instruction is occurring;
(b) Is currently licensed in dentistry or
			 dental hygiene or licensed or certified in another appropriate health
			 discipline; and
(c) Has current
			 knowledge and skill in topics they will teach.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 10 - HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Section 333-010-0720 - Dental Pilot Projects: Application Procedure

Current through Register Vol. 63, No. 7, July 1, 2024
(1) A sponsor who wishes to operate a pilot
			 project must submit an application in a form and manner prescribed by the
			 Authority.
(2) The application must
			 demonstrate how the pilot project will comply with the requirements of these
			 rules.
(3) The Authority will not
			 accept new applications if it determines:
(a)
			 There are a sufficient number of projects to provide a basis for testing the
			 validity of the model as determined by the Authority.
(b) It does not have adequate resources to
			 provide an appropriate level of oversight required by these rules.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 10 - HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Section 333-010-0730 - Dental Pilot Projects: Application Review Process

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The Authority shall review an application
			 to determine if it is complete within 60 calendar days from the date the
			 application was received.
(a) If an applicant
			 does not provide all the information required, and the application is
			 considered incomplete, then the Authority shall notify the applicant of the
			 information that is missing and shall allow the applicant 30 calendar days to
			 submit the missing information.
(b)
			 If an applicant does not submit the missing information within the timeframe
			 specified in the notice, then the application shall be rejected as incomplete.
			 An applicant whose application is rejected as incomplete may reapply at any
			 time.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 10 - HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Section 333-010-0740 - Dental Pilot Projects: Project Application Provisional Approval or Denial

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Following the
			 close of the public comment period described in OAR
			 333-010-0730,
			 Application Review Process, the Authority shall review the public comments that
			 were received and issue within 30 calendar days of the close of the public
			 comment period:
(a) A provisional decision to
			 grant approval of an application; or
(b) A denial of the application.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 10 - HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Section 333-010-0750 - Dental Pilot Projects: Provisional Approval; Final Approval

Current through Register Vol. 63, No. 7, July 1, 2024
(1) A project
			 sponsor that has been provisionally approved must, within 90 calendar days of
			 provisional project approval, submit the following to the Authority for
			 approval:
(a) A detailed evaluation and
			 monitoring plan that meets the requirements in OAR
			 333-010-0780,
			 Pilot Project Evaluation and Monitoring by Sponsor.
(b) Written standard operating policies and
			 procedures for the project that ensure compliance with OAR
			 333-010-0760,
			 Minimum Standards. Standard operating policies and procedures shall include,
			 but are not limited to:
(A) Clinical policies
			 and procedures that describe the steps required for implementation of the
			 project at each site;
(B)
			 Administrative policies and procedures that describe protocols;
(C) Administrative protocols for mandatory
			 record keeping;
(D) Data collection
			 policies and procedure protocols that:
(i)
			 Require data capture and data entry, including identification of the staff
			 positions or other individuals responsible for these activities;
(ii) Define policies for protection and
			 security of patient data;
(E) The protocol for orientating supervisors
			 to their roles and responsibilities; and
(F) The process for ensuring that potential
			 problems and root causes for deviations and non-conformances are identified,
			 possible consequences assessed, actions to prevent recurrence considered, and
			 corrective actions are taken if necessary.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 10 - HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Section 333-010-0760 - Dental Pilot Projects: Minimum Standards

Current through Register Vol. 63, No. 7, July 1, 2024
An approved dental pilot project must:
(1) Provide for patient safety and that the
			 applicable standard of care is met as follows:
(a) Comply with informed consent in
			 accordance with OAR
			 333-010-0770,
			 Informed Consent;
(b) Prohibit a
			 trainee from performing procedures the trainee is not capable of performing
			 based on the trainee's level of education, training and experience, physical or
			 mental disability, or which are outside of the trainee's approved scope of
			 practice as outlined in the approved application by the Authority;
(c) Provide or arrange for emergency
			 treatment for a patient currently receiving treatment and needs emergency
			 care;
(d) Not use the behavior
			 management technique of Hand Over Mouth (HOM) or Hand Over Mouth Airway
			 Restriction (HOMAR) on any patient;
(e) Comply with ORS
			 419B.005 to
			 419B.010 related to the mandatory reporting of child abuse;
(f) Comply with ORS
			 453.605 to
			 453.755 or rules
			 adopted pursuant thereto relating to the use of X-ray machines;
(g) Comply with ORS
			 679.520 or rules adopted pursuant thereto relating to the treatment of dental waste
			 materials;
(h) Comply with ORS
			 679.535 or rules adopted pursuant thereto relating to the requirement to test heat
			 sterilization devices; and
(i)
			 Ensure that project participants involved in direct patient care:
(A) Have not been convicted of any crimes,
			 within the last 10 years, that is a crime of violence or crime of
			 dishonesty.
(B) Have not been
			 denied or disciplined by a state entity that issues licenses or
			 certificates.
(j) Ensure
			 adequate supervision and evaluation of trainees, including but not limited to:
(A) Timely review of trainee procedures and
			 addressing any deficiencies;
(B)
			 Monitoring for adverse events and addressing any deficiencies; and
(C) Monitoring and evaluating trainees and
			 addressing any deficiencies.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 10 - HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION › Section 333-010-0770 - Dental Pilot Projects: Informed Consent

Current through Register Vol. 63, No. 7, July 1, 2024
(1) A sponsor must ensure that each patient
			 or person legally authorized to provide consent on behalf of the patient:
(a) Is provided written information about the
			 dental pilot project and who will be providing treatment;
(b) Gives written consent to be treated by
			 the dental pilot project trainee; and
(c) Gives informed consent for treatment by
			 the trainee.