Or. Admin. R. 309-019-0110

Current through Register Vol. 63, No. 6, June 1, 2024

Section 309-019-0110 - Provider Policies

(1) All providers shall develop and implement written service delivery policies and specific procedures compliant with these rules, to be made available to individuals and family members upon request, and shall include, at a minimum, the following:

(a) Personnel qualifications, credentialing, and training;

(b) Mandatory abuse reporting compliant with ORS 430.735 - 430.768 and OAR chapter 407 division 45;

(c) Criminal Records Checks that address program and volunteer staff, compliant with ORS 181.533 through 181.575 and OAR 943-007-0001 through 0501, where applicable;

(d) Fraud, waste, and abuse in federal Medicaid and Medicare programs compliant with OAR 410-120-1380 and 410-120-1510;

(e) Drug and Gambling Free Workplace;

(f) Fee agreements;

(g) Confidentiality and compliance with HIPAA, Federal Confidentiality Regulations (42 CFR, Part 2), and state confidentiality regulations as specified in ORS 179.505 and 192.518 through 192.530;

(h) Compliance with Title 2 of the Americans with Disabilities Act of 1990 (ADA);

(i) Grievances and appeals;

(j) Individual rights;

(k) Quality assessment and performance improvement;

(l) Trauma informed service delivery consistent with the Division Trauma Informed Services Policy;

(m) Provision of culturally and linguistically appropriate services;

(n) Crisis prevention and response;

(o) Incident reporting;

(p) Peer delivered services;

(q) Prevention of communicable disease transmission;

(r) Emergency evacuation;

(s) Care coordination;

(t) Delivery of substance use disorders treatment services and supports consistent with The ASAM Criteria for each certified level of care;

(u) Code of conduct that includes professional boundaries and ethics;

(v) Referral, Care Coordination and Transfer of Services

(w) Medical Protocols consistent with these rules; and

(x) Urinalysis Testing.

(2) All written service delivery policies and specific procedures shall prohibit the following:

(a) Psychological and physical abuse of an individual;

(b) Seclusion, personal restraint, mechanical restraint, and chemical restraint;

(c) Withholding shelter, regular meals, medication, clothing, or supports for physical functioning;

(d) Discipline of one individual receiving services by another; and

(e) Titration of medications prescribed for the treatment of opioid dependence as a condition of receiving or continuing to receive treatment.

(3) Providers of Enhanced Care Services (ECS) services shall develop behavior support policies consistent with OAR 309-019-0155(3).

(4) Community Mental Health Programs shall develop policies for linkage agreements compliant with OAR 309-032-0870.

Or. Admin. R. 309-019-0110

MHS 6-2013(Temp), f. 8-8-13, cert. ef. 8-9-13 thru 2-5-14; MHS 4-2014, f. & cert. ef. 2-3-14; MHS 18-2016, f. 11-28-16, cert. ef. 11/30/2016; MHS 26-2016(Temp), f. 12-27-16, cert. ef. 12-28-16 thru 6-23-17; MHS 6-2017, f. & cert. ef. 6/23/2017; MHS 10-2017(Temp), f. 9-15-17, cert. ef. 9-15-17 thru 3-13-18; MHS 4-2018, amend filed 02/27/2018, effective 3/1/2018; BHS 8-2020, temporary amend filed 04/30/2020, effective 04/30/2020 through 10/26/2020; BHS 11-2021, amend filed 06/16/2021, effective 6/16/2021; BHS 11-2023, amend filed 04/07/2023, effective 4/7/2023

Statutory/Other Authority: ORS 161.390, 413.042, 430.256 & 430.640

Statutes/Other Implemented: ORS 161.390 - 161.400, 179.505, 413.520 - 413.522, 428.205 - 428.270, 430.010, 430.205 - 430.210, 430.254 - 430.640, 430.850 - 430.955 & 743A.168