Or. Admin. R. 309-019-0181

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

Section 309-019-0181 - Early Intervention ASAM Level 0.5

Programs shall be certified by the Division in accordance with OAR 309 Division 008 in order to render outpatient substance use disorder treatment and recovery services. A certificate issued to a program shall be effective for a duration not to exceed three years from the date of issue and may be renewed, conditioned, denied, suspended, or revoked by the Division in the manner set forth in OAR 309-008. Certified programs shall meet the standards set forth in these rules and all applicable statutes.

(1) Currently certified providers shall submit complete outpatient substance use disorder treatment and recovery services applications to render each selected ASAM Level(s) of Care no later than October 1, 2023.

(2) Division approved ASAM level(s) of Care shall be added to the outpatient substance use disorder treatment and recovery services certificate starting January 1, 2024.

(3) Effective April 1, 2024, all outpatient substance use disorder treatment programs must have a valid certificate designating each ASAM Level(s) of Care that they are certified by the Division to provide.

(4) Each program shall operate within the scope of the service(s) and ASAM Level of Care types listed on their certificate.

(5) In addition to any other requirements described in these rules and applicable statutes, programs certified to render adolescent or adult Early Intervention ASAM Level 0.5 services shall, at a minimum, meet and maintain documentation demonstrating ongoing compliance with each of the following standards; Individuals placed at this ASAM Level of Care shall meet the following ASAM admission criteria:

(a) ASAM dimensional admission criteria in at least one of Dimensions 4, 5, or 6;

(b) Identifiable concerns in Dimensions 1, 2 and 3 are stable or being addressed through program or other community-based services;

(c) Evidence of concern or risk factors that appear to be related to substance use behavior; and

(d) Risk factors for developing a substance use disorder when the information is insufficient to diagnose a DSM-5-TR substance use, substance induced or other type of addictive disorder.

(6) Programs approved to render ASAM Level 0.5 programs shall meet the following standards:

(a) The Medical Director or an LMP shall be available for complex case consultation;

(b) Staff in adolescent programs shall be knowledgeable about adolescent development and in engaging adolescents.

(c) Program shall offer an array of services and supports, including the following:

(A) Individual, group and family counseling;

(B) Motivational Interventions;

(C) Education; and

(D) Referrals, to relevant community social services, healthcare and behavioral healthcare.

(d) When it is determined an individual meets criteria for a higher ASAM Level of Care, the program shall provide care coordination to assist the individual in concurrently completing any applicable education requirements at Early Intervention ASAM Level 0.5 and treatment in an Outpatient Level of Care or transitioning to the identified services.

Or. Admin. R. 309-019-0181

BHS 11-2023, adopt 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, 428.205-428.270, 430.010, 430.205-430.210, 430.254-430.640, 430.850-430.955 & 743A.168