Or. Admin. R. 309-019-0285

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

Section 309-019-0285 - IPS Fidelity Requirements

(1) A certified IPS Program shall be reviewed annually for fidelity adherence by the Division Approved Reviewer and reach a benchmark of at least a score of 100. A program may not bill Medicaid unless certification is current.

(2) Fidelity reviews shall be conducted utilizing the Division approved fidelity scale which the Division Approved Reviewer shall make available to programs electronically at least 45 calendar days prior to scheduled fidelity review.

(3) Within 30 calendar days following the fidelity review, the Division Approved Reviewer shall provide a comprehensive fidelity review report to the Division and the IPS Program.

(4) Within seven calendar days following issuance of the fidelity review report, the IPS Program shall send a copy of the fidelity review report to the appropriate Coordinated Care Organization (CCO) unless otherwise specified in program/CCO contract.

(5) Within 14 calendar days of the issuance of fidelity review report, The Division, The Division Approved Reviewer, and program will meet to discuss the outcome of the comprehensive report findings. The CCO can be invited and attend the meeting if the CCO requests.

(6) The Division may deny, revoke, suspend, or not renew an IPS Program Certification for failure to participate in an annual fidelity review.

Or. Admin. R. 309-019-0285

MHS 26-2016(Temp), f. 12-27-16, cert. ef. 12-28-16 thru 6-23-17; MHS 1- 2017(Temp), f. 1-17-17, cert. ef. 1-18-17 thru 7-16-17;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 3-2024, amend filed 01/27/2024, effective 2/1/2024

Statutory/Other Authority: ORS 413.042

Statutes/Other Implemented: ORS 430.630