Or. Admin. R. 410-141-3545

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

Section 410-141-3545 - Coordinated Care Organization Behavioral Health Provider, Treatment and Facility Certification and Licensure

Behavioral health treatment services are covered for eligible OHP clients when provided by a CCO under the following circumstances:

(1) Provider Organizations (as defined under OAR 410-120-0000) of outpatient behavioral health services shall:

(a) Be certified by the Authority as described in OAR 309-008-0250 for the scope of services provided; and

(b) Comply with applicable rules, including but not limited to, those defined in OAR chapter 309 and any requirements in the CCO contract.

(2) A certificate may not be required for certain types of providers, regardless of whether public funds are received, as outlined in OAR 309-008-0250(4);

(3) Provider organizations (as defined under OAR 410-120-0000) of residential treatment services shall:

(a) Meet the definition of a residential treatment facility under ORS 430.010, 430.306 and 443.400;

(b) Be licensed by the Authority as described in ORS 443.725 and OAR chapter 415 divisions 12 and 50 for the scope of service provided; and

(c) Comply with applicable rules including, but not limited to, those defined in OAR chapter 415 and chapter 309 and any requirements in the CCO contract.

Or. Admin. R. 410-141-3545

DMAP 55-2019, adopt filed 12/17/2019, effective 1/1/2020

Statutory/Other Authority: ORS 413.042, 414.065, 430.010, 430.306, 443.400 & 443.725

Statutes/Other Implemented: ORS 413.042, 414.065, 430.010, 430.306 & 443.400