Or. Admin. Code § 410-152-0015

Current through Register Vol. 63, No. 11, November 1, 2024

Section 410-152-0015 - Community Violence Prevention Services

(1) All Community Violence Prevention services provided by a community violence prevention program shall be performed by a certified Violence Prevention Professional.

(2) Community Violence Prevention services performed by a certified Violence Prevention Professional, shall be determined to be medically appropriate, medically necessary and appropriate for the individual's age. Community Violence Prevention services may include based on the individualized plan of care:

(a) Conflict mediation;

(b) Crisis intervention;

(c) Mentorship;

(d) Peer support and counseling;

(e) Case management;

(f) Referrals to certified or licensed health care professionals or social service providers; or

(g) Screening services to victims' community violence.

(3) Community Violence Prevention services shall be ordered or referred by a physician or other qualified licensed practitioner of the healing arts and shall be detailed in the individualized plan of care.

(4) The type, frequency, and quantity of units of Community Violence Prevention services authorized in the plan of care shall be appropriate for the individual's age and designed to prevent further impacts of community violence, prevent future community violence, prolong life, and promote the physical and mental health and efficiency, of the individual.

(5) Providers are required to provide health care language interpreter services for Medicaid members with Limited English Proficiency (LEP) and communication services for people who are deaf and hard of hearing pursuant to Title VI of the Civil Rights Act, The Americans with Disabilities Act (ADA), ORS 413.550 to 413.558, and subject to the requirements in OAR Chapter 950 Division 50. These services must be provided at no cost to the member.

Or. Admin. Code § 410-152-0015

DMAP 89-2024, adopt filed 05/01/2024, effective 5/1/2024

Statutory/Other Authority: Oregon Medicaid State Plan Amendment, 42 C.F.R 440.130 (c), House Bill 4045 & 2022 Legislative Session

Statutes/Other Implemented: ORS 413.032, 413.042 & 414.065