Oregon Administrative Code

333-580-0030 Section B — Review Criteria (1) The applicant must demonstrate in narrative form that its proposal satisfies the criteria specified in OAR 333-580-0040 to 333-580-0060 and the applicable service-specific need methodologies and standards in divisions 585 through 645. …

333-580-0040 Need Applicants must provide a narrative discussion of each of the following: (1) Criterion: Does the service area population need the proposed project? (a) The applicant must identify the service area’s need for the proposal in the past, present and future; (b) In e…

333-580-0050 Availability of Resources and Alternative Uses of Those Resources Applicants must provide a narrative discussion of each of the following: (1) Criterion: Does the proposed project represent the most effective and least costly alternative, considering all appropriate …

333-580-0060 Economic Evaluation Applicants must provide a narrative discussion of each of the items below. The entity actually proposing to implement a certificate of need must submit the required financial data. Additional financial data may be required to be presented by the a…

333-580-0070 Special Requirements for Certain Types of Proposals (1) As required by ORS 442.584, applications proposing any of the technologies or services selected for assessment by the Health Resources Commission must include the information specified in section (2) of this rul…

333-580-0080 General Instructions for Section C — Completion of Forms Applicants must complete Forms CN-1 through CN-12 and include these forms with the application, except that forms which are not relevant to the proposal need not be completed. Applicants should contact the Publ…

333-580-0090 Completion of Architectural Forms In completing Form CN-3, “Capital Expenditure Estimate,” all costs identified on this form, which will be incurred at a future date, must reflect the effects of inflation. [ED. NOTE: Forms referenced are available from the agency.] S…

333-580-0100 Completion of Financial Forms The applicant must submit financial information regarding the proposed service and the facility or organization as a whole on Forms CN-4 through CN-12. Projects with costs of under $1,000,000 need only forecast three years financial info…

333-585-0000 General Criteria for Demonstration of Need in Certificate of Need Applications The applicant is responsible for providing information to the Public Health Division to adequately demonstrate that the applicant’s proposal satisfies criteria specified in applicable rule…

333-590-0000 General (1) The applicant, in providing information to the Public Health Division to demonstrate need for a proposed new hospital, must satisfy the criteria specified in the Certificate of Need Application Instructions (OAR chapter 333, division 580). This response w…

333-590-0010 Definitions As used in is division: (1) “Acute Inpatient Care” means care provided in hospital beds, involving at least one overnight use of a bed. Acute inpatient care does not include skilled nursing facility, intermediate care facility, long-term care or supportiv…

333-590-0020 Estimates of Need The assumptions and methods described in this division are applicable to the interpretation of OAR 333-580-0040. Their practical purpose is to generate a range of quantitative estimates, against which to weigh the impact of qualitative factors, in d…

333-590-0030 Assumptions The following general assumptions are made with respect to the balance between bed capacity and anticipated future utilization. In specific cases, certain assumptions may or may not apply: (1) The annual patient days needed by the population of a health s…

333-590-0040 Determination of Service Area for Existing Hospitals For purposes of divisions 545 through 670 of OAR chapter 333, the service area for an existing general hospital will be defined as including those zip codes from which either ten percent or more of the hospital's d…

333-590-0050 Bed Need Methodology for Proposed New Hospitals The method for estimating bed need at a proposed new general hospital shall be consistent with the principles enumerated in OAR 333-590-0030, and the legislative findings and policy of ORS 442.025: (1) Determine the ser…

333-590-0060 Relationship of Proposed New Hospitals to Existing Health Care System An applicant proposing a new acute inpatient facility, rather than replacement or expansion of an existing facility, must weigh its plans against the availability of beds at existing, reasonably ac…

333-600-0000 General In providing information to the Public Health Division to demonstrate need for various types of chemical dependency treatment services, the applicant must satisfy the criteria in the Certificate of Need Application Instructions (division 580). In completing t…

333-600-0010 Definitions The definitions of OAR 333-590-0010 also apply to this division. The following definitions categorize specific types of chemical dependency treatment services. Certificate of need is required for sections (1) and (3) of this rule if the project involves t…

333-600-0020 Principles (1) Chemical dependency service systems should provide a continuum of care which gradually increases demands for personal responsibility. (2) Chemical dependency services systems should allow entry at any point in the treatment continuum based on individua…

333-600-0030 Need Methodology The method for estimating the needed number of beds or service capacity for each type of chemical dependency treatment setting consists of the following steps: (1) For a service which is designed to serve persons in the present service area of a give…

333-610-0000 General In order to demonstrate need for nursing home beds, an applicant must satisfy the criteria specified in the Certificate of Need Application Instructions (division 580). Where appropriate, responses to these instructions shall be based on the methodology of th…

333-610-0010 Definitions As used in this division: (1) “Alternative Services” means any long-term care services other than nursing homes. (2) “Adult Foster Care” means supervised living, like licensed residential care facility (home for the aged) but for five or fewer persons. (3…

333-610-0020 Principles The following principles will be applied in the review of applications for certificate of need for nursing home beds: (1) Clinical and epidemiological research indicates that, on the average, 30 nursing home beds per 1,000 persons age 65 and over would be …

333-610-0030 Need The following method is an extension of the general requirements for analysis of need set forth in OAR 333-580-0040(1): (1) Determine service area: (a) Except as provided in subsections (b) and (c) of this section, the geographical service area of the applicant …

333-610-0060 Hospital Long-Term Care Beds (1) Long-term care facility services and beds offered in or through a hospital must be separately licensed by the Seniors and People with Disabilities Division. Therefore, the creation of a long-term care facility by a hospital will be co…

333-610-0070 Swing Long-Term Care Beds in Hospitals When a hospital proposes to utilize a given number of its licensed hospital acute beds intermittently as skilled nursing facility swing beds under applicable federal regulations, the hospital is expected to submit a letter of in…

333-610-0080 Residential Care Beds in Long-Term Care Facilities When a long-term care facility chooses to obtain a Seniors and People with Disabilities Division license as a “licensed residential care facility” as described in OAR 333-610-0010(11) for all, or for a separate and d…

333-610-0090 Intermediate Care Facilities for the Mentally Retarded Distinct part intermediate care beds for mentally retarded or developmentally disabled individuals, when the facility houses any individuals who require nursing care services of a level, frequency and duration eq…

333-610-0100 Intermediate Care Facilities for the Mentally or Emotionally Disturbed Distinct part intermediate care beds for mentally or emotionally disturbed individuals, when the facility houses any such individuals who require nursing care services of a level, frequency and du…

333-610-0110 Intermediate Care Facilities for Chemically Dependent Persons, Including Alcoholics Distinct part intermediate care beds for Chemically dependent persons, including alcoholics, when the facility houses any such individuals who require nursing care services of a level…

333-615-0000 General Complete application. To be ruled complete, an application for a psychiatric hospital must: (1) Include a narrative organized in accordance with each major section of OAR 333-615-0000 through 333-615-0070; (2) Satisfy the criteria specified in the Certificate…

333-615-0010 Definitions (1) "Alternate Health Service Area" means an approved deviation from the Trauma System Area as the Health Service Area meeting exception criteria. (2) "Alternatives" means other settings within the behavioral health continuum that may reduce demand for in…

333-615-0025 Criteria for Approval for a New Psychiatric Hospital (both freestanding and those meeting criteria under ORS 442.015 as a new hospital) A Certificate of Need for a psychiatric hospital may be granted if the Oregon Health Authority determines that an applicant has sho…

333-615-0030 Estimate of Need Bed need shall be evaluated consistent with the below standards, methodology, and principles: (1)(a) Determine the estimated population for the Health Service Area identified in OAR 333-615-0010(4) for the prior 10 years in five-year increments, and …

333-615-0035 Alternate Health Service Areas If an application for a psychiatric hospital proposes a deviation from the Health Service Area based on the Area Trauma Advisory Board (ATAB), the applicant must provide justification for any changes. The Oregon Health Authority (Author…

333-615-0040 The Availability of Alternatives in the Health Service Area (1) The applicant shall provide a complete description of all alternatives to inpatient treatment at a psychiatric hospital available in the Health Service Area. This includes an inventory with provider name…

333-615-0050 Quality An application for a new hospital shall include evidence showing: (1) Triage criteria and mechanisms, including documentation that such criteria and mechanisms will be consistent with the level of placement criteria developed by the Office of Health Policy an…

333-615-0060 Cost A determination that a proposed project will foster cost-efficient services without compromising quality, shall be based on the following criteria: (1) Superior alternatives, in terms of cost, efficiency, or effectiveness, are not available or feasible. (2) In t…

333-615-0070 Use of Other Sources for Evaluating Applications (1) In the event the Certificate of Need rules applicable to a psychiatric hospital do not contain standards in sufficient detail to make the required determinations, the Oregon Health Authority may consider: (a) Natio…

333-645-0000 General (1) The purpose of this division is to assure provision of accessible, quality care with the least incremental impact in overall community health care costs. Rehabilitation services assist people with a wide range of physical disabilities, focused on gaining …

333-645-0010 Definitions (1) “Rehabilitation Services” are medical and other services designed for the primary purpose of restoring disabled persons to the fullest degree of physical, psychological, social and vocational competency in an integrated program. (2)(a) “Comprehensive …

333-645-0020 Principles (1) Given the diversity of services possible, rehabilitation units should provide the least restrictive and most cost-effective setting possible to meet patient needs. Applicants shall demonstrate that their proposed services are the least costly of any re…

333-645-0030 Elements in Calculating Need for Rehabilitation Services (1) Total need for inpatient rehabilitation services is such that inpatient facilities shall not exceed seven beds in 100,000 general population: (a) Determination of hospital service area is to be consistent w…

333-670-0140 Burden of Proof Petitioners shall have the burden of proving by a preponderance of the evidence all adjudicative facts necessary to establish entitlement to reconsideration, or to the relief it seeks. Statutory/Other Authority: ORS 431.120(6) & 442.315 Statutes/Other…

333-670-0145 Applicability of OAR 333-670-0140 OAR 333-670-0140 shall apply to reconsideration hearings requested or held on or after the effective date of this rule. Statutory/Other Authority: ORS 431.120(6) & 442.315 Statutes/Other Implemented: ORS 431.120(6) & 442.315 History:…

333-675-0100 Applicability The purpose of OAR 333-675-0100 through OAR 333-675-0240 (these rules) is to prescribe the process for, and when a facility is required to, submit to the Oregon Health Authority (Authority) plans and specifications for alterations or additions to facili…

333-675-0105 Definitions The following definitions are provided to facilitate consistency in the interpretation and application of OAR chapter 333, division 675. Some of these terms may have a broader definition in other contexts, but the definitions provided here reflect the use…

333-675-0110 Project Submission and Review (1) Any person proposing to make certain alterations or additions to an existing health care facility, long term care facility, assisted living facility, or residential care facility, or to construct new facilities must, before commencin…

333-675-0115 Project Submission Review Not Required (1) Where project review is required per OAR 333-675-0110, applicants may request a 'No Review Required' letter by submitting the following information: (a) Description of work; (b) Valuation of work; and (c) Schematic plan or l…

333-675-0120 Functional Program Requirements The project sponsor must supply for each project a brief written narrative functional program for the facility. (1) The functional program for a hospital, psychiatric hospital, or a special inpatient care facility classified as a rehab…