Oregon Administrative Code

309-018-0135 Entry (1) The provider must utilize and document an entry procedure that at a minimum will ensure the following: (a) Individuals shall be considered for entry without regard to race, ethnicity, gender, gender identity, gender presentation, sexual orientation, religio…

309-018-0140 Assessment (1) Prior to, or at the time of entry, an assessment must be initiated and by a qualified program staff. (a) Assessments must record diagnostic information derived from any combination of clinical observation, self-report interview, or collateral informati…

309-018-0145 Service Plan and Service Notes (1) The Service Plan shall be a written, individualized plan to improve the individual’s condition to the point where the individual’s continued participation in the program or level of care is no longer necessary. (2) Routine services …

309-018-0150 Service Record (1) Documentation shall be appropriate in quality and quantity to meet professional standards applicable to the provider and any additional standards for documentation in the provider’s policies and any pertinent contracts. (2) All providers shall deve…

309-018-0155 Transfer and Continuity of Care (1) Providers shall maintain direct affiliation with or close coordination for referral to other levels of care and other types of services and supports to coordinate biomedical, psychological, pharmacotherapy, laboratory, community en…

309-018-0160 Co-Occurring Mental Health and Substance Use Disorders (COD) Services shall be integrated and address treatment and recovery for co-occurring Mental Health, Substance Use and/or Gambling Disorders. In addition to requirements in OAR Chapter 309, these rules specify s…

309-018-0162 Residential Specialty Programs Residential Specialty Programs focused on treatment programming and planning must be specialized to the population and individuals being served. The majority of the population being served within the program must fall within the specifi…

309-018-0165 Residential Problem Gambling Treatment Services Residential problem gambling treatment services shall include group, individual, and family treatment consistent with the following requirements: (1) Service sessions shall address the challenges of the individual as th…

309-018-0170 Culturally Specific Substance Use Disorders Treatment and Recovery Services Programs approved and designated as culturally specific programs shall meet the following criteria: (1) Serve a majority of individuals representing culturally specific populations; (2) Maint…

309-018-0180 Residential Substance Use Disorders Treatment and Recovery Programs (1) Programs approved to provide residential substance use disorders treatment services shall meet the following standards: (a) The assessment shall contain an evaluation that identifies and assesses…

309-018-0181 SUD Residential ASAM Level of Care 3.1 Clinically Managed Low-Intensity Residential Substance Use Disorder Services ASAM Level of Care 3.1 In addition to any other requirements described in these rules and applicable statutes, programs licensed to render adolescent o…

309-018-0182 SUD Residential ASAM Level of Care 3.3 Clinically Managed Population-Specific High-Intensity Substance Use Disorder Residential Services, ASAM Level of Care 3.3 In addition to any other requirements described in these rules and applicable statutes, programs licensed …

309-018-0183 SUD Residential ASAM Level of Care 3.5 Adolescent Clinically Managed Medium-Intensity Substance Use Disorder Residential Services, ASAM Level of Care 3.5 and Adult Clinically Managed High-Intensity Substance Use Disorder Residential Services, ASAM Level of Care 3.5. …

309-018-0184 SUD Residential ASAM Level of Care 3.7 Medically Monitored Intensive Substance Use Disorder Inpatient Services, ASAM Level of Care 3.7. In addition to any other requirements described in these rules and applicable statutes, programs approved to render Adult Medically…

309-018-0185 Medical Protocols in Residential Substance Use Disorders Treatment Programs Medical protocols shall be approved by a medical director under contract with a program or written reciprocal agreement with a medical practitioner under managed care. The protocols shall: (1…

309-018-0190 Administration of Medications The following guidelines shall be followed in policies on administration of medications in residential programs: (1) Medications prescribed for one individual may not be administered to or self-administered by another individual or progr…

309-018-0200 Facility Standards for Substance Use Disorders and Problem Gambling Residential Treatment and Recovery Programs (1) Residential programs shall meet the following standards: (a) Maintain up-to-date documentation verifying that they meet and comply with all applicable …

309-018-0205 Quality Assessment and Performance Improvement Providers shall develop and implement a structured and ongoing process to assess, monitor, and improve the quality and effectiveness of services provided to individuals and their families. Statutory/Other Authority: ORS …

309-018-0210 Grievances and Appeals (1) Any individual receiving services or the parent or guardian of the individual receiving services may file a grievance with the provider, the individual’s managed care plan, or the Division. (2) The provider’s grievance process shall: (a) No…

309-018-0215 Variances (1) Variances may be granted to a provider holding a license under this rule: (a) If there is a lack of resources to implement the standards required in these rules; or (b) If implementation of the proposed alternative services, methods, concepts, or proced…

309-019-0100 Purpose and Scope (1) These rules prescribe minimum service delivery standards for services and supports provided by providers certified by the Health Systems Division (Division) of the Oregon Health Authority (Authority). (2) In addition to applicable requirements i…

309-019-0105 Definitions (1) "Abuse of an Adult" means the circumstances defined in ORS 430.735, OAR Chapter 943, Division 45 and OAR Chapter 407, Division 45 for abuse of an adult with mental illness or who is receiving residential substance use disorder treatment or withdrawal …

309-019-0110 Provider Policies (1) All providers shall develop and implement written service delivery policies and specific procedures for office-based, community-based and telehealth services and supports compliant with these rules, to be made available to individuals and family…

309-019-0115 Individual Rights (1) In addition to all applicable statutory and constitutional rights, every individual receiving services has the right to: (a) Choose from services and supports that are consistent with the assessment and service plan, culturally competent, provid…

309-019-0125 Staff Qualifications Provider must ensure that staff in the following positions meet applicable qualifications, credentialing, or licensing standards and competencies, including those set forth in these rules: (1) Program staff providing treatment services or Peer-De…

309-019-0130 Personnel Documentation, Training, and Supervision (1) Providers shall maintain personnel records for each program staff that contains all of the following documentation: (a) The results of a criminal records check applicable to the current position or title, and: (A…

309-019-0135 Entry and Assessment (1) The provider must utilize and document an entry procedure that at a minimum must ensure the following: (a) Individuals must be considered for entry without regard to race, ethnicity, gender, gender identity, gender expression, sexual orientat…

309-019-0140 Service Plan and Service Notes (1) The service plan must be a written, individualized plan designed to improve the individual’s condition to the point where the individual’s continued participation in the program or level of care is no longer necessary. (a) Service p…

309-019-0145 Co-Occurring Mental Health and Substance Use Disorders (COD) This rule is effective January 1, 2023. Services shall be integrated and address treatment and recovery for co-occurring Mental Health, Substance Use and/or Gambling Disorders. In addition to requirements i…

309-019-0150 Community Mental Health Programs (CMHP) (1) Crisis services must be provided directly or through linkage to a local crisis services provider and must include the following: (a) Twenty-four hours, seven days per week telephone or face-to-face screening within one hour…

309-019-0155 Enhanced Care Services (ECS) and Enhanced Care Outreach Services (ECOS) (1) To be eligible for Enhanced care Services (ECS) an individual shall: (a) Be Medicaid eligible; (b) Meet the diagnostic criteria of severe mental illness with complex behaviors and be approved…

309-019-0157 Enhanced Care Outreach Services (ECOS) (1) To be eligible for Enhanced Care Outreach Services (ECOS), an individual must: (a) Be Medicaid eligible; (b) Meet the diagnostic criteria of severe mental illness with complex behaviors or be approved by the enhanced care se…

309-019-0160 Psychiatric Security Review Board and Juvenile Psychiatric Security Review Board (1) Services and supports must include all appropriate services, including peer delivered services, determined necessary to assist the Individual in maintaining community placement that …

309-019-0162 Youth Wraparound Definitions (1) "Child and Adolescent Needs and Strengths Assessment or CANS" means a multi-purpose tool developed to support decision making, including level of care and person-centered service planning, to facilitate quality improvement initiatives…

309-019-0163 Youth Wraparound Program Rules (1) Wraparound providers shall: (a) Make eligibility criteria and referral processes available to the public. At a minimum, the following categories of youth shall be eligible: (A) Youth served in two or more child-serving systems and e…

309-019-0170 Outpatient Problem Gambling Treatment and Recovery Services Outpatient problem gambling treatment services include group, individual, and family treatment consistent with the following requirements: (1) Service sessions shall address the challenges of the individual …

309-019-0175 Culturally Specific Substance Use Disorders Treatment and Recovery Services Programs approved and designated as culturally specific programs shall meet the following criteria: (1) Serve a majority of individuals representing culturally specific populations; (2) Maint…

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 dura…

309-019-0182 Outpatient Substance Use Disorder Services ASAM Level 1 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 b…

309-019-0183 Intensive Outpatient Substance Use Disorder Services ASAM Level 2.1 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 pro…

309-019-0184 Partial Hospitalization Substance Use Disorder Services ASAM Level 2.5 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 …

309-019-0185 Outpatient Substance Use Disorders Treatment and Recovery Programs (1) Programs approved to provide outpatient substance use disorders treatment services shall meet the following standards: (a) Programs shall ensure documentation at the time of entry contains an eval…

309-019-0190 Community-Based Substance Use Treatment Programs for Individuals in the Criminal Justice System (1) For individuals in the criminal justice system, community-based substance use treatment services and supports are for individuals who are under the supervision of a pr…

309-019-0195 DUII Services Providers (1) Outpatient Substance Use Disorders (SUD) Treatment Programs approved by the Division as DUII Services Providers and for ASAM Levels of Care 0.5 and 1.0,, shall provide DUII Education and DUII Rehabilitation as outlined in this rule. (2) A …

309-019-0200 Medical Protocols in Outpatient Substance Use Disorders Treatment and Recovery Programs Medical protocols shall be approved by a medical director under contract with a program or written reciprocal agreement with a medical practitioner under coordinated care. The pro…

309-019-0205 Building Requirements in Behavioral Health Programs All behavioral health treatment programs must: (1) Comply with all applicable state and local building, electrical, plumbing, fire, safety, and zoning codes. (2) Maintain up-to-date documentation verifying that they…

309-019-0210 Quality Assessment and Performance Improvement Providers shall develop and implement a structured and ongoing process to assess, monitor, and improve the quality and effectiveness of services provided to individuals and their families. Statutory/Other Authority: ORS …

309-019-0215 Grievances and Appeals (1) Any individual or parent or guardian receiving services may file a grievance with the provider, the individual’s coordinated care plan, or the Division. (2) The provider’s grievance process shall: (a) Notify each individual or guardian of t…

309-019-0220 Variances (1) Requirements and standards for requesting and granting variances or exceptions are found in OAR 309-008-1600. (2) The Division’s chief officer or designee shall approve or deny the request for a variance to these rules. The request shall be made in writ…

309-019-0225 Assertive Community Treatment (ACT) Definitions (1) In addition to the definitions in OAR 309-019-0105, when used and not otherwise defined in OAR 309-019-0225 through OAR 309-019-0255, the following terms shall have the meaning given in this section. (2) 24/7 Crisis…