Oregon Administrative Code

309-019-0226 Assertive Community Treatment (ACT) Overview (1) The ACT Model is an evidence-based practice with a specified Service Priority Population per 309-019-0225(28) and is implemented as a Community Based service. This service delivery is designed to be a long-term support…

309-019-0231 ACT Program Operational Standards (1) Operate continuous 24/7 crisis coverage as defined in OAR 309-019-0225. That includes direct after-hours on-call system with staff experienced in skilled crisis intervention procedures. (a) The ACT team will ensure that ACT Parti…

309-019-0233 Initiating ACT Certification (1) In order to be eligible for Medicaid or State General Funds for ACT reimbursement, ACT services shall be provided only by those programs meeting the following minimum qualifications: (2) The provider shall hold and maintain an officia…

309-019-0235 ACT Fidelity Requirements (1) All programs Certified or granted Provisional Status to provide ACT services shall be reviewed for fidelity adherence by the Division Approved Reviewer and may not bill Medicaid or use General Funds for the provision of ACT services unle…

309-019-0240 ACT Failure to Meet Fidelity Standards (1) If a Certified or Provisional Status ACT program does not achieve the minimum fidelity rating per their geographical service area based on OAR 309-019-0235 the following shall occur: (a) Within 14 calendar days, unless other…

309-019-0241 Modification Requests to Existing Certification& Substitution Alternatives (1) The Division may at its discretion, grant a waiver or variance of minimum ACT fidelity requirements and extend an ACT program’s certification period if the identified substitution or modif…

309-019-0245 ACT Admission Criteria (1) ACT Programs will triage referrals based on the Service Priority Population per OAR 309-019-0225(28) and medically appropriate standard as designated in OAR 309-019-0105 with the following characteristics: (a) Participants who meet the Serv…

309-019-0248 ACT Admission Process (1) The ACT Program shall complete a Comprehensive Assessment that demonstrates medical appropriateness prior to the provision of this service. If a substantially equivalent assessment is available that reflects current level of functioning and …

309-019-0250 Closure of ACT Services (1) Planned transitions to less intensive services shall occur if the individual has confirmed they no longer require or want ACT level of care and requests a voluntarily discharge. (2) The ACT Program may transition a participant to lower lev…

309-019-0255 ACT Reporting Requirements (1) ACT service data shall be submitted on a quarterly basis for objectives of measuring outcomes per the procedures prescribed by the Division. (2) ACT service delivery data shall be submitted based on the Division mandated state data syst…

309-019-0270 IPS Purpose and Definitions (1) Purpose: These rules establish the standards and procedures for an Individual Placement and Support (IPS) Employment Services that will be certified by the Division. The IPS program uses an evidence-based model and integrates employmen…

309-019-0275 Individual Placement and Support (IPS) Supported Employment Overview (1) IPS Supported employment is an evidence-based practice for individuals with SMI per 309-019-0270(12). (2) IPS Supported employment is characterized by: (a) Emphasis on Competitive Integrated Emp…

309-019-0280 IPS Program Requirements and Operational Standards (1) To be eligible for Medicaid or State General Fund reimbursement, IPS Supported Employment Services shall be provided only by those programs meeting the following minimum qualifications: (a) The program shall hold…

309-019-0282 IPS Program Certification (1) Ongoing certification is driven by compliance with annual fidelity review by the Division Approved Reviewer per OAR 309-019-0285. If a program does not cooperate with annual fidelity review, Division will take necessary actions that coul…

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 r…

309-019-0290 Failure to Meet Fidelity Standards (1) If an IPS program does not achieve minimum score of 100 on a fidelity review, the following shall occur: (a) Once meeting is held per OAR 309-019-0285(5), Technical assistance (TA) shall be made available by the Division Approve…

309-019-0295 IPS Reporting Requirements (1) Providers of IPS Supported Employment Services shall submit quarterly outcome reports using forms and procedures prescribed by the Division within 45 days following the end of each subject quarter to the Division or the Division approve…

309-019-0300 Service Requirements (1) Crisis line services shall be provided directly or through linkages to a crisis line services provider 24/7. (2) Crisis line services shall include but is not limited to: (a) 24/7 accessibility to a QMHP; (b) 24/7 bi-lingual or interpreter av…

309-019-0305 Provider Standards (1) Crisis line services providers shall develop and implement written policies and procedures to address provider standards. (2) Provider standards shall include but is not limited to: (a) Training curriculum and ongoing education programs to meet…

309-019-0310 Minimum Staffing Requirements (1) At least one QMHP shall be available by phone or face-to-face 24/7 for consultation. (2) At least one QMHP shall provide regular clinical supervision to staff. Statutory/Other Authority: ORS 413.042 & 430.640 Statutes/Other Implement…

309-019-0315 Training Requirements (1) Staff training curriculum shall include but is not limited to: (a) Triage protocol; (b) Referral resources; (c) Crisis plan development; (d) Screening for a Declaration for Mental Health Treatment. (2) Staff training curriculum shall include…

309-019-0320 Documentation Requirements (1) Documentation of calls shall include but is not limited to: (a) Summary of presenting concern, assessment of risk factors, interventions, evaluation of interventions, the plan for the management and resolution of the crisis or emergency…

309-020-0100 Purpose These rules prescribe general minimum operational standards for services and supports provided by Peer Respite Programs. Statutory/Other Authority: ORS 430.275 & HB 2980 (2021) Statutes/Other Implemented: ORS 430.275 History: BHS 2-2023, adopt filed 01/11/202…

309-020-0105 Definitions (1) “Culturally and linguistically responsive services” means the provision of effective, equitable, understandable, and respectful quality care and services that are responsive to diverse cultural beliefs and practices, preferred languages, health litera…

309-020-0120 Operational, Policy, and Service Support Requirements (1) Peer Respite programs must: (a) Be operated by peer-run organizations; (b) Ensure participation is voluntary and self-directed; (c) Provide peer respite services and peer support according to recovery principl…

309-020-0130 Data Collection and Reporting Requirements (1) Financial recordkeeping and reporting is required as follows: (a) Programs must keep accurate books, records and accounts that are subject to inspection and audit by the Oregon Health Authority upon request; and (b) Addi…

309-021-0100 IIBHT Purpose and Scope (1) The Intensive In-Home Behavioral Health Treatment (IIBHT) is a community based, multidisciplinary mental health treatment program for youth and young adults under the age of 21 and anyone covered under Early and Periodic Screening. Diagnos…

309-021-0110 IIBHT Definitions (1) “Authority” means the Oregon Health Authority. (2) “Behavioral Health Treatment” means treatment for mental health, substance use disorders, and problem gambling. (3) “Best Practice Risk Assessment” has the meaning given that term in OAR 309-023…

309-021-0120 IIBHT General Requirements (1) Each provider must meet the requirements contained within the following Oregon Administrative Rules (OAR) as applies to the type of service delivered: (a) OAR 309-008 Certification of Behavioral Health Treatment Services (b) OAR 309-019…

309-021-0130 IIBHT Staff Qualifications and Requirements (1) Due to the complex needs of youth and young adults enrolled in IIBHT, IIBHT providers must have policies and procedures in place that address the following: (a) How the agency will ensure that IIBHT staff have access to…

309-021-0140 IIBHT eligibility criteria (1) IIBHT eligibility for youth and young/adults based on the following eligibility criteria as assessed and documented by a QMHP or LMP with recent and direct experience treating or assessing the youth: (a) Youth and family are experiencin…

309-021-0150 IIBHT Referrals and Admissions (1) IIBHT providers must have policies and procedures in place which outline their process for reviewing and responding to referrals as quickly as possible in order to address the needs of complex youth and young adults in crisis and av…

309-021-0160 IIBHT Entry, Assessment and Engagement (1) The IIBHT Entry, Assessment and Engagement process must occur in accordance with OAR 309-019-0135. (2) IIBHT providers shall create and utilize a written entry procedure to ensure youth/young adults and their families are of…

309-021-0170 Treatment Review Meetings (1) IIBHT Treatment Review meetings shall meet the following requirements: (a) Treatment Review meetings shall include, at minimum: (A) The youth/young adult (when clinically appropriate) and their family; (B) Natural supports as approved by…

309-021-0180 Proactive Phone Support and In-person Crisis Response (1) IIBHT shall include 24/7/365 support for youth/young adults and their families in the event of a behavioral health crisis. (a) Crisis support shall be available as outlined in the youth/young adult’s individua…

309-021-0190 Transition of Care and Transfer Summary (1) IIBHT is a time limited intervention. Youth/young adults and their families may transition to other services when one of the following situations is present: (a) The youth/young person and their family have successfully rea…

309-022-0100 Purpose and Scope (1) OAR 309-022-0100 through OAR 309-022-0192 prescribe minimum standards for services and supports provided by addictions and mental health providers approved by the Health Systems Division (Division) of the Oregon Health Authority (Authority) to o…

309-022-0105 Definitions (1) “Abuse of a Child” means the circumstances defined in ORS 419B.005. (2) “Adolescent” means an individual from 12 through 17 years of age, or individuals determined to be developmentally appropriate for youth services. (3) "ASAM Criteria" means the mos…

309-022-0110 Provider Policies (1) All providers shall develop and implement written personnel policies and procedures compliant with these rules, including: (a) Personnel qualifications and credentialing; (b) Mandatory abuse reporting, compliant with ORS 430.735-430.768 and OAR …

309-022-0115 Individual Rights (1) In addition to all applicable statutory and constitutional rights, every individual receiving services has the right to: (a) Choose from available services and supports those that are consistent with the service plan, culturally competent, provi…

309-022-0120 Licensing and Credentialing Program staff in the following positions must meet applicable credentialing or licensing standards, including those outlined in these rules: (1) CESIS; (2) Clinical Supervisor; (3) LMP; (4) Medical Director; (5) QMHA; and (6) QMHP. Statuto…

309-022-0125 Specific Staff Qualifications and Competencies Program staff in the following positions must meet applicable credentialing or licensing standards. (1) Program administrators or program directors shall demonstrate competence in leadership, program planning and budgeti…

309-022-0130 Documentation, Training, and Supervision (1) Providers shall maintain personnel records for each program staff that contains all the following documentation: (a) An employment application; (b) Verification of a criminal record check pursuant to OAR 943-007-0001 throu…

309-022-0135 Entry and Assessment (1) The program shall utilize a written entry procedure to ensure the following: (a) Individuals shall be considered for entry without regard to race, ethnicity, gender, gender identity, gender presentation, sexual orientation, religion, creed, n…

309-022-0140 Service Planning and Coordination (1) The provider shall deliver or coordinate for each individual appropriate services and supports to collaboratively facilitate intended service outcomes as identified by the individual and family: (a) Qualified program staff shall …

309-022-0145 Service Record (1) All providers shall develop and maintain a service record for each individual upon entry. (2) Documentation shall be appropriate in quality and quantity to meet professional standards applicable to the provider and any additional standards for docu…

309-022-0150 Minimum Program Requirements ITS providers shall meet the following general requirements: (1) Maintain the organizational capacity and interdisciplinary treatment capability to deliver clinically and developmentally appropriate services in the medically appropriate a…

309-022-0155 General Staffing Requirements (1) ITS providers shall have the clinical leadership and sufficient QMHP, QMHA, and other program staff to meet the 24-hour, seven days per week treatment needs of children and shall establish policies, procedures, and contracts to assur…

309-022-0160 Program Specific Requirements In addition to the general requirements for all ITS providers set forth in OAR 309-022-0150 and 0155, the facilities and programs shall meet the following requirements: (1) Psychiatric Residential Treatment Facilities (PRTF): (a) Childre…

309-022-0165 Behavior Support Services Behavior support services shall be proactive, recovery-oriented, individualized, and designed to facilitate positive alternatives to challenging behavior, as well as to assist the individual in developing adaptive and functional living skill…