Oregon Administrative Code

333-021-0700 Form for Reporting Written Request and Consent to Performance of Artificial Insemination The form, referred to as Exhibit 2 and by this reference made a part hereof, is adopted as the form for reporting written request and consent to performance of artificial insemin…

333-021-0800 Administration of Vitamin K to Newborns (1) The purpose of ORS 433.303 to 433.314 is to protect newborn infants against Vitamin K Deficiency Bleeding (VKDB). (2) Physicians licensed under ORS chapters 677, 684 and 685 (medical, osteopathic, naturopathic and chiroprac…

333-022-0200 HIV Testing and Confidentiality: Definitions For purposes of OAR 333-022-0205 through 333-022-0210, unless otherwise specified the following definitions shall apply: (1) "Division" means the Public Health Division within Oregon Health Authority. (2) “Health care prov…

333-022-0205 HIV Testing, Notification, Right to Decline (1) Pursuant to ORS 433.045, a health care provider or the provider’s designee shall, before subjecting an individual to an HIV test: (a) Notify the individual being tested; and (b) Allow the individual being tested the opp…

333-022-0210 Confidentiality (1) General. Pursuant to ORS 433.045, a person may not disclose or be compelled to disclose the identity of any individual upon whom an HIV test is performed or the results of such a test in a manner that permits identification of the subject of the t…

333-022-0300 Occupational and Health Care Setting Exposures: Procedures for Requesting a Source Person Consent to an HIV Test Following an Occupational Exposure (1) For purposes of this rule the following definitions apply: (a) “Exposure” means contact with a source person’s body…

333-022-0305 Occupational and Health Care Setting Exposures: Petition for Mandatory Testing of Source Persons (1) If a worker has complied with the process established in OAR 333-022-0300 and a source person has refused to consent to an HIV test or has failed to obtain a test wit…

333-022-0310 Occupational and Health Care Setting Exposures: Substantial Exposure While Being Administered Health Care (1) For purposes of this rule the following definitions apply: (a) “Exposure” means contact with a worker’s body fluids. (b) “Local public health administrator (…

333-022-0315 Occupational and Health Care Setting Exposures: Employer Program for Prevention, Education and Testing (1) Pursuant to ORS 433.075(4), where an employer provides a program of prevention, education and testing for HIV exposures for its employees, the program will be c…

333-022-1000 CareAssist: Purpose and Description of Program (1) The CAREAssist program is Oregon’s AIDS Drug Assistance Program (ADAP). The core purpose of CAREAssist is to ensure access to HIV-related prescription drugs to underinsured and uninsured individuals living with HIV/A…

333-022-1010 CareAssist: Definitions (1) "AIDS" means acquired immunodeficiency syndrome. (2) "Authority" means the CAREAssist program, administered by the Oregon Health Authority. (3) "CAREAssist" includes benefits provided to clients under Bridge, UPP, Group 1 or Group 2 as tho…

333-022-1020 CareAssist: Eligibility To qualify for the CAREAssist program an individual must: (1) Be HIV positive or have AIDS; and (2) Reside in Oregon; and (3) Have a monthly income based on family size which is at or below 550 percent of the FPL. Statutory/Other Authority: OR…

333-022-1030 CareAssist: Application Process (1) An individual may apply for CAREAssist benefits by completing a form prescribed by the Authority and providing the documentation as instructed in the application so that the Authority can verify that the applicant: (a) Has tested p…

333-022-1040 CareAssist: Review of Applications (1) The Authority must review an application to determine if it is complete. (a) An applicant or the applicant’s case manager shall be notified by the Authority if the application is incomplete. Notifications shall identify what inf…

333-022-1050 CareAssist: Approval or Denial of Application (1) If the Authority determines that an applicant is eligible for CAREAssist benefits the applicant shall be notified in writing within 14 calendar days of the Authority’s determination and be assigned to a benefit group …

333-022-1060 CareAssist: Group 1 and 2 Benefits (1) Group 1 and 2 clients are eligible for assistance with: (a) The cost of health insurance premiums if applicable, provided the coverage, at a minimum includes pharmaceutical benefits equivalent to the HIV antiretroviral and oppor…

333-022-1070 CareAssist: Prescriptions (1) Unless an exception applies under subsections (3)(a) or (b) of this rule, CAREAssist clients must use an Authority-approved CAREAssist in-network pharmacy for all: (a) Medications not designated as acute on the CAREAssist formulary; (b) …

333-022-1080 CareAssist: Payments and Cost Coverage (1) The Authority may only make insurance premium payments directly to the insurance carrier or benefits administrator. No direct payments may be made to a client. (2) When no other payer for health coverage (public assistance o…

333-022-1090 CareAssist: Client Eligibility Review (1) The Authority must verify a client’s eligibility every six months, but may conduct an eligibility review at any time and as many times as necessary within an eligibility period. (2) The Authority must provide CAREAssist clien…

333-022-1100 CareAssist: Client Reporting Requirements (1) A CAREAssist client is required to notify the Authority within 15 calendar days of any of the following: (a) Receiving notification of changes to premium payments or benefits from his or her insurance company or a benefit…

333-022-1120 CareAssist: Restricted Status (1) The Authority may place a client on restriction if the client fails to return a complete Client Eligibility Review (CER) by the requested deadline. (2) The effective date and duration of the restriction shall be as follows: (a) Restr…

333-022-1130 CareAssist: Incarcerated Applicants or Clients (1) A CAREAssist client who is incarcerated in a state or federal correctional institution is ineligible for CAREAssist and shall be terminated from the program in accordance with OAR 333-022-1160. (2) A CAREAssist clien…

333-022-1140 CareAssist: Bridge Program (1) The Bridge Program provides limited benefits to an individual whose medical provider has applied for the program on the patient’s behalf. The program provides payment for basic services and medications for an individual who is in the pr…

333-022-1145 CareAssist: Uninsured Persons Program (1) The Uninsured Persons Program (UPP) provides full-cost coverage for a limited number of medications and medical services for clients who are ineligible for insurance. (2) In order to be eligible for UPP an individual must: (a…

333-022-1147 CareAssist: Dental Benefits (1) The CAREAssist Dental Program provides assistance with out-of-pocket dental expenses related to a specific dental plan or plans identified by the Authority. (2) Clients are eligible for the CAREAssist Dental Program as long as their pr…

333-022-1150 CareAssist: Client Rights Applicants and clients have the following rights: (1) To receive CAREAssist services free of discrimination based on race, color, sex, gender, ethnicity, national origin, religion, age, class, sexual orientation, physical or mental ability. …

333-022-1160 CareAssist: Termination from CAREAssist (1) The Authority may terminate a client or restrict benefits for any of the following: (a) Failure to continue to meet eligibility requirements; (b) Submitting false, fraudulent or misleading information to the Authority in or…

333-022-1170 CareAssist: Hearings A client who has benefits denied, restricted, or terminated has a right to a contested case hearing in accordance with ORS Chapter 183. Statutory/Other Authority: ORS 413.042, 431.250 & 431.830 Statutes/Other Implemented: ORS 431.250 & 431.830 Hi…

333-022-2000 HIV Case Management: Purpose (1) The Oregon HIV Case Management Program provides case management and supportive services, through Ryan White Part B case management agencies, that include but are not limited to client-centered services that ensure timely and coordinat…

333-022-2010 HIV Case Management: Definitions (1) "Agency" refers to a contracted provider delivering Ryan White funded services. (2) "AIDS" means acquired immunodeficiency syndrome. (3) "Authority" means the Oregon Health Authority. (4) "Family" means all individuals counted by …

333-022-2020 HIV Case Management: Eligibility To be eligible for the HIV Case Management Program an individual must: (1) Be HIV positive or have AIDS; and (2) Reside in an agency’s jurisdiction within the HIV case management service area, unless another agency agrees to provide s…

333-022-2030 HIV Case Management: Enrollment Process (1) To enroll in the HIV Case Management Program an individual must go through an intake process with a local Ryan White Part B case management services agency. A list of the agencies may be obtained on the Authority's website …

333-022-2040 HIV Case Management: Approval or Denial of Enrollment (1) The agency will make a determination as to whether the individual is eligible for case management services within 30 days of receiving all documentation in accordance with OAR 333-022-2030. (2) If the agency d…

333-022-2050 HIV Case Management: Determination of Service Needs Once enrolled in the HIV Case Management Program, a client must participate in a screening and assessment process with an agency to review his or her needs and resources, for the purpose of developing a plan to addr…

333-022-2060 HIV Case Management: Client Rights Individuals applying for or clients enrolled in the HIV Case Management Program have the following rights: (1) To receive HIV case management services free of discrimination based on race, color, sex, gender, ethnicity, national ori…

333-022-2070 HIV Case Management: Client Responsibilities A client enrolled in the HIV Case Management Program is expected to: (1) Participate in screening, assessment, care plan development and implementation activities; (2) Provide accurate eligibility information at all times;…

333-022-2080 HIV Case Management: Supportive Services (1) A client enrolled in the HIV Case Management Program may be eligible for supportive services if income is at or below 250 percent of the FPL. (2) Authorization by an agency of supportive services is discretionary and a dec…

333-022-2090 HIV Case Management: Client Enrollment Review (1) A client must participate with the agency at least every six months in reviewing the client’s eligibility and enrollment information for HIV case management services, and at any time the agency deems it necessary with…

333-022-2100 HIV Case Management: Incarcerated Applicants or Clients (1) An individual who is incarcerated may not be enrolled in the HIV Case Management Program and may not continue to be enrolled in the program except as described in section (2) of this rule. (2) An agency may …

333-022-2110 HIV Case Management: Termination (1) A client enrolled in the HIV Case Management Program may be terminated from the program for any of the following: (a) Failure to continue to meet eligibility requirements; (b) Placement in a custodial institution for more than 180…

333-022-2120 HIV Case Management: Hearings A client who has been terminated has a right to a contested case hearing in accordance with ORS Chapter 183. Statutory/Other Authority: ORS 413.042, 431.250 & 431.830 Statutes/Other Implemented: ORS 431.250 & 431.830 History: PH 29-2014,…

333-022-3000 Oregon Housing Opportunity in Partnership Program (1) The Oregon Housing Opportunities in Partnership (OHOP) program provides housing services to eligible applicants who have received a medical diagnosis of HIV or AIDS. OHOP assists clients in achieving and maintaini…

333-023-0800 Purpose The purpose of the Prescription Drug Monitoring Program rules (OAR 333-023-0800 through 333-023-0830) is to define operational processes of a prescription drug monitoring program. Statutory/Other Authority: ORS 431A.855 Statutes/Other Implemented: ORS 431A.85…

333-023-0805 Definitions Unless otherwise stated in OAR 333-023-0800 through 333-023-0830, or the context of OAR 333-023-0800 through 333-023-0830 requires otherwise, the following definitions apply to OAR 333-023-0800 through 333-023-0830: (1) "Approved entity" means an eligible…

333-023-0810 Reporting Requirements (1) Not later than 72 hours after dispensing a controlled substance a pharmacy shall electronically report to the Oregon Health Authority (Authority) the following information for prescription drugs dispensed that are classified in schedules II…

333-023-0815 Notification to Patients Using language provided by the Authority, a pharmacy shall notify each patient receiving a controlled substance about the Prescription Drug Monitoring Program before or when the controlled substance is dispensed to the patient. The notificati…

333-023-0820 Information Access (1) System Access. Only the following individuals or entities may access the system: (a) Practitioners and pharmacists authorized to prescribe or dispense controlled substances; (b) Delegates of practitioners or pharmacists; (c) Designated represen…

333-023-0825 Practitioner Registration Requirements (1) A practitioner with an active United States Drug Enforcement Agency (DEA) registration to prescribe in Oregon must register with the Prescription Drug Monitoring Program in accordance with OAR 333-023-0820(8) in order to hav…

333-023-0830 Approval of Health Information Technology Systems (1) An eligible entity may apply to the Authority to allow its Health Information Technology System access to the Prescription Drug Monitoring Program data. To apply for approval, an eligible entity must complete and …

333-024-0005 Purpose These rules (OAR 333-024-0005 through 333-024-0055 and 333-024-0260 and 333-024-0265) are for the purpose of carrying out ORS chapter 438 to ensure the quality of medical laboratory work in order to protect the health and welfare of the people of the State of…