Or. Admin. Code § 410-141-3545

Current through Register Vol. 63, No. 12, December 1, 2024

Section 410-141-3545 - Coordinated Care Organization Behavioral Health Provider, Treatment and Facility Certification and Licensure

Behavioral health treatment services are covered for eligible OHP clients when provided by a CCO under the following circumstances:

(1) Provider Organizations (as defined under OAR 410-120-0000) of outpatient behavioral health services shall:

(a) Be certified by the Authority as described in OAR 309-008-0250 for the scope of services provided; and

(b) Comply with applicable rules, including but not limited to, those defined in OAR chapter 309 and any requirements in the CCO contract.

(2) A certificate may not be required for certain types of providers, regardless of whether public funds are received, as outlined in OAR 309-008-0250(4);

(3) Provider organizations (as defined under OAR 410-120-0000) of residential treatment services shall:

(a) Meet the definition of a residential treatment facility under ORS 430.010, 430.306 and 443.400;

(b) Be licensed by the Authority as described in ORS 443.725 and OAR chapter 415 divisions 12 and 50 for the scope of service provided; and

(c) Comply with applicable rules including, but not limited to, those defined in OAR chapter 415 and chapter 309 and any requirements in the CCO contract.

Or. Admin. Code § 410-141-3545

DMAP 55-2019, adopt filed 12/17/2019, effective 1/1/2020

Statutory/Other Authority: ORS 413.042, 414.065, 430.010, 430.306, 443.400 & 443.725

Statutes/Other Implemented: ORS 413.042, 414.065, 430.010, 430.306 & 443.400