Current through Register Vol. 63, No. 9, September 1, 2024
(1)
An applicant seeking initial certification or certification renewal and an
existing provider seeking to expand its certified scope of services, relocate
an existing service delivery location, or open new service delivery location
must submit a completed application to the Division.
(2) The Division shall furnish an application
with instructions and provide appropriate technical assistance to facilitate
completion of the application upon:
(a)
Request from an applicant seeking initial certification;
(b) Request from an existing provider seeking
certification renewal congruent with timelines established by these
rules;
(c) Request from an existing
provider seeking to add or relocate service delivery locations; and
(d) Request from an existing provider seeking
to change the scope of services approved on the current certificate.
(3) An applicant with multiple
service delivery locations must submit documentation with the application
sufficient for the Division to evaluate each service delivery location. A
separate application for each service delivery location is not
required.
(4) The application must
be legible and completed on the forms furnished by the Division in the manner
specified by the Division. Each application must include:
(a) A detailed plan outlining the
implementation of the proposed services congruent with these rules, applicable
service delivery rules, other applicable regulations, and OAR and ORS noted
herein;
(b) Written attestation by
the applicant that all applicable rules of the Division for provision of the
proposed services shall be met and maintained in substantial compliance with
applicable service delivery rules;
(c) Other documentation required by
applicable OAR, ORS, other applicable regulations, local regulations, contract
or by judgment of the Division to assess applicant's compliance; and
(d) Complete and current copies of the
following documents:
(A) A description of the
applicant's service delivery locations describing the type and scope of
behavioral health treatment services provided or proposed by the applicant at
each service delivery location;
(B)
Applicant's policies regarding credentialing practices of individual
practitioners;
(C) Applicant's
liability insurance coverage listing all covered service delivery
locations;
(D) Applicant's policies
and procedures regarding seclusion and restraint practices; and
(E) Applicant's Code of Conduct.
(e) Identification of financial
interest of any individual including stockholders who have an incident of
ownership in the applicant representing an interest of five percent or more.
For purposes of these rules, an individual with a five percent or more incident
of ownership is presumed to have an effect on the operation of the provider,
unless the individual establishes that the individual has no involvement in the
operation of the provider;
(f)
Background information on all licenses, certifications, and letters of approval
held or previously held by the applicant or by any owner disclosed under
subsection (e) of this rule to provide care or treatment or engage in a
profession or trade. The list shall include every license, certification, and
letter of approval regardless of whether it was issued by the Authority or
another regulatory body:
(A) The type of
license or certification;
(B) The
name of the issuing regulatory body;
(C) The name of the individual or business to
whom it was issued;
(D) The start
and end date of the period of license or certification;
(E) A list of the dates of any suspensions,
revocations, conditions, penalties, denials, nonrenewal, or other adverse
actions initiated or taken on a license or certificate, including documentation
of the final resolution of those actions;
(F) Disclosure of whether any of the licenses
or certificates had expired or were relinquished while a suspension,
revocation, condition, penalty, denial, nonrenewal, or other adverse action was
pending or proposed; and
(G) Copies
of all current licenses or certificates.
(g) Disclosure of any substantiated findings
of abuse, neglect, or mistreatment by the applicant, owner, or program
staff.
(5) Where
applicable, the Division shall maintain copies of the documents listed in
section (4)(d) of this rule within the Division's CCO document bank.
(6) Timeframe for application submission:
(a) An applicant seeking initial
certification under these rules must submit a completed application at least
six months in advance of the applicant's desired date of
certification;
(b) An applicant
seeking to renew its certificate must:
(A)
Request an application from the Division; and
(B) Submit a complete application at least
six months prior to the expiration of the existing certificate.
Statutory/Other Authority: ORS
179.040,
179.505, ORS
413.042,
413.032-413.033,
426.072,
426.175,
426.236,
426.500,
430.010,
430.021,
430.256,
430.357,
430.560,
430.640,
430.870, ORS
743A.168 &
743.556
Statutes/Other Implemented: ORS
413.520,
426.060,
426.140,
430.010,
430.254,
430.335,
430.590,
430.620 &
430.637
