Oregon Administrative Rules
Chapter 415 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: ADDICTION SERVICES
Division 12 - LICENSURE OF SUBSTANCE USE DISORDERS AND PROBLEM GAMBLING RESIDENTIAL TREATMENT AND RECOVERY SERVICES
Section 415-012-0058 - Availability of Information to Coordinated Care Organizations and Other Health Plans
Current through Register Vol. 63, No. 9, September 1, 2024
Upon completion of the site review process and the issuance of a license, the Division shall make copies of the following information available to Coordinated Care Organizations and other health plans for the purpose of credentialing a provider:
(1) A current program description that reflects the type and scope of behavioral health services provided by the applicant;
(2) Provider policies and procedures regarding the provider's credentialing practices of individual clinicians;
(3) Statements of provider's liability insurance coverage;
(4) An attestation from the Authority verifying that the provider has passed a screening and meets the minimum requirements to Medicaid provider;
(5) Reports detailing the findings of the Division's site review of the provider;
(6) The provider's Medicaid Vendor Identification Number issued by the Authority;
(7) Copies of the provider's policies and procedures regarding seclusion and restraint practices; and
(8) Copies of the provider's Code of Conduct.
Statutory/Other Authority: ORS 413.042 & ORS 430.256
Statutes/Other Implemented: ORS 430.010-430.030, ORS 430.306, ORS 430.397, ORS 430.405, ORS 430.450, ORS 430.630, ORS 430.850 & ORS 443.400