Current through Register Vol. 63, No. 9, September 1, 2024
The program must utilize an admission procedure that at a
minimum must ensure the provision and documentation of the following:
(1) Program orientation information must be
offered in written format in a language understood by the patient. The
orientation information must include:
(a) A
written description of the Program's services, including the Program's
philosophical approach to stabilization;
(b) Rights;
(c) Responsibilities;
(d) Grievance procedures;
(e) Consent to services; and
(f) Notice of Privacy Practices.
(2) In accordance with ORS
179.505, 42 CFR Part 2, and
HIPAA, an authorization for the release of information mustbe obtained for any
confidential information concerning the patient being considered for, or
receiving, services.
(3) Screening
for admission must meet the following requirements:
(a) Patients must be considered for admission
without regard to race, ethnicity, gender, gender identity, gender
presentation, sexual orientation, religion, creed, national origin, age, except
when program eligibility is restricted to children, adults or older adults,
familial status, marital status, source of income, and disability;
(b) When the patient is being treated for
withdrawal from substance(s) other than the medication prescribed or dispensed
to treat opioid dependence:
(A) The provider
may not deny admission to patients for the reason of a prescribed or dispensed
medication to treat opioid dependence; and
(B) The provider must support the
continuation of access to the medication prescribed or dispensed to treat
opioid dependence during the episode of care.
(c) For patients receiving services funded by
the SUPTR Block Grant, admission of pregnant patients to services must occur no
later than 48 hours from the date of first contact, and no less than 14 days
after the date of first contact for patients using substances intravenously. If
services are not available within the required timeframe, the provider must
document the reason and provide interim referral and informational services as
defined in these rules, within 48 hours.
(d) Admission of patients whose services are
funded by the SUPTR Block Grant must be prioritized prior to admission in the
following order through use of a screening that is documented in the service
record:
(A) Patients who are pregnant and
using substances intravenously;
(B)
Patients who are pregnant;
(C)
Patients who are using substances intravenously; and
(D) Patients with dependent
children.
(e) The
admission screening service must be completed prior to rendering services and
must document the rationale to recommend assessment for withdrawal management
services.
(4) Admission
documentation must contain:
(a) Substance use
history;
(b) Initial CIWA-Ar, COWS
and/or other evidence-based measure of the severity of withdrawal
symptoms;
(c) Identification of the
ASAM Level of Care placement through use of the ASAM Dimensional Admission
Criteria;
(d) Urinalysis collection
and on-site testing of a urinary sample using a testing cup, stick or other
on-site method; and
(e) Decision by
medical treatment staff to begin admission or to offer services on another date
and/ or care coordination for other services. When services are not offered,
the patient must be provided a list of community service organizations that may
be of assistance.
(5) The
provider must report the admission and exit status, and any other data required
by the Division in the mandated state data system for each patient whose
services are paid for using public funding.
Statutory/Other Authority: ORS
413.042 & 430.256
Statutes/Other Implemented: 430.345 - 430.375 & ORS
430.306
