Current through Register Vol. 61, No. 4, April 1, 2022
(1) "Accreditation" means the process of
review and acceptance by an accreditation body.
(2) "Accreditation Body" means an
organization that has been approved by the Substance Abuse and Mental Health
Services Administration (SAMHSA) to accredit opioid treatment programs that use
opioid agonist treatment medications.
(3) "Assessment" means the process of
obtaining all pertinent biopsychosocial information, through a face-to-face
interview and additional information as provided by the individual, family and
collateral sources as relevant, to determine a diagnosis and to plan
individualized services and supports.
"Certificate" means the document or
documents issued by the Division, which identifies and declares certification
of a provider pursuant to OAR 309-008-0100
. A letter
accompanying issuance of the certificate will detail the scope and approved
service delivery locations of the certificate.
(5) "Community Mental Health Program (CMHP)"
means the organization of various services for individuals with a mental health
diagnosis or addictive disorders operated by or contractually affiliated with a
local mental health authority and operated in a specific geographic area of the
state under an agreement with the Division pursuant to OAR chapter 309,
maintenance treatment" means opioid agonist medication treatment that includes
a broad range of clinically appropriate medical and rehabilitative
(7) "Diversion Control
Plan" means a plan implemented by the opioid treatment program that contains
specific measures to reduce the possibility of diversion of controlled
substances from legitimate treatment use.
(8) "Division" means the Health Systems
Division of the Oregon Health Authority (OHA).
(9) "Employee" means an individual who
provides a program service or who takes part in a program service and who
receives wages, a salary, or is otherwise paid by the program for providing the
(10) "Federal Protocols"
means the standards established by the United States Secretary of Health and
Human Services that determines whether an opioid treatment program is qualified
to engage in opioid treatment.
"Interim Maintenance Treatment" means treatment provided in conjunction with
appropriate medical services while a patient is awaiting transfer to a program
that provides comprehensive maintenance treatment.
(12) "Maintenance Treatment" means the
administration of an opioid agonist treatment medication at stable dosage
levels for a period longer than 21 days.
(13) "Medical Director" means a physician
licensed to practice medicine in the State of Oregon who is designated by the
opioid treatment program to be responsible for the program's medical
Supervised Withdrawal" means the administration of an opioid agonist treatment
medication in decreasing doses to an individual to alleviate adverse physical
or psychological effects incident to withdrawal from the continuous or
sustained use of an opioid drug and as a method of bringing the individual to a
drug free state.
Supervised Withdrawal Treatment" means treatment for a period of more than 30
days but not exceeding 180 days.
(16) "Medical Professional" means a medical
or osteopathic physician, physician's assistant licensed by the Board of
Medical Examiners, or a registered nurse or nurse practitioner licensed by the
Board of Nursing.
Addiction" means a cluster of cognitive, behavioral, and physiological symptoms
in which the individual continues use of opiates despite significant
opiate-induced problems. Opiate addiction is characterized by repeated
self-administration that usually results in tolerance, withdrawal symptoms, and
compulsive drug taking.
"Opioid Agonist Medication" means any drug that is approved by the Food and
Drug Administration under Section 505 of Federal Food, Drug, and Cosmetic Act
(21 U.S.C. 355
) for use in the treatment of opiate addiction.
(19) "Opioid Treatment Program" means a
program that dispenses and administers opioid agonist medications in
conjunction with appropriate counseling, supportive, and medical
(20) "Patient" means any
individual who receives services in an opioid treatment program.
(21) "Patient Record" means the official
legal written file for each patient, containing all the information required to
demonstrate compliance with these rules. Information in program records
maintained in electronic format must be able to be produced in a printed form,
authenticated by signature, whether physical or digital, and date of the person
who provided the service, and placed in the patient record.
"Program Staff" means:
(a) An employee or person who, by contract
with the program, provides a clinical service and who has the credentials
required in these rules to provide the clinical service; and
(b) Any other employee of the
Assurance" means the process of objectively and systematically monitoring and
evaluating the appropriateness of patient care to identify and resolve
"Rehabilitation" means those services, such as vocational rehabilitation or
academic education, which assist in overcoming the problems associated with
drug abuse or drug dependence and which enable the patient to function at his
or her highest potential.
"State Opioid Treatment Authority" means the State Opioid Treatment Authority
designated pursuant to section 409 of Public Law 92-255
, the Drug Abuse Office
and Treatment Act of 1972, or in lieu thereof, any other State authority
designated by the Governor for purposes of exercising the authority under this
section. The State Opioid Treatment Authority for Oregon is the Oregon Health
Authority designee to serve in that role.
(26) "Treatment" means the specific medical
and non-medical therapeutic techniques employed to assist the patient in
recovering from drug abuse or drug dependence.
(27) "Urinalysis Test" or "Urinalysis" means
an analytical procedure to identify the presence or absence of specific drugs
or metabolites in a urine specimen.
(28) "Volunteer" means an individual who
provides a program service or who takes part in a program service and who is
not an employee of the program and is not paid for services. The services must
be non-clinical unless the individual has the required credentials to provide a