(1) The Division
may conduct the following types of certification reviews:
(a) After receipt of a complete application,
the Division shall complete a comprehensive audit of the required application
documentation and the service delivery locations. The Division may not issue an
initial certification without a completed Initial Certification
Review;
(b) After receipt of a
complete application, the Division shall complete a comprehensive audit of the
required application documentation and the service delivery locations. For
continued certification, Certification Renewal Reviews must occur prior to the
expiration of the existing certificate and at least once every three
years;
(c) The Division may conduct
Discretionary Certification Reviews with reasonable notice to ensure compliance
with applicable statute, administrative rules, other applicable regulations,
and contractual obligations. Discretionary Certification Reviews may be
conducted by the Division with or without notice for the following reasons:
(A) The Division has reasonable concern the
provider may act to alter records or make them unavailable for inspections;
(B) The Division received a
complaint or information that suggests or alleges conditions or practices that
could threaten the health, safety, rights, or welfare of individuals;
or
(C) The Division has reason to
believe a certification review is necessary to ensure a provider is in
substantial compliance with these rules, service delivery rules, other
applicable administrative rules, contractual obligations, or with conditions
placed upon the certificate.
(2) If the Division is not permitted access
to records or service delivery locations for the purpose of conducting a
certification review, the Division may take action on the certificate up to and
including the application of conditions, suspension, or revocation.
(3) A provider or applicant must permit state
or local fire inspectors and state or local health inspectors to enter and
inspect the service delivery locations as required by administrative rule,
state fire code, or local regulations.
(4) At the sole discretion of the Division,
the Division may complete a certification review partially or fully via a desk
review process. A desk review process is when the Division conducts a
certification review based on the provider or applicant's submission of
required documentation and telephonic interviews when the Division does not
physically visit the service delivery locations:
(a) The Division shall furnish a list of
documentation necessary to complete the desk review to the applicant or
provider;
(b) The applicant or
provider must submit all requested documents to the Division in compliance with
state and federal privacy and data transmission regulations;
(c) The Division may elect to schedule
telephone interviews deemed necessary to fulfill the objectives of a
certification review; and
(d) Upon
completion of the desk review, the Division shall securely dispose of
documentation containing protected health information submitted by the
applicant or provider.
Notes
Or. Admin. Code
§
309-008-0700
MHS
16-2016, f. 11-28-16, cert. ef.
11/30/2016; MHS 15-2017, temporary amend filed
12/01/2017, effective 12/01/2017 through 05/29/2018;
BHS
11-2018, amend filed 05/10/2018, effective
5/10/2018
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