(1) Any individual
may file a complaint with the Division concerning a provider holding a
certificate under these rules. The Division may require the complainant to
exhaust grievance procedures available through the provider and, if applicable,
the Medicaid payer, prior to initiating an investigation.
(2) The Division shall only investigate a
complaint concerning a provider falling within the Division's scope and
regulatory authority:
(a) The Division shall
investigate and respond to a complaint pursuant to Division policies and
procedures;
(b) The Division shall
refer the complainant to the appropriate entity if the complaint pertains to a
provider falling outside the Division's scope or regulatory authority or
otherwise regulated by another state or local entity.
(3) Consequences of a substantiated complaint
related to the health, safety or welfare of an individual or the public may
result in the suspension, revocation, denial or nonrenewal of an applicant or
provider's application or certificate.
Notes
Or. Admin. Code
§
309-008-1500
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
