Or. Admin. Code § 409-036-0010 - Definitions
The following definitions apply to OAR 409-036-0000 to OAR 409-036-0150:
(1) "Authority" means the Oregon Health
Authority.
(2) "Board" means the
Oregon Health Policy Board.
(3)
"Carrier" means a medical professional liability insurer holding a valid
certificate of authority from the Director of the Department of Consumer and
Business Services (DCBS) that authorizes the transaction of insurance as
defined in ORS 731.066 and
731.072, and does not include
DCBS-listed insurers pursuant to ORS
735.300 to
735.365 and
735.400 to
735.495.
(4) "Clinical Psychologist" means an
individual licensed to practice psychology pursuant to ORS
675.010 to
675.090.
(5) "Clinical Social Worker" means an
individual licensed to practice clinical social work pursuant to ORS
675.510 to
675.600.
(6) "Communities of color" means members of
the following racial or ethnic communities:
(a) American Indian;
(b) Alaska Native;
(c) Hispanic or Latino;
(d) Asian;
(e) Native Hawaiian;
(f) Pacific Islander;
(g) Black or African American;
(h) Middle Eastern;
(i) North African;
(j) Mixed race; or
(k) Other racial or ethnic
minorities.
(7) "DCBS"
means the Department of Consumer and Business Services.
(8) "Dentist" means any individual licensed
to practice dentistry pursuant to ORS
679.010.
(9) "Eligible provider" means a practitioner
in Oregon delivering health care services to patients in Oregon. The Authority
may determine eligible professions based upon the most recent assessment of
health care professional need. Eligible provider types will be published on the
Office's program's webpage.
(10)
"Essential health care services" means medical, dental or behavioral health
services that have been determined to be necessary to support the health of the
population of the community.
(11)
"Expanded Practice Dental Hygienist" means an individual licensed to practice
dental hygiene with an expanded practice dental hygienist permit issued under
ORS 680.200.
(12) "Licensed Professional Counselor" has
the meaning given that term in ORS
675.705.
(13) "Long Term Care" means in home,
community based care and nursing facilities.
(14) "Marriage and Family Therapist or
Professional Counselor" has the meaning given that term in ORS
675.705.
(15) "Medical assistance" has the meaning
given that term in ORS
414.025.
(16) "Medicare" means medical coverage
provided under Title XVIII of the Social Security Act.
(17) "Naturopathic Physician" means an
individual licensed pursuant to ORS
685.010 to
685.135.
(18) "Nurse Practitioner" means any
individual licensed pursuant to ORS
678.375.
(19) "Office" means the Office of Rural
Health or the Authority.
(20)
"Pharmacist" has the meaning given that term in ORS
689.005.
(21) "Physician" means any individual
licensed pursuant to ORS
677.100 to
677.228.
(22) "Physician Associate" means any
individual licensed pursuant to ORS
677.495 to
677.545.
(23) "Practice full-time" means working at a
minimum of 32 hours per week spent providing direct patient care, averaged over
the month for a minimum of 45 weeks per service year. The Authority shall
consider patient charting a component of offering direct patient care. The
Authority may consider telehealth as direct patient care when the receiving
site (location of the patient) is located in Oregon.
(24) "Practice part-time" means working a
minimum of 16 hours per week spent providing direct patient care, averaged over
the month for a minimum of 45 weeks per service year. The Authority shall
consider patient charting a component of offering direct patient care. The
Authority may consider telehealth as direct patient care when the receiving
site (location of the patient) is located in Oregon.
(25) "Priority Populations" means groups that
disproportionately experience avoidable illness, death or other poor health or
social outcomes attributable directly or indirectly to racism, including:
(a) Communities of color;
(b) Oregon's nine federally recognized tribes
and the descendants of the members of the tribes, or other tribal
members;
(c) Immigrants;
(d) Refugees;
(e) Migrant and seasonal
farmworkers;
(f) Low-income
individuals and families;
(g)
Medicaid or uninsured Persons with disabilities; and
(h) Individuals who identify as lesbian, gay,
bisexual, transgender or queer or who question their sexual or gender
identity.
(26) "Program"
means the Health Care Incentive Program.
(27) "Qualified Mental Health Associate"
means a mental health professional that meets the following minimum
qualifications:
(a) Bachelor's degree in a
behavioral sciences field; or
(b) A
combination of at least three years relevant work, education, training or
experience; and
(c) Demonstrates
the competency necessary to communicate effectively; understand mental health
assessment, treatment and service terminology and apply these concepts; provide
psychosocial skills development; implement interventions as assigned on an
individual plan of care; and provide behavior management and case management
duties.
(28) "Qualified
mental health professional" (QMHP) means a licensed behavioral health
practitioner or any other person who holds any of the following educational
degrees and meets the following minimum qualifications:
(a) Graduate degree in psychology;
(b) Bachelor's degree in nursing and licensed
by the State of Oregon;
(c)
Graduate degree in social work;
(d)
Graduate degree in a behavioral science field;
(e) Graduate degree in recreational, music,
or art therapy;
(f) Bachelor's
degree in occupational therapy and licensed by the State of Oregon;
and
(g) Whose education and
experience demonstrate the competency to identify precipitating events; gather
histories of mental and physical disabilities, alcohol and drug use, past
mental health services and criminal justice contacts; assess family, social and
work relationships; conduct a mental status examination; document a multiaxial
DSM diagnosis; write and supervise an individual plan of care; conduct a mental
health assessment and provide individual, family or group therapy within the
scope of their training.
(29) "Qualifying loan" means one or more
government or commercial loans received solely to cover the cost of health
professional training, or undergraduate or other educational training. This
does not include credit card loans, lines of credit, and personal
loans.
(30) "Qualifying practice
site" means:
(a) A rural hospital as defined
in ORS 442.470 serving Medicaid and
Medicare patients in no less than the same proportion of such patients in the
county or other service area as determined by the Authority, up to a maximum
requirement of 50 percent of patient mix for Medicare and Medicaid
combined;
(b) A federally certified
Rural Health Clinic serving Medicaid and Medicare patients in no less than the
same proportion of such patients in the county or other service area as
determined by the Authority, up to a maximum requirement of 50 percent of
patient mix for Medicare and Medicaid combined;
(c) A federally qualified Community Health
Center serving Medicaid and Medicare patients in no less than the same
proportion of such patients in the county or other service area as determined
by the Authority, up to a maximum requirement of 50 percent of patient mix for
Medicare and Medicaid combined; or
(d) A site other than those listed above
that:
(A) Provides essential health care
services to patients in an area approved as a medical, dental or mental Health
Professional Shortage Area (HPSA) as defined by the federal Health Resources
and Services Administration or ranking below the Areas of Unmet Health Care
Need median as determined by the Office;
(B) Serves Medicaid and Medicare patients in
no less than the same proportion of such patients in the county or other
service area as determined by the Authority, up to a maximum requirement of 50
percent of patient mix for Medicare and Medicaid combined, when a majority of
providers are eligible for reimbursement from these programs for health
services provided;
(C) Has a
majority of providers at the site eligible for reimbursement from both Medicare
and Medicaid. If a majority of providers at the site are not eligible for
reimbursement from both programs, the site is qualified as long as the site
serves either Medicaid or Medicare patients in no less the same proportion of
such patients in the county or other service area as determined by the
Authority;
(D) Provides essential
health care services to an underserved population, as determined by the
Authority; or
(E) Serves Medicaid
and/or uninsured patients in a Community Based, Residential, or Long Term
Caresettings, as determined by the Authority.
(31) "Telehealth" means the provision of
health services from a distance using electronic communications.
(32) "Training Program" means a course of
study that results in certification, licensure or other credential related to
the healthcare workforce; or other program as determined by the
authority.
Notes
Statutory/Other Authority: ORS 676.454
Statutes/Other Implemented: ORS 676.454
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