Or. Admin. Code § 410-141-3740 - Traditional Health Workers
(1) The
Authority requires that all CCO members based on their health needs must have
access to certified traditional health workers (THWs) who are part of the
members care team in clinical and community-based settings to ensure members
have improved access to appropriate services. The THWs, as a part of the
members care team, must participate in processes affecting the members care and
service needs. THW is defined in OAR
950-060-0010.
(2) CCOs shall develop and implement a plan
for integrating and utilizing THWs, in accordance with this rule and the CCO
contract:
(a) THW integration and utilization
plans shall include:
(A) Information on THW
access and usage for CCO members;
(B) Benchmarks and measurement of baseline
data for integration and utilization of THWs;
(C) Evaluations of the CCOs progress in
reaching those benchmarks.
(b) THW integration and utilization plans
shall be submitted to OHA as required under the contract.
(3) CCOs shall establish, based on OHAs and
the Traditional Health Worker Commission guidelines, a THW payment grid that
includes alternative and sustainable payment strategies. Each CCO shall provide
its THW Payment Grid to OHA. OHA will then post each CCOs Payment Grid to make
them publicly available.
(4) CCOs
shall designate a THW liaison, who shall serve as the central point of contact
for THW integration.
Notes
Statutory/Other Authority: ORS 413.042, 414.615, 414.625, 414.635 & 414.651
Statutes/Other Implemented: ORS 414.610 - 414.685
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