Or. Admin. Code § 410-172-0670 - Substance Use Disorder Treatment Services
(1) Substance Use Disorder (SUD) treatment
services shall be culturally and linguistically responsive and include;
screening, assessment, individual counseling, group counseling, individual
family and/or couple counseling, group family and/or couple counseling, care
coordination, medication assisted treatment, medication management, collection
and handling of specimens for substance analysis, interpretation services,
acupuncture, withdrawal management, opioid treatment, crisis stabilization
services as described in OAR chapter 309 division 023, community integration
services, housing support services and employment supports services as
described in OAR chapter 309 division 019, case management or targeted case
management and peer delivered services.
(2) Providers seeking reimbursement for the
provision of SUD services within the scope of their practice under Oregon
Revised Statute (ORS) chapter 430 shall meet one of the following
qualifications:
(a) Maintain a SUD
Certification of Approval (COA) issued by the Division as described in OAR
chapter 309 division 008;
(b) Any
facility that meets the definition of a residential treatment facility for
substance-dependent individuals under ORS
443.400 or withdrawal management
programs also known as a detoxification center as defined in ORS
430.306 shall have an SUD
certification issued by the Division as described in OAR chapter 415, division
012;
(c) Opioid treatment programs
shall meet the requirements described in OAR chapter 309 division
008;
(d) Substance use withdrawal
management programs also known as detoxification centers shall meet the
standards described in OAR chapter 309 division 008;
(e) Physician or Physician Associate licensed
to practice in the State of Oregon, as described in OAR chapter 847 division
065;
(f) Advanced Practice Nurse
including Clinical Nurse Specialist and Certified Nurse Practitioner licensed
to practice in the State of Oregon by the Oregon Board of Nursing, as described
in OAR chapter 851 division 053;
(g) Professional Counselor or Marriage and
Family Therapist licensed to practice in the State of Oregon by the Oregon
Board of Licensed Professional Counselors and Therapists, as described in
chapter 833 division 030 to 040;
(h) Clinical Social Worker licensed to
practice in the State of Oregon by the Oregon Board of Licensed Social Workers,
as described in OAR chapter 877 division 020;
(i) Psychologist licensed to practice in the
Oregon Board of Psychology as described in OAR chapter 858 division
010;
(j) Licensed Psychologist
Associate granted independent status as described in OAR chapter 858 division
010;
(k) Licensed Master Social
Worker licensed to practice in the State of Oregon by the Oregon Board of
Licensed Social Workers as described in OAR chapter 877 divisions 015 and
020;
(l) Acupuncturist licensed to
practice in the State of Oregon by the Oregon Medical Board as described in OAR
chapter 847 division 070;
(m)
"Specialty Program" means a licensed Residential Substance Use Disorder
treatment program that focuses on providing treatment to specialized
populations. Treatment programming and planning shall be specialized to the
population and individual being served.
(3) Board registered intern providers shall
be supervised by a paid provider described in section (2)(g-i) of this rule
under an active board approved plan of practice and supervision and meet one of
the following qualifications:
(a) Psychologist
Associate Residents as described in OAR chapter 858 division 010
0037;
(b) Licensed Psychologist
Associate under continued supervision as described in OAR chapter 858 division
010;
(c) Licensed Professional
Counselor intern or Marriage and Family Therapist intern registered with the
Oregon Board of Licensed Professional Counselors and Therapists as described in
OAR chapter 833 division 050;
(d)
Certificate of Clinical Social Work Associate issued by the Oregon Board of
Licensed Social Workers as described in OAR chapter 877 division 020;
(e) Registered Bachelor of Social Work issued
by the Oregon Board of Licensed Social Workers as described in OAR chapter 877
division 020.
(4)
Providers exempt from licensure or registration per ORS
675.523(3)
shall be employed by or contracted with an entity that is certified or licensed
by the State of Oregon under OAR chapter 309 division 008 to provide mental
health treatment or addiction services, provided that the person is practicing
within the lawful scope of the person's employment or contract.
(5) Providers seeking reimbursement for the
provision of SUD Residential Specialty Program shall ensure individuals
accessing services meet one of the following qualifications:
(a) Pregnant and/or parenting with dependent
children. Such programs shall ensure:
(A)
Individuals receiving services:
(i) Are
pregnant, or;
(ii) Have their
infant(s) and/or toddler(s)/young child(ren) reside with them in the treatment
facility, or;
(iii) Are complying
with an ODHS plan to regain custody of their child(ern) and have a
recommendation from the DHS caseworker to attend a parenting program;
(B) Day Care be provided for every
infant and/or toddler/-young child; and
(C) Evidence-based parenting practices are
made available to all individuals; and
(D) Family therapy is made available to all
individuals; and
(E) Screening and
counseling services are made available for each child as defined under OAR
chapter 309 division 018; and
(F)
School-aged children attend school regularly and are provided assistance with
their schoolwork or a tutor or other support as identified by the school,
parent, ODHS, EPSDT Service Provider or program; and
(G) Transportation is arranged or provided
for medical, dental, outpatient behavioral health, educational and other
necessities; and
(H) Peer-delivered
services are offered when medically necessary and appropriate and identified in
an individual's treatment plan.
(b) Culturally and Linguistically Specific
Services shall be designed to meet the unique service needs of a specific
culture and provide services designed to meet the needs of the majority of
individuals representing that culture.
(A)
Types of culturally specific programs include:
(i) LGBTQIA2S+;
(ii) Specific cultural, racial and/or ethnic
group(s);
(iii) Tribal
members;
(iv) Veterans.
(B) Culturally and Linguistically
Specific Services shall:
(i) Be approved and
designated as a culturally specific programs on license and meet all criteria
in OAR 309 018 0170;
(ii) Provide
Peer-delivered services as outlined in OAR 950 Chapter 060.
(6)
Providers seeking reimbursement for Community Transition Services for SUD
Residential Programs shall meet the following qualifications:
(a) Not exceed $5,000 per member per
lifetime; and
(b) Enable
individuals to obtain an independent, community-based living setting;
(7) Allowable expenses pursuant to
(6) (b) of this rule may include:
(A) Security
deposits required to obtain a lease on an apartment or home;
(B) Essential household furnishings required
to occupy and use a community domicile including furniture, window coverings,
food preparation items, and bed/bath linens;
(C) Set-up fees or deposits for utility or
service access, including landline phone or cellular phone service,
electricity, heating, and water;
(D) Services necessary for the individual's
health and safety such as pest eradication and one-time cleaning prior to
occupancy;
(E) Moving
expenses;
(F) Necessary home
accessibility adaptations;
(G)
Activities to assess need, arrange for, and procure needed resources.
(8) Services not included in the
Community Integration Services Housing Benefit:
(A) Payment of rent, mortgage, or other room
and board costs;
(B) Capital costs
related to the development or modification of housing;
(C) Expenses for utilities or other regular
occurring bills;
(D) Food
Expenses
(E) Household
Appliances
(F) Items, goods or
services intended for purely diversional, leisure, or recreation
purposes;
(G) Duplicative services
from other state or federal programs;
(H) Services to individuals in a correctional
institution or an Institution of Mental Disease (IMD) (other than services that
meet the exception to the IMD exclusion);
(9) Community Transition Services eligible
for reimbursement shall be furnished only to the extent that they are
reasonable and necessary as determined through the service plan development
process, clearly identified in the service plan and only when the person is
unable to meet such expense or when the services cannot be obtained from other
sources.
Notes
Statutory/Other Authority: ORS 413.042 & 430.640
Statutes/Other Implemented: ORS 413.042, 430.640, 414.025, 414.065, 430.705 & 430.715
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