Or. Admin. Code § 411-058-0030 - Disclosure Statement
(1) All
applicants must file a disclosure statement with the Department when submitting
a new registration or initial application, with every registration renewal, and
when amended.
(2) The disclosure
statement must be written in clear language, be prepared in a minimum 12-point
font, and include the following elements:
(a)
A description of the long term care referral to be provided by the referral
agent, including the length of any contract the referral agent has with a
facility regarding placement information about the client.
(b) The referral agent's contact information,
including, agent name, address, phone number, email address and website.
(c) The referral agent's privacy
policy or a link thereto.
(d) A
statement of whether the referral agent provides referrals only to facilities
with which the agent has an existing business contract.
(e) A statement of whether the referral fees
for the long term care referral will be paid to the referral agent by the
facility.
(3) If the
referral agent does not have a website, the disclosure statement must include
information providing the Oregon Licensed Long Term Care Settings Search
website https://ltclicensing.oregon.gov/ listing complaints concerning
facilities.
(4) Prior to amending a
disclosure statement, a referral agent must submit all amended documents and
new materials to the Department for review and approval.
(5) The disclosure may be made orally first
if the referral agent makes an audio recording of the disclosure with consent
of the client and thereafter provides the client with a written disclosure.
Proof of disclosure either oral or written must be retained and available to
the Department.
Notes
Statutory/Other Authority: ORS 409.050, 410.070, 443.373, 410.070 & 443.373
Statutes/Other Implemented: ORS 409.050, 410.070 & 443.376
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