Or. Admin. R. 309-008-1400
Information to CCOs and Other Health Plans
Effective Nov 30, 2016ORS 161.390, 161.392, 179.040, 179.505, 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, 743A.168 & 743.556. | Statutes/Other Implemented: 413.520, 426.060, 426.140, 430.010, 430.254, 430.335, 430.590, 430.620, 430.637, 813.021 & 813.260.Oregon Health Authority
(1) Upon completion of the site review process and the issuance of a certificate, the Division will make copies of the following information available to Coordinated Care Organizations and other health plans for the purpose of credentialing a provider:
- (a) A current program description that reflects the type and scope of behavioral health treatment services provided by the provider;
- (b) Provider policies and procedures regarding the provider’s credentialing practices of individual clinicians;
- (c) Statements of provider’s liability insurance coverage;
- (d) An attestation from the Division verifying that the provider has passed a screening and meets the minimum requirements to be a Medicaid provider, where applicable;
- (e) Reports detailing the findings of the Division’s certification review of the provider;
- (f) The provider’s Medicaid Vendor Identification Number issued by the Division, where applicable;
- (g) Copies of the provider’s policies and procedures regarding seclusion and restraint practices; and
- (h) Copies of the provider’s Code of Conduct.
Statutory/Other Authority
ORS 161.390, 161.392, 179.040, 179.505, 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, 743A.168 & 743.556.
Statutes/Other Implemented
413.520, 426.060, 426.140, 430.010, 430.254, 430.335, 430.590, 430.620, 430.637, 813.021 & 813.260.
History
MHS 16-2016, f. 11-28-16, cert. ef. 11-30-16
MHS 6-2016(Temp), f. 6-28-16, cert. ef. 7-1-16 thru 12-27-16