1. (1) An applicant seeking initial certification, certification renewal, or changes to existing certification must submit a completed Oregon Health Authority (Authority) designated application to the Authority.

   1. (a) Applicants seeking initial certification must attend orientation prior to submitting application.

   2. (b) Applicants seeking certification renewal or changes to existing certification must submit application 90 days prior to the desired effective date and must receive approval via certification prior to the change being implemented. Changes to certification include:

      1. (A) Changing the scope of services provided at any certified CCBHC facility location, including access facilities and qualified satellite facilities;
      2. (B) Changes to Designated Collaborating Organizations (DCO);
      3. (C) Relocating a certified CCBHC facility location; or
      4. (D) Adding or removing a facility location from the current CCBHC certification, including satellite facilities and/or access facilities.

2. (2) A qualified satellite facility is a facility owned and operated by a CCBHC that does not provide all required CCBHC services but at minimum:

   1. (a) Provides the following CCBHC services:

      1. (A) Crisis services, except mobile crisis;
      2. (B) Screening, diagnosis, and risk assessment;
      3. (C) Service planning; and
      4. (D) Outpatient mental health and substance use services;
   2. (b) Ensures individuals receiving services at satellite facilities have access to all CCBHC services not provided at the facility.
   3. (c) The satellite facility location is within the service area of the CCBHC and appropriately certified and/or licensed for the services provided there.

3. (3) A CCBHC access facility is an outpatient setting owned and operated by a CCBHC and subject to approval by the Authority that provides low barrier services that facilitate engagement and access to care within the scope of CCBHC. Access facilities offer unscheduled, voluntary services and are differentiated from CCBHC satellite facilities which must provide a set of required services. Access facilities must:

   1. (a) Ensure individuals receiving services at the access facility have access to all CCBHC services not provided at the facility; and
   2. (b) Be within the service area of the CCBHC and be appropriately certified and/or licensed for the services provided there.
4. (4) An applicant with multiple facility locations under the same management must have each facility approved for CCBHC certification. Each facility location is independently considered for CCBHC certification. An applicant must submit documentation with the application sufficient for the Authority to evaluate each facility location. A separate application for each facility location is not required as long as the provider structure, including but not limited to policies and procedures, governs all locations.

5. (5) For initial certification, applicants must complete the following:

   1. (a) Verification and attendance at a Certified Community Behavioral Health Clinic (CCBHC) orientation hosted by the Authority;

   2. (b) Complete and submit the preliminary application provided by the Authority:

      1. (A) If not already certified in one of the following certifications, the applicant must first submit an application following chapter 309 division 008 rules. CCBHC certification is contingent on approval of the following certifications:

         1. (i) Outpatient mental health (chapter 309 division 019)
         2. (ii) ASAM 0.5 (OAR 309-019-0181)
         3. (iii) ASAM 1 (OAR 309-019-0182)
         4. (iv) ASAM 2.1 (OAR 309-019-0183)
         5. (v) If directly providing mobile crisis services, Mobile Crisis Intervention Services and Crisis Stabilization Services (chapter 309 division 072)
      2. (B) Community needs assessment plan

      3. (C) If applicant intends to partner with a Designated Collaborating Organization (DCO):

         1. (i) Draft or finalized Memorandum of Understanding (MOU) with each DCO; and
         2. (ii) Documentation of each DCO’s applicable certifications and Medicaid provider enrollments authorizing the DCO to provide the services outlined in the MOU

      4. (D) Applicants who are not Community Mental Health Programs (CMHP) must submit:

         1. (i) Documentation of outreach to CMHP within service area notifying the CMHP of intent to apply for CCBHC; or
         2. (ii) Draft or finalized written agreement meeting requirements outlined in the “CMHP-CCBHC Written Agreement Guidance” found on the CCBHC website between applicant and CMHP.

6. (6) The Authority shall review the preliminary application within 30 days of its submission to determine whether it is accurate, complete, and meets the certified requirements.

   1. (a) If the application is found not complete and/or does not demonstrate compliance, the Authority shall provide written notice of the incomplete or noncompliant application describing any necessary amendments to the application. The applicant must submit an amended application to the Authority within 14 calendar days of receipt of the Authority’s notice
   2. (b) If the Authority determines the applicant has met the requirements of these rules, the Authority shall inform the applicant in writing that the preliminary application has been approved as a potential CCBHC, send a full application form to be completed and submitted by the applicant, and send information regarding site visit planning.

7. (7) Initial applicants and applicants applying for recertification must complete a full application form provided by the Authority:

   1. (a) Complete full application form for all required certifications outlined in OAR 309-009-0000(2)

      1. (A) Applicants that are not a community mental health program (CMHP) must submit a finalized written agreement between the applicant and CMHP, meeting the requirements outlined in the “CMHP-CCBHC Written Agreement Guidance,” found on the CCBHC website.

         1. (i) If the non-CMHP and CMHP are unable to reach a mutual agreement on the coordination of services, either entity is permitted to request a meeting with the Authority;
         2. (ii) For recertification, agreement need only be submitted if changes are made to the agreement since last submission
      2. (B) Community needs assessment and staffing plan
      3. (C) Supporting documents as required by the Authority
   2. (b) Complete a site visit
   3. (c) If required by the Authority, complete a Site Improvement Plan
8. (8) The Authority may deny CCBHC certification if an applicant does not meet the requirements of these rules, including the requirements outlined in “Oregon Certified Community Behavioral Health Clinic (CCBHC) Program Requirements Manual- Version 1”. A practice may request that the Authority reconsider the denial of CCBHC certification

9. (9) An applicant may request that the Authority reconsider the denial of CCBHC certification:

   1. (a) A request for reconsideration must be submitted in writing to the Authority within 30 days of the date of the denial or approval letter and must include a detailed explanation of why the practice believes the Authority’s decision is in error along with any supporting documentation.
   2. (b) The Authority shall inform the practice in writing whether it has reconsidered its decision.

Statutory/Other Authority

ORS 413.042 & HB 4002 (2024)

Statutes/Other Implemented

ORS 413.042

History

BHS 22-2025, amend filed 09/30/2025, effective 10/01/2025
OHP 10-2018, renumbered from 409-062-0030, filed 08/01/2018, effective 08/01/2018
OHP 14-2016, f. & cert. ef. 9-26-16
OHP 7-2016(Temp), f. & cert. ef. 4-22-16 thru 10-18-16