1. (1) "Alternate Health Service Area" means an approved deviation from the Trauma System Area as the Health Service Area meeting exception criteria.

2. (2) "Alternatives" means other settings within the behavioral health continuum that may reduce demand for inpatient psychiatric hospital beds by providing appropriate care at a lower level of intensity or cost. These settings are not clinically interchangeable with inpatient psychiatric hospitalization but must be considered in evaluating system capacity and flow. Alternatives include, but are not limited to:

   1. (a) Residential Treatment Facility (RTF) as defined under ORS 443.400;
   2. (b) Residential Treatment Home (RTH) as defined under ORS 443.400;
   3. (c) Adult Foster Home (AFH) as defined under ORS 443.705; and
   4. (d) Residential Substance Use Disorder Treatment Program means a publicly or privately operated program as defined in ORS 430.010 that provides assessment, treatment, rehabilitation, and twenty-four hour observation and monitoring for individuals with substance use dependence, consistent with Level 3 of The ASAM Criteria, Third Edition.
3. (3) "Dual diagnosis" means an inpatient episode where a psychiatric ICD–10 code (F01–F99) co-occurs with a substance use disorder code (F10–F19) or other relevant behavioral health condition.
4. (4) "Health Service Area for a psychiatric hospital" means the Trauma System Area in which the proposed hospital will be located. Trauma System Areas are defined by the Oregon Health Authority (OAR 333-200-0040). In the case of a proposal for a new psychiatric hospital, the Health Service Area is the Trauma System Area in which the general acute hospital is located.
5. (5) "Psychiatric admission" and "psychiatric discharge" mean an inpatient episode identified by a principal diagnosis code within ICD‑10 Chapter F (Mental and Behavioral Disorders, F01–F99) or by a psychiatric DRG (Diagnosis Related Group) as defined under CMS DRG classifications (e.g., DRGs 885–887, 894–896, and any codes for psychoses, neuroses, and other mental health conditions).

6. (6) "Subspecialty beds" means an inpatient setting designed specifically for:

   1. (a) Individuals under the age of 18; or
   2. (b) Individuals 65 and older.

Statutory/Other Authority

ORS 431.120 & ORS 442.315

Statutes/Other Implemented

ORS 431.120 & ORS 442.315

History

PH 19-2026, amend filed 04/17/2026, effective 04/17/2026
PH 20-2025, temporary amend filed 10/22/2025, effective 10/22/2025 through 04/19/2026
HD 13-1994, f. & cert. ef. 4-22-94