Or. Admin. R. 410-153-0035 – Bundled Daily Rate Establishment

(1) Oregon Health Authority (Authority) establishes an initial interim bundled daily rate for each Certified Community Behavioral Health Clinic (CCBHC) based on projected allowable costs and projected CCBHC daily encounters or based on payments to the nearest cost center with a similar caseload in the event that the Authority determines such methodology is more appropriate.
(2) Allowable costs are based on:
(a) Direct service costs, including salaries, benefits, contracted services, and supplies directly tied to delivering CCBHC services;
(b) Allocated administrative and facility overhead costs, consistent with 2 CFR Part 200 and Centers for Medicaid and Medicare Services (CMS) cost principles.
(3) The interim bundled daily rate is calculated by the Authority as:
(a) Total projected allowable costs divided by total projected Medicaid and non-Medicaid CCBHC daily encounters;
(b) Adjusted for Medicaid utilization projections if required by CMS guidance.
(4) Each CCBHC’s interim rate must be effective on the date of initial certification and enrollment approval, or such other date as determined by the Authority.

ORS 413.042 & 414.065

ORS 414.065