1. (1) In order to qualify for enhanced payments for culturally and linguistically specific services provided by traditional health workers as a program, the program must:

   1. (a) Be enrolled as a provider and reimbursed through OHP’s fee schedule for physical health services;
   2. (b) Submit a complete Culturally and Linguistically Specific Services Traditional Health Worker application to OHA.
   3. (c) Demonstrate the ability to serve a minoritized cultural community; and
   4. (d)  Have traditional health worker staff working with or being immersed in the same minoritized community being served; or
   5. (e) Ensure traditional health worker staff have a history of at least one year experience primarily serving the specified cultural community being served.

2. (2) To demonstrate the ability to serve a minoritized cultural community under (1) (c) of this rule, a program must provide information that shows the following:

   1. (a) Comprehensive knowledge of diverse lived experiences held by the minoritized cultural community being served including, but not limited to, their experiences of structural and individual racism, minoritization or discrimination that may have an impact on the community’s collective health and wellbeing.
   2. (b) Knowledge of specific health inequities documented in the minoritized cultural community being served, which may be addressed by the program.

   3. (c) A practice of supporting and affirming cultural and language practices of the minoritized cultural community being served, such as but not limited to:

      1. (A) Health and safety beliefs, or practices;
      2. (B) Positive cultural identity, pride, or resilience;
      3. (C) Immigration dynamics; or
      4. (D) Sacred beliefs.
   4. (d) A demonstrated ability to support and affirm clients experiencing intersectional disparities in the provision of services. The ability to support and affirm the unique needs of clients experiencing intersectional oppression may be evidenced through details of the program’s established collaboration with other culturally specific providers, details of dedicated spaces or groups provided for clients experiencing intersectional oppression, or any other supporting information.

3. (3) The information required to be provided under section (1)(b) through (e) and (2) of this rule must include documentation of the program’s culturally specific focus demonstrated in a mission statement, vision statement, or other public-facing document. Supporting information can also include but is not limited to:

   1. (a) Documentation detailing policies and procedures.
   2. (b) Documentation of staff training requirements and any resulting certifications.
   3. (c) A narrative that details the program’s strategic plan or history and experience, including specific examples, without identifying any individual clients.

Statutory/Other Authority

ORS 413.042 & ORS 414.065

Statutes/Other Implemented

ORS 414.065

History

DMAP 48-2025, adopt filed 06/03/2025, effective 07/01/2025