1. (1) When an individual receives support from a provider for the administration of psychotropic medications and medications for behavior, the medications must be:
   (a) Prescribed by a physician or health care provider through a written order; and
   (b) Monitored by the prescribing physician or health care provider, ISP team, and provider for desired responses and adverse consequences.
   (2) When medication is first prescribed and annually thereafter, the provider must obtain a signed balancing test from the prescribing health care provider using the Department Balancing Test Form (form 4110) or by inserting the required form content into forms maintained by the provider. Providers must present the physician or health care provider with a full and clear description of the behavior and symptoms to be addressed, as well as any side effects observed.
   (3) The provider must keep signed copies of the Balancing Test Forms required in section (2) of this rule in the medical record for the individual for seven years.

Statutory/Other Authority

ORS 409.050, 427.104, 430.662, 441.715, 443.450 & 443.455

Statutes/Other Implemented

ORS 409.010, 427.007, 427.101, 427.104, 430.215, 430.610, 430.662, 441.705-441.720, 441.740, 441.745, 443.384, 443.392, 443.400-443.445, 443.450, 443.455, 443.880, 443.881 & 443.991

History

APD 1-2026, amend filed 01/12/2026, effective 01/15/2026
APD 11-2025, temporary amend filed 07/17/2025, effective 07/21/2025 through 01/16/2026
APD 42-2014, f. 12-26-14, cert. ef. 12-28-14
SPD 58-2013, f. 12-27-13, cert. ef. 12-28-13
SPD 25-2004, f. 7-30-04, cert. ef. 8-1-04
SPD 25-2003, f. 12-29-03, cert. ef. 1-1-04