Upon completion of the site review process and the issuance of a license, the Division shall make copies of the following information available to Coordinated Care Organizations and other health plans for the purpose of credentialing a provider:

1. (1) A current program description that reflects the type and scope of behavioral health services provided by the applicant;
2. (2) Provider policies and procedures regarding the provider’s credentialing practices of individual clinicians;
3. (3) Statements of provider’s liability insurance coverage;
4. (4) An attestation from the Authority verifying that the provider has passed a screening and meets the minimum requirements to Medicaid provider;
5. (5) Reports detailing the findings of the Division’s site review of the provider;
6. (6) The provider’s Medicaid Vendor Identification Number issued by the Authority;
7. (7) Copies of the provider’s policies and procedures regarding seclusion and restraint practices; and
8. (8) Copies of the provider’s Code of Conduct.

Statutory/Other Authority

ORS 413.042 & ORS 430.256

Statutes/Other Implemented

ORS 430.010-430.030, ORS 430.306, ORS 430.397, ORS 430.405, ORS 430.450, ORS 430.630, ORS 430.850 & ORS 443.400

History

ADS 4-2018, amend filed 05/10/2018, effective 05/10/2018
ADS 3-2017, temporary amend filed 12/01/2017, effective 12/01/2017 through 05/29/2018
ADS 3-2014, f. 6-10-14, cert. ef. 6-19-14
ADS 8-2013(Temp), f. & cert. ef. 12-20-13 thru 6-18-14