Or. Admin. Code § 309-018-0108

Current through Register Vol. 63, No. 12, December 1, 2024

Section 309-018-0108 - Licensing Standards

(1) Residential Substance Use Disorders Treatment and Recovery Services Programs shall be licensed by the Division in accordance with OAR 415-012 in order to render residential substance use disorder treatment and recovery services. A License issued to a program shall be effective for a duration not to exceed two years from the date of issue and may be renewed, conditioned, denied, suspended, or revoked by the Division in the manner set forth in OAR 415-012. Licensed programs shall meet the standards set forth in these rules and all applicable statutes.

(2) Adolescent and adult programs shall be licensed separately.

(3) Effective January 1, 2022, the following designations shall be contained within the residential substance use disorder treatment and recovery services license, as applicable:

(a) For all residential substance use disorder treatment and recovery programs, the IMD status shall be determined by the Division to be either:

(A) IMD Residential; or

(B) NON-IMD Residential.

(b) Optional residential substance use disorder treatment Specialty Service(s) a residential substance use disorder treatment and recovery services provider may apply to be approved to render:

(A) Pregnant and/ or parenting with dependent children; and

(B) Culturally Specific.

(4) Currently licensed providers shall submit complete residential substance use disorder treatment and recovery services applications to render each selected ASAM Level(s) of Care and any optional Enhanced ASAM Service Designation(s) no later than October 1, 2023.

(5) Division approved ASAM level(s) of Care and optional Enhanced ASAM Service designation(s), if any, shall be added to the residential substance use disorder treatment and recovery services licenses starting January 1, 2024.

(6) Effective April 1, 2024, all residential substance use disorder treatment programs must have a valid license designating each the following ASAM Level(s) of Care and any optional Enhanced ASAM Service designation(s) that they are licensed by the Division to provide:

(a) At a minimum, the program shall demonstrate compliance with at least one of the following residential substance use disorder ASAM Level(s) of Care in order for the Division to approve licensure:

(A) Adult Clinically Managed Low-Intensity Residential Substance Use Disorder Services, ASAM Level of Care 3.1;

(B) Adolescent Clinically Managed Low-Intensity Residential Substance Use Disorder Services, ASAM Level of Care 3.1;

(C) Adult Clinically Managed Population-Specific High-Intensity Substance Use Disorder Residential Services, ASAM Level of Care 3.3;

(D) Adult Clinically Managed High-Intensity Substance Use Disorder Residential Services, ASAM Level of Care 3.5;

(E) Adolescent Clinically Managed Medium-Intensity Substance Use Disorder Residential Services, ASAM Level of Care 3.5;

(F) Adult Medically Monitored Intensive Substance Use Disorder Inpatient Services, ASAM Level of Care 3.7; or

(G) Adolescent Medically Monitored High-Intensity Substance Use Disorder Inpatient Services, ASAM Level of Care 3.7.

(b) ASAM Enhanced Service designation(s) are service types that the program may choose to apply to render to either adults or adolescents when it corresponds to an ASAM Level of Care that is licensed by the Division:

(A) Co-occurring Capable ASAM Level of Care 3.1;

(B) Co-Occurring Enhanced ASAM Level of Care 3.1;

(C) Bio-medical Enhanced ASAM Level of Care 3.1;

(D) Co-Occurring Enhanced ASAM Level of Care 3.3;

(E) Biomedical Enhanced ASAM Level of Care 3.3;

(F) Co-Occurring Enhanced ASAM Level of Care 3.5;

(G) Biomedical Enhanced ASAM Level of Care 3.5;

(H) Co-Occurring Enhanced ASAM Level of Care 3.7; or

(I) Biomedical Enhanced ASAM Level of Care 3.7

(7) Each program must operate within the scope of the service types listed on their license. Unless otherwise limited by the Division, programs with valid licenses for any of the following ASAM Levels of Care may render Clinically Managed Low-Intensity Residential Substance Use Disorder Services, ASAM Level of Care 3.1:

(a) Adult Clinically Managed Population-Specific High-Intensity Substance Use Disorder Residential Services, ASAM Level of Care 3.3;

(b) Adolescent Clinically Managed Medium-Intensity Substance Use Disorder Residential Services, ASAM Level of care 3.5;

(c) Adult Clinically Managed High-Intensity Substance Use Disorder Residential Services, ASAM Level of Care 3.5; or

(d) Adolescent Medically Monitored High-Intensity Impatient Services, ASAM Level of Care 3.7;

(e) Adult Medically Monitored Intensive Substance Use Disorder Inpatient Services, ASAM Level of Care 3.7.

(8) Applicants providing or seeking to provide residential treatment services under these rules who also intend to provide an outpatient service regulated by the Division's service delivery rules, shall also have and maintain a Division certificate to provide behavioral health treatment services under OAR 309-008-0100 to 309-008-1600.

(9) The License shall be posted in a common area, able to be viewed at all times.

(10) At least every two years the Division shall inspect the facility and conduct a review of the program.

Or. Admin. Code § 309-018-0108

BHS 10-2023, adopt filed 04/07/2023, effective 4/7/2023

Statutory/Other Authority: ORS 161.390, 413.042, 430.256 & 430.640

Statutes/Other Implemented: ORS 161.390-161.400, 428.205-428.270, 430.010, 430.205-430.210, 430.254-430.640, 430.850-430.955 & 743A.168