OAR 309-018-0110
Provider Policies


(1) All providers shall develop and implement written policies and procedures compliant with these rules.
(2) Policies shall be available to individuals, guardians, and family members upon request.
(3) Providers shall develop and implement written policies and procedures including but not limited to:
(a) Personnel qualifications, credentialing and training;
(b) Criminal Records Checks, compliant with ORS 181.533 through 181.575 and OAR 943-007-0001 (Background Checks) - 0501; and
(c) Fraud, waste and abuse in Federal Medicaid and Medicare programs compliant with OAR 410-120-1380 (Compliance with Federal and State Statutes) and 410-120-1510 (Fraud and Abuse);
(d) Drug free workplace;
(e) Fee agreements;
(f) Confidentiality and compliance with HIPAA, Federal Confidentiality Regulations (42 CFR, Part 2), and state confidentiality regulations as specified in ORS 179.505 (Disclosure of written accounts by health care services provider) and 192.518 through 192.530;
(g) Compliance with Title 2 of the Americans with Disabilities Act of 1990 (ADA);
(h) Grievances and appeals;
(i) Individual rights;
(j) Quality assessment and performance improvement;
(k) Crisis prevention and response;
(L) Incident reporting;
(m) Family involvement;
(n) Trauma-informed service delivery, consistent with the Division’s Trauma Informed Services Policy;
(o) Provision of culturally and linguistically appropriate services;
(p) Medical protocols;
(q) Medication administration, storage, and disposal;
(r) Facility standards; and
(s) General safety and emergency procedures to include an evacuation plan and emergency plan in case of fire, explosion, accident, death, or other emergencies. The evacuation and emergency procedures and plans shall be current and posted in a common area.
(4) Additionally, providers shall establish written policies that:
(a) Prohibit psychological and physical discipline of an individual;
(b) Prohibit seclusion, personal restraint, mechanical restraint, and chemical restraint;
(c) Prohibit withholding shelter, regular meals, medication, clothing, or supports for physical functioning;
(d) Prohibit discipline of one individual receiving services by another; and
(e) Prohibit titration of medications prescribed for the treatment of opioid dependence as a condition of receiving or continuing to receive treatment.
Last Updated

Jun. 8, 2021

Rule 309-018-0110’s source at or​.us