Medical Assistance

ORS 414.766
Behavioral health treatment

  • rules

Notwithstanding ORS 414.065 (Determination of health care and services covered) and 414.690 (Prioritized list of health services), a coordinated care organization must provide behavioral health services to its members that include but are not limited to all of the following:


For a member who is experiencing a behavioral health crisis:


A behavioral health assessment; and


Services that are medically necessary to transition the member to a lower level of care;


At least the minimum level of services that are medically necessary to treat a member’s behavioral health condition as determined in a behavioral health assessment of the member or specified in the member’s care plan; and


Coordinated care and case management as defined by the Department of Consumer and Business Services by rule. [2017 c.273 §2]


Last accessed
Jun. 26, 2021