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:

(1)

For a member who is experiencing a behavioral health crisis:

(a)

A behavioral health assessment; and

(b)

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

(2)

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

(3)

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

Source

Last accessed
Jun. 26, 2021