OAR 309-019-0157: Enhanced Care Outreach Services (ECOS)

(1) To be eligible for Enhanced Care Outreach Services (ECOS), an individual must: (a) Be Medicaid eligible; (b) Meet the diagnostic criteria of severe mental illness with complex behaviors or be approved by the enhanced care services team; (c) Require intensive community mental health services to accomplish or maintain community integration in the least restrictive environment; (d) Be at risk of losing or have a history of failed placement. (e) Have a history of or currently exhibiting two or more of the following: self-endangering behavior, aggressive behavior, intrusive behavior, refractory psychiatric symptoms, complex medication needs, sexually inappropriate behavior, and elopement behavior; (f) Be placed in a community-based residential setting or attempting to gain access to a community-based residential setting that is approved under state or local authorities; (g) Or be at risk of being denied placement due to a history of these factors. (2) ECOS providers must: (a) Provide person-centered, individualized services outlined in the service plan. (b) Provide Care Coordination based on individual needs; (c) Offer resources or trainings specific to the behavioral health needs to in-home or Department licensed facility staff. (d) Ensure the availability of consultation and crisis services staffed by a QMHP /A or the local CMHP available to ECOS provider and the Department licensed facility direct care staff 24-hours per day. (e) Provide services that are in the residence or community based to the fullest extent possible. These services shall be available based off the consumers preference and choice; (f) Provide reports of critical incidences to the Enhanced Care State Coordinators within 72 business hours. A critical incident can be defined as an actual or alleged event or behavior that can or does result in a negative outcome for a consumer including- Death from unknown causes; Emergency Medical Care; Missing Person; Unplanned Hospitalization; Neglect/Abuse/Exploitation/Mistreatment; Damage or theft of property; medication management issues; criminal justice involvement; (g) Submit monthly census reports to Enhanced Care State Coordinators no later than the 10th day of every calendar month. (3) Staffing requirements include: (a) Each ECOS program may have services provided by QMHPs, QMHAs, CADCs, Peer delivered services, and LMPs as indicated in the individual service plan; (b) Each ECOS program must have LMP consultation available; (c) ECOS providers must ensure that CMHP program staff, contractors, volunteers, and interns providing ECOS services are trained and familiar with strategies for delivery of trauma informed and culturally responsive services.