OAR 410-153-0085: Appeals

(1) Certified Community Behavioral Health Clinics (CCBHC) may appeal Oregon Health Authority (Authority) adverse actions relating to bundled daily rate setting, cost reconciliation, scope of service adjustments, or supplemental payment determinations. (2) CCBHC appeals of an Authority decision must be made in writing and filed with the Authority consistent with the procedures in Oregon Administrative Rules (OAR) 410-120-1560 to OAR 410-120-1600. CCBHC appeals of a CCO decision must be filed with the CCO. (3) The CCBHC’s appeals must: (a) Be filed timely, as required under OAR 410-120-1560; (b) Clearly identify the action being appealed; (c) State the grounds for appeal; and (d) Include supporting documentation. (4) The Authority must issue a final order in contested case proceedings consistent with applicable Oregon Administrative Procedures Act (APA) requirements and OAR chapter 410, division 120. (5) CCBHC may appeal other Authority determinations as outlined in OAR chapter 410, division 120.