OAR 410-170-0050: Program Referrals and Admission to BRS Provider

(1) After the BRS client receives prior authorization for the BRS program, the agency shall refer the BRS client for admission to one or more BRS contractors or BRS providers that provide the appropriate BRS type of care. (2) The agency shall provide the BRS contractor or, as applicable, the BRS provider with the following documents in the BRS client’s referral packet: (a) Information identifying the individual or entity with legal authority over the BRS client, which may be the BRS client’s parent, guardian, or legal custodian; (b) Any prior evaluations, assessments, or other documents that provide background information about the BRS client or that support the need for the BRS client’s current level of services; and (c) The caseworker’s case plan describing necessary services or similar planning form for the BRS client. (3) The BRS contractor or, as applicable, the BRS provider shall make admission decisions for the BRS client based on its agency-approved written admission criteria, unless provided with written authorization from the agency to accept a BRS client who does not meet its admission criteria. (4) The BRS contractor or, as applicable, the BRS provider may not deny an eligible BRS client admission to its program if a vacancy exists within the program at the time of referral and the BRS client meets its agency-approved admission criteria, unless it receives written approval from the referring agency. (5) The BRS contractor may not and shall ensure its BRS providers do not deny an eligible BRS client admission to its program for any of the following reasons: (a) The presence or absence of family members, or fictive kin, to support the placement; (b) The race, religion, sexual orientation, color, or national origin of the BRS client involved; (c) The BRS client’s place of residence; or (d) The absence of an identified after-care resource. (6) The BRS contractor shall, and ensure its BRS provider, notifies the caseworker of its admission decision within five business days of receiving the BRS client’s referral packet unless an earlier timeframe is required in agency-specific BRS rules. If the BRS provider denies admission to the BRS client, then it shall provide the caseworker with a written explanation. (7) The BRS contractor shall, and ensure its BRS provider, maintains documentation (either electronically or in hard copy) of all its admission decisions for BRS clients referred by an agency or BRS contractor, which includes the following: (a) The name of the BRS client referred; (b) The date the referral was received; (c) The reason the referral was accepted or denied; and (d) The date the referral was responded to in writing. (8) Intake Procedures: (a) On the day that the BRS client is physically admitted to the BRS contractor’s or BRS provider’s program, its staff shall provide the BRS client and, as applicable, the BRS client’s parent, guardian, or legal custodian with copies of the following policies: (A) Behavior management system policy; (B) Grievance policy; (C) BRS client’s and family’s rights policies, including but not limited to visitation and communication policies and the policies regarding the search and seizure of the BRS client’s person, property, and mail; (D) Discharge polices, including but not limited to a discharge initiated by the BRS client; (E) Seclusion and physical restraint policies; (F) Suicide prevention policy and procedures; and (G) Medication management policy. (b) The BRS contractor must ensure its program, either operated by itself or by its BRS provider, maintains signed documentation indicating that the BRS client and, as applicable, the BRS client’s parent, guardian, or legal custodian received and understood the information described in section (8)(a) of this rule; (c) If any of the policies described in section (8)(a) of this rule are individualized for a BRS client and differ from the program’s standard documented practices, these variations shall be explained and documented and included in or attached to the BRS client’s service plan; (d) If the BRS client’s parent, guardian, or legal custodian is unavailable at the time of admission, the BRS contractor shall ensure its program, either operated by itself or by its BRS provider, documents in the BRS client’s case file that it forwarded this information to the BRS client’s parent, guardian, or legal custodian by facsimile, mail, or electronic mail within 48 hours of the BRS client’s admission to the program. (9) The agency is responsible for notifying the BRS contractor or BRS provider of any changes to the information described in section (2) of this rule. In addition, the agency shall provide the BRS contractor or BRS provider with the following information: (a) Applicable written authorizations by the BRS client or the BRS client’s parent, guardian, or legal custodian consenting to the BRS client’s participation in the BRS program; (b) If applicable, the prepaid health plan or coordinated care organization in which the BRS client is enrolled; (c) The BRS client’s current medical information, medication regime, and other medical needs; and (d) If applicable, the BRS client’s school information, parental contact information, or similar types of information.