OAR 411-046-0180: Qualifications for Providers and Behavior Consultants

(1) The Department shall select qualified providers according to standards: (a) In these rules; (b) In OAR 407-120-0320; and (c) In OAR chapter 410, division 120, as applicable. (2) Providers must be enrolled as a Medicaid provider. (3) Behavior consultants must complete the background check process described in OAR 407-007-0200 to 407-007-0370 with an outcome of approved or approved with restrictions. (4) Behavior Support Service Medicaid providers must have a Department contract to provide: (a) Home or community-based care services defined under a specific needs setting, and which includes Behavior Support Services as part of the contracted rate; or (b) Behavior Support Services with qualified employees or subcontractors who provide time limited consultation, at a range of settings, where the referred individual lives. (5) A Behavior Support Service Medicaid provider must employ or subcontract with behavior consultants who meet all of the following requirements: (a) Pass the Department required criminal record check processes per OAR 407-007-0200 to 407-007-0370 and meet one of the following: (A) Pass the Behavior Consultant Competency Evaluation administered by a Department approved contractor; (B) Possess and maintain certification from a Department approved program noted on the Department website; or (C) Have written approval to perform behavior consultant work from the Department based upon review of resume, certification, or education. Requests for this approval must follow 411-046-0220, exceptions to rules. (b) Maintain compliance with continuing education requirements under 411-046-0210.