OAR 415-012-0058: Availability of Information to Coordinated Care Organizations and Other Health Plans

Upon completion of the site review process and the issuance of a license, the Division shall make copies of the following information available to Coordinated Care Organizations and other health plans for the purpose of credentialing a provider: (1) A current program description that reflects the type and scope of behavioral health services provided by the applicant; (2) Provider policies and procedures regarding the provider’s credentialing practices of individual clinicians; (3) Statements of provider’s liability insurance coverage; (4) An attestation from the Authority verifying that the provider has passed a screening and meets the minimum requirements to Medicaid provider; (5) Reports detailing the findings of the Division’s site review of the provider; (6) The provider’s Medicaid Vendor Identification Number issued by the Authority; (7) Copies of the provider’s policies and procedures regarding seclusion and restraint practices; and (8) Copies of the provider’s Code of Conduct.