OAR 836-053-0355: Behavioral Health Network Composition and Reporting

For the purpose of evaluating the sufficiency of a carrier’s network of behavioral health providers under ORS 743B.505(4)(b), the carrier must annually submit, as part of its network adequacy report, a behavioral health access and capacity analysis that includes the following: (1) A list of all in-network behavioral health providers, by provider type, including: (a) Licensed professional counselors; (b) Licensed marriage and family therapists; (c) Licensed clinical social workers; (d) Psychologists; and (e) Psychiatrists. (2) For each provider listed in (a), the report must identify: (a) Whether the provider is accepting new patients; (b) Whether the provider serves children, adults, or both; (c) Whether the provider has self-identified as able to serve: (A) Individuals with limited English proficiency, without the use of an interpreter, or those who are illiterate; (B) Individuals with diverse cultural or ethnic backgrounds; (C) Individuals with chronic or complex behavioral health conditions; and (D) Individuals who identify as LGBTQIA+ or with diverse gender identities or sexual orientations. (d) The geographic location (county, zip code) where services are delivered.