Date: December 6, 2013
From: Oregon Health Authority
House Bill(HB) 2737, which passed during the 2013 legislative session, requires the Oregon Health Authority (OHA) to adopt standards and procedures to certify specified mental health providers to qualify for insurance reimbursement (a PDF of the enrolled bill is attached below). In order to comply with the requirements of HB 2737, OHA is accepting applications from providers seeking certtification as a "non-inpatient" behavioral health provider.
House Bill 2737
Oregon Administrative Rules
- Division 39
As defined in HB 2737, the non-inpatient certification applies to provider organizations rendering treatment servies for mental or nervous conditions. The certification exists solely for the purpose of qualifying for insurance reimbursement. Agencies that contract with OHA, subcontract with OHA, or contract with a Community Mental Health Program are not eligible for the "non-inpatient" certification.
Agencies that currently hold a Certificate of Approval for the provision of mental health services or a license to provide residential or adult foster care services are not eligible for the "non-inpatient" certification.
Certification as a "non-inpatient" mental health provider is not a substitue for the certification and Medicaid provider enrollment processes that are required for agencies to render services to individuals who are enrolled in the Oregon Health Plan, or individuals who are otherwise funded by the State.
Agencies that exclusively employ clinicians who are licensed by a State board to render behavioral health services will likely not benefit from this certification as these employees currently meet the standards necessary for qualifying for insurance reimbursement.
The application to become a certified non-inpatient mental health provider is available below.
Please send completed applications, required supplemental documents, and the aplication fee to the following address:
Quality Improvement and Certification
Addictions and Mental Health Division
500 Summer Street N.E. E86
Salem, OR 97301
Once your application is received, a representative from the Addictions and Mental Health Division will be in touch with your agency regarding the review process. If you have any questions, please contact Justin Hopkins, Quality Improvement and Certification Manager at 503-945-7818 or firstname.lastname@example.org.