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The Oregon Administrative Rules contain OARs filed through April 15, 2013 
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OREGON HEALTH AUTHORITY, OFFICE FOR OREGON HEALTH POLICY AND RESEARCH
OREGON HEALTH AUTHORITY, OFFICE FOR OREGON HEALTH POLICY AND RESEARCH
OREGON HEALTH AUTHORITY, OFFICE FOR OREGON HEALTH POLICY AND RESEARCH
DIVISION 110
HEALTH SYSTEMS PLANNING
Safety Net Capacity Grant Program
409-110-0000
Scope
These rules (OAR 409-110-0000 to 409-110-0020) establish criteria for awarding grants under the Health Care for All Oregon’s Children, Safety Net Capacity Grant Program, which was established to ensure that safety net providers have capacity to serve vulnerable and underserved children in Oregon.
Stat. Auth: ORS 413.225
Stats. Implemented: ORS 413.225 & 414.231
Hist.: OHP 2-2009, 9-30-09 cert. ef. 10-1-09; OHP 2-2011, f. 1-26-11, cert. ef. 2-1-11
409-110-0005
Definitions
The following definitions apply to OAR 409-110-0000 to 409-110-0020:
(1) “Community-sponsored Clinic” means a non-profit, community-based clinic that does not receive state or federal funding and is sponsored by the local community in the form of grants and donations, including in-kind donations of goods and services.
(2) “Culturally and Linguistically Appropriate Services” means health care services that are respectful of and responsive to cultural and linguistic needs. Please refer to the “National Standards on Culturally and Linguistically Appropriate Services” (CLAS), United States Department of Health and Human Services, Office of Minority Health.
(3) “OHPR” means the Office for Oregon Health Policy and Research.
(4) “Primary Healthcare Service” means physical, oral, mental, behavioral, and vision health services that are delivered in a manner that reflects the state’s emphasis on patient-centered primary care medical homes.
(5) “Program” means the Safety Net Capacity Grant Program, as part of the Health Care for All Oregon’s Children Program.
(6) “Safety Net Advisory Council” means the entity responsible for supporting vulnerable populations who experience barriers to care and providing specific policy recommendations to the Governor and policy makers to ensure a safety net of health services.
(7) “Safety Net Provider” means a public or non-profit federally qualified health center, school-based health center, tribal health clinic, rural health clinic, or community-sponsored clinic that provides primary care physical, oral, mental, behavioral and vision health services to low-income patients without charge or using a sliding scale.
(8) “Target Population” refers to children who meet the criteria for Health Care for All Oregon’s Children Program (ORS 414.231), except for immigration status.
[ED.NOTE: Publications referenced are available from the agency]
Stat. Auth.: ORS 413.225
Stats. Implemented: ORS 413.225, 414.231
Hist.: OHP 2-2009, 9-30-09 cert. ef. 10-1-09; OHP 2-2011, f. 1-26-11, cert. ef. 2-1-11
409-110-0010
Program Administration
(1) The program is intended to ensure that the target population has access to primary physical, oral, mental, behavioral, and vision health services.
(2) OHPR shall award grants to safety net providers through the program.
(3) Services covered through the program are limited to primary care, oral, mental, behavioral, and vision health services.
(4) Children in the target population through the age of 18 are eligible to receive services through the program.
(5) The grant amount awarded shall take into consideration the distribution and concentration of the target population in the proposed service area.
(6) The program is competitive and proposals that include collaboration with community partners may be given preference.
(7) OHPR shall administer the program including soliciting, reviewing, evaluating, and selecting successful grant proposals. OHPR shall also provide project monitoring, technical assistance and submit periodic status reports to interested parties.
(8) The Safety Net Advisory Council shall provide advisory recommendations to program staff.
(9) Grant funding shall be awarded for up to a two-year period. Fund awards may be renewable.
(10) OHPR shall distribute safety net grant funds to successful applicants on an incremental basis.
(11) All funds provided separately for the planning, development, establishment, and certification of new school-based health centers shall be awarded to local public health authorities in accordance with the current competitive grant process in use and funding formula as established and administered by the Office of Family Health, Public Health Division.
Stat. Auth.: ORS 413.225
Stats. Implemented: ORS 413.225, 414.231
Hist.: OHP 2-2009, 9-30-09 cert. ef. 10-1-09; OHP 2-2011, f. 1-26-11, cert. ef. 2-1-11
409-110-0015
Grant Award Process
(1) OHPR shall advertise grant proposals through publication on its website and through communication to eligible entities.
(2) All proposals must be submitted in a form specified by the program and by the date specified in the solicitation document.
(3) OHPR shall document receipt of all proposals.
(4) To qualify for a grant through the Program, applicants must be able to credibly estimate the number of new and existing children in the target population they will serve, as well as the number of estimated visits for the target population.
(5) OHPR shall evaluate all proposals based upon but not limited to the following evaluation elements:
(a) Demonstrated capacity to provide primary health care services.
(b) Demonstrated capacity or description of a credible plan to serve the target population.
(c) Demonstrated capacity or description of a credible plan to assure that services are culturally and linguistically competent.
(d) Demonstrated capacity or description of a credible plan to identify, contact, and provide primary care to the target population.
(e) Demonstrated readiness to be operational within 90 days of grant award.
(f) Maintenance of operating hours and locations to ensure accessibility.
(g) Demonstrated ability to partner with community-based and other community organizations and to leverage funds, where possible.
(h) Submission of a proposed work plan, including timeline, discrete programs and products, evaluation outcomes, and budget.
(i) Demonstrated capacity or description of a credible plan for implementing data systems that can report on delivery of services and health outcomes, preferably through the utilization of electronic health records that are Certification Commission for Health Information Technology certified. Responses that indicate participation in or willingness to participate in efforts to assure interoperability of electronic health records may be scored more highly.
(j) A commitment to continuous quality improvement demonstrated by the inclusion of an annual quality improvement plan, identification of quality improvement activities with reporting of outcomes and the incorporation of evidence based practices. Responses that incorporate meaningful elements of a primary care medical home may be scored more highly.
(6) OHPR shall form a committee to consider and make recommendations on the submitted proposals. .
(7) OHPR shall notify applicants, in writing, whether their proposal was selected for funding. OHPR shall provide a question and answer opportunity through electronic or telephone communication both before and after the selection of proposals.
Stat. Auth.: ORS 413.225
Stats. Implemented: ORS 413.225, 414.231
Hist.: OHP 2-2009, 9-30-09 cert. ef. 10-1-09; OHP 2-2011, f. 1-26-11, cert. ef. 2-1-11
409-110-0020
Monitoring and Reporting Requirements
(1) A grantee shall:
(a) Submit grant reports to OHPR on a periodic basis. Grant reports will indicate progress to achieve grant benchmarks and goals and report on the expenditure of grant dollars. Failure to comply with reporting requirements may result in grant suspension or termination; and
(b) Report specific data or information, to be determined by OHPR
(2) Grant disbursements are contingent on grantee achieving proposed service delivery levels. Failure to achieve proposed service levels or benchmarks may result in grant reduction or termination.
(3) Periodically grantee and OHPR staff shall jointly review progress.
Stat. Auth.: ORS 413.225
Stats. Implemented: ORS 413.225, 414.231
Hist.: OHP 2-2009, 9-30-09 cert. ef. 10-1-09; OHP 2-2011, f. 1-26-11, cert. ef. 2-1-11
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