Oregon Residential Habilitation (RH) Policy Manual
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The Oregon Residential Habilitation (RH) Policy Manual provides a structured and regulatory-compliant framework for the operation of licensed 24-hour residential facilities serving individuals with intellectual and developmental disabilities (IDD). Rooted in the Oregon Administrative Rules (OAR 411-054, 411-304, and 411-323) and aligned with the Home and Community-Based Services (HCBS) Settings Rule (42 CFR §441.301), this manual ensures consistent, person-centered, and high-quality service delivery across the residential care system.
The manual outlines essential policies and procedures for facility licensure, Medicaid provider enrollment, rate setting, client rights, quality assurance, and incident reporting. It supports the development and implementation of individualized service plans (ISPs), behavior support plans, community integration strategies, and skill-building interventions that promote independence and dignity.
Key sections of the manual include staff competency and training requirements (including Oregon Intervention System (OIS) certification), clinical operations for both behavioral and medical health coordination, safety management protocols, and robust compliance systems. It also covers physical environment standards, infection control, rights protections, grievance processes, job role definitions, and service documentation requirements.
Designed for use by residential providers, direct support professionals, administrators, clinicians, and oversight entities, the RH Policy Manual promotes a culture of accountability, safety, and empowerment. It supports Oregon’s commitment to delivering services in the least restrictive, most integrated settings, while ensuring compliance with federal, state, and local regulatory expectations.