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Emergency Response Systems

x Oregon Administrative Rules

OAR 461-155-0680 Special Need

OAR 411-035-0025 K-State Plan K-State Plan Ancillary Services - Eligibility for Consumer Electronic Back-up Systems and Assistive Technology

x Tools

MAGI & SPPC Eligibility for HDMs/ERS

Emergency Response System Providers

How to complete the DHS 3971 (Oregon OHA PA Request Form)

Oregon DHS Prior Authorization Request Form

Prior Authorization - Lifeline MMIS Desk Manual

t Transmittals

Transmittal #



APD-AR-17-047 08/04/17 Action: Oregon Lifeline
APD-PT-17-029 08/04/17 Policy: K-State Plan Ancillary Services



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Oregon Department of Human Services
500 Summer St. NE E02, Salem, OR 97301-1073
Phone: (503) 945-5811
Toll-free: (800) 282-8096 (V/TTY)