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x Oregon Administrative Rules

OAR Chapter 411, Division 027 Payment Limitations for In-Home and Community-Based Services Rules

OAR Chapter 411, Division 030 In-Home Services Rules

x Tools

Supervisor In-Home Hourly Exceptions Review Checklist

SDS 0514i In-Home Exceptions Request (Updated 04/15/2021)

In-Home Exceptions Calculator

In-Home Exceptions Checklist (Updated 04/02/2021)

3-Day Task Log (Can Be Modified)

Service Plan Hourly Cap Exceptions for Providers Serving an Individual - APD (Updated 04/05/2021)

Request for SPPC Exception form 514PC

AFH Exceptions Checklist (Updated 04/06/2021)

CBC Funding Justification - Form 0514A Exception Request Worksheet

Request for AFH, RCF, or ADS Exception - Form 0514

t Transmittals

Transmittal #



APD-PT-21-015 03/29/21 Policy: Pilot for the In-Home Exceptions Process
APD-AR-21-015 03/29/21 Action: Updated brochure replacing DHS 2794—Exception Process for Consumers
APD-PT-20-112 11/13/20 Policy: HCW Attendant Care During Individual Hospital Stay
APD-PT-20-098 09/10/20 Policy: Temporary Policy Changes for Exceptions and K-Ancillary Services in Response to Wildfire Emergency
APD-PT-20-022 03/11/20 Policy: Temporary Policy Change for Individuals Pending Hospital Discharge that Need an AVS, MED, or Exception Request – due to COVID-19
APD-AR-20-013 02/28/20 Action: New CBC [AFH/RCF] Exception & AFH Standard Vent Email Box
APD-IM-20-013 02/19/20 Info: New Supervisor In-Home Hourly Exceptions Review Checklist
APD-IM-19-097 11/26/19 Info: SDS 0514i In-Home Exceptions Request Form Updated and Translated
APD-PT-15-028 08/26/15 Policy:Exceptions to limits on the 50 hour authorized hours a HCW may work



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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)