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Independent Choices Program (ICP)

x Oregon Administrative Rules

OAR 411-030-0100

x Tools


ICP Worker Guide

ICP Participant Handbook

ICP Letter to Participants Explaining Discontinuing Requirement to Return Cash Benefit

Program Descriptions & Brochures

Forms

ICP Forms Processing Chart (Updated 05/15/2020)

ICP Participation Agreement (English) Form DHS 2876

Representative Agreement

Payment Coupon for Workers' Benefit Fund Assessment

Notice of Eligibility and Responsibility (English) Form APD 0541

Notice of ICP Payment Ending (English) Form SDS 0540ICP

ICP Benefit Calculation 2 Week Authorization (English) Form SDS 0546IC2Wk

ICP Employee Provider(s) Information (English) Form APD 0548

Workers Compensation Consent and Agreement (English) Form APD 0353

ICP Request for Direct Deposit (DHS 7262I)

Budget and Payroll Forms and Samples

Coding for ICP

Acumen -- NEW

Resources & Checklists

Web Links

 

For ICP information, please contact Christine Maciel, ICP Policy Analyst at (541) 471-3830, email at: Christine.C.Maciel@dhsoha.state.or.us or icp.spd@dhsoha.state.or.us

x Transmittals


Transmittal #

Date

Title

APD-IM-20-094 08/18/20 Info:Mandatory Training for Homecare and Personal Support Workers – Carewell
SEIU 503 Training Begins Voluntary Pilot
APD-AR-20-068 07/06/20 Action: Independent Choices Program (ICP) Work to Prepare for Electronic Visit Verification (EVV)
APD-IM-20-071 07/02/20 Info: Carewell SEIU 503 CARES PTO benefit - Expanded Leave Benefit
APD-AR-20-066 07/01/20 Action: Independent Choices Program (ICP) Benefit Calculation Form Updated Due to Wage Increase Effective 07/01/2020
APD-IM-20-066 06/29/20 Info: Virtual Independent Choices Program training sessions now scheduled
APD-AR-19-056 12/20/19 Action: Independent Choices Program (ICP) Benefit Calculation Form Updated Due to Wage Increase and Wage Increase and WBF Rate Change for 2020
APD-IM-19-017 03/29/19 Info: New Fiscal Intermediary 'Acumen' for Independent Choices Program (ICP) Participants (Voluntary Program)
APD-PT-19-013 03/29/19 Policy: Independent Choices Program Cash Benefit Requirement Change
APD-IM-19-016 03/28/19 Info: Changes to the APD Receipting Solutions (APDRS)
APD-IM-19-006 01/23/19 Info: Independent Choices Program 2019 Taxes
OPAR-IM-18-002 04/24/18 Info: CMU Client Direct Deposit Procedure Changes
APD-IM-18-028 03/26/18 Info: Independent Choices Benefit Calculation form updated due to wage increase for 2018
APD-IM-17-095 12/29/17 Info: No new Independent Choices Program Benefit Calculation form needed
APD-AR-17-060 09/22/17 Action: Updated Independent Choices Benefit Calculation form due to Live-in Services closing and two week authorizations
APD-IM-17-053 07/14/17 Info: Letter for Individuals Currently Receiving Live-in Services
APD-AR-17-037 06/26/17 Action: Independent Choices Benefit Calculation form updated due to wage increase for 2017
APD-PT-17-019 06/15/17 Policy: In-Home Services Live-in Option Closure
APD-AR-17-002
01/19/17
Info: Independent Choices Benefit Calculation form updated due to wage increase for 2017satt
APD-IM-16-105
11/17/16
Info: UPDATED Direct Deposit form (DHS 7262i)
APD-AR-16-064
08/31/16
Action: In-home Service Options brochure
APD-AR-16-047
07/01/16
Action: Independent Choices Benefit Calculation form updated due to minimum wage increase
APD-PT-16-020
05/26/16
Policy: Homecare workers acting as consumer representatives (Corrected)
APD-IM-15-115
12/28/15
Info: UPDATED Independent Choices Benefit Calculation form (546ic)
APD-AR-15-076
12/23/15
Action: Indepenedent Choices Benefit Calculation form updated due to wage increase and tax rate changes for 2016
APD-PT-15-025
07/28/15
Policy: New Authorization Criteria for Live-in/Shift Services under the In-Home Services Program, Including the Independent Choices Program and Spousal Pay Program
APD-AR-14-076
12/24/14
Action: Independent Choices Benefit Calculation form updated due to wage increase and tax rate changes
SPD-AR-10-118
12/20/10
Action: Independent Choices Benefit Calculation Form Update and Workers' Compensation Forms
SPD-AR-10-117
12/20/10
Action: Workers' Compensation Consent and Agreement Form (SDS 0353)
SPD-IM-10-069
09/07/10
Action:Worker's Compensation Insurance for employee providers in the Independent Choices Program

 

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Oregon Department of Human Services
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Phone: (503) 945-5811
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