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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

ICP Participation Agreement (English) Form DHS 2876 Also available in the following languages - (Updated 10/2019)

Representative Agreement

Payment Coupon for Workers' Benefit Fund Assessment

Notice of Eligibility and Responsibility (English) Form APD 0541 Also available in the following languages -

Notice of ICP Payment Ending (English) Form SDS 0540ICP Also available in the following languages -

ICP Benefit Calculation 2 Week Authorization (English) Form SDS 0546IC2Wk Also available in the following languages -

ICP Employee Provider(s) Information (English) Form APD 0548 Also available in the following languages -

Workers Compensation Consent and Agreement (English) Form APD 0353 Also available in the following languages -

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@state.or.us or icp.spd@state.or.us

x Transmittals


Transmittal #

Date

Title

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