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APD Manual Letters

Manual Letter #74

Effective Date: January 1, 2017
Reference: SS-PT-16-027, SS-PT-16-028

Manual changes are summarized below. Click on the related links. Most changes will be indicated with red text or a red line to the right of the text (you may need to scroll to find the related policy change). There is no red indication for the corresponding changes to the Administrative Rules. Check the above listed reference for all policy updates.

SNAP program updates are covered specifically in the Family Services Manual.

Manual Letter Index

Manual

Change

Section/Item

Rule Change

(available 1-1-2017 unless otherwise indicated)

OSIP(M)

Pickle multiplier updated due to 2017 COLA

OSIPM WG 9

461-135-0780

  Income Standards and NF PIF Updated OSIPM E.2, E.4, Rate Schedule 461-155-0250
  Room and Board standard updated OSIPM E.2., E.4, Rate Schedule 461-155-0270
  Shelter In-Kind standard updated OSIPM E.2 461-155-0300
  Community spouse resource allowance updated OSIPM E.8, OSIPM WG 2 461-160-0580
  Maximum community spouse income allowance updated OSIPM E.4, OSIPM WG 1, OSIPM WG 6 461-160-0620
  Allocating and Deeming Worker Guide updated OSIPM WG 8 461-155-0250
  Special Needs WG - Payments for PIF and Room and Board updated OSIPM WG 12 461-155-0270
  Widow and widowers section was updated to reflect rule change clarifying that individual must not be entitled to premium-free Part A of Medicare OSIPM G.7, OSIPM WG 9 461-135-0820
  Citizen/Noncitizen Status subsection of Nonfinancial Requirements section was updated with current verification requirements OSIPM D.2  
  The Application section was updated with clarification about the pending notice deadline and a new Step-by-Step subsection was added OSIPM B.1, B.11  

REF

 

 

 

Counting Client Assets Home equity exclusion limit was updated CCA B.34 461-145-0220
  Black Lung Benefit section added to reflect adoption of new rule CCA B.10 461-145-0035
  Filipino Veterans Equity Compensation Fund section removed to reflect repeal of 461-145-0184   461-145-0184 (repealed)
Railroad Retirement Payments section added to reflect adoption of new rule CCA B.60 461-145-0417
  SSI payments section was updated to clarify when SSI is counted as income for the spouse of an SSI recipient CCA B.72  
 

The Loans section was updated with the correct way to treat loan repayments in QMB/SMB/SMF when the financial group is the lender

CCA B.46

 

SNAP

See SS-PT-16-027, SS-PT-16-028, and SS-PT-16-030 for more information on changes to SNAP

 

 

APD MAGI Manual

Procedures for MAGI clients visiting APD/AAA to apply for medical benefits and to apply for GA benefits were added to New Applicant section

APD MAGI B.5, B.6

 

  Several sections were updated to reflect rule change eliminating SMF eligibility for anyone receiving any other Medicaid benefit APD MAGI Sections B, E, F 461-135-0730
  Procedure on MAGI client reporting changes to APD/AAA was added APD MAGI H.3  
  Various sections were updated to reflect varying branch processes surrounding new applications and redeterminations APD MAGI Sections B, D, E  
  This manual will be updated frequently, check periodically for new information APD MAGI Manual  
QMB

QMB manual was update to reflect rule change eliminating SMF eligibility for anyone receiving any other Medicaid benefit

QMB A,QMB D.6, QMB WG 1, WG 2, WG 3, WG 4, WG 5

461-135-0730

 

The How Buy-In Works worker guides were updated to reflect SMF rule change, as well as elimination of the requirement to contact the Buy-In Unit when setting up new P2 SMB or SMF cases for individuals receiving both parts of Medicare

QMB G.6, QMB G.7

461-135-0730

  Citizen/Noncitizen Status subsection of Nonfinancial Requirements section was updated with current verification requirements QMB D.8

 

  The Application section was updated with clarification about the pending notice deadline and a new Step-by-Step subsection was added QMB B.1, B.14  
APD Worker Guide OSIPM income standards updated APD E.5

461-155-0250

  The 10-day notice calendar was updated APD.G.7  
 

The Decision Notice Prep Tips worker guide was updated to reflect the changes to the SMF specific requirements. Scenarios were added to medical denial section to reflect implementation of General Assistance. Scenario was added in service closure section for going 30+ days without an SPPC provider. Various other corrections and updates were made.

APD G.9

461-135-0730

  Information about deaf/hard-of-hearing interpretation was added to the Alternate Formats and Interpretation/Translation Services section. A link to site where the In-Person Interpreter request can be found was added to the In-Person Translation Services. APD A.2  
  Mental Health Services and Case Coding section was updated with the 2017 OSIPM maintenance standard APD D.10  
Miscellaneous The LIS amounts and RX co-payments were updated in the MMA manual MMA.B  
  List of Medicare Advantage Plans updated in MMA manual MMA.C  
  LIS Reference Sheet updated in MMA manual MMA.B.3  
  2017 APD Financial Eligibility Training Calendar was added APD Training  
MMIS

 


 
Generic Program Elements Hearing Representative Contact Information was updated

Generic I.7


Case Management Tools APD Client Pay-In section was updated with 2017 COLA amounts APD Client Pay-In  
 

Adult Day Services section:

  • Updated form 546AD for authorization of ADS was added
  • Updated ADS Sites contracted with DHS (including rates) was added
  • Updated ADS eligibility, authorization and payment summary document was added
Adult Day Services  
 

Diversion/Transition section:

  • Updated Specialized Services Vacancy Reports were added - one report sorted by Specialty Types and the other sorted by county
Diversion/Transition  
 

Homecare Worker section:

  • Updated HCW Payroll Calendar 2016-2019 was added. List format in English, Russian, Spanish, and Vietnamese
  • 2015-2019 HCW Collective Bargaining Agreement was added
  • HCW New Voucher Orientation packets added in English, Russian, Somali, Spanish, and Vietnamese
  • HCW Orientation PowerPoint was updated
  • HCW Application side-by-side translation added in Arabic, Russian, Somali, Spanish, and Vietnamese
  • APD-IM-16-112 and APD-PT-16-042 were added to the Transmittal section
Homecare Worker

Chap. 411, Div. 027

Chap. 411, Div. 030

 

In-Home Support Services:

  • APD-IM-16-104 about In-home Time Study Update was added to the transmittal section
In-Home Support Services  
 

Independent Choices:

  • Updated Forms Processing Chart of ICP was added
  • APD-IM-16-105 about Updated Direct deposit form was added to transmittal section
Independent Choices  
 

Oregon Project Independence:

  • APD-IM-16-110 about OPI "Power Hour" webinars was added to transmittal section
Oregon Project Independence  
 

Program of All-Inclusive Care for the Elderly:

  • APD-IM-16-099 about PACE Pay-In Payments was added to transmittal section
PACE  
 

K-Plan Services:

  • Updated K-Plan Ancillary Services Provider list, updated K Ancillary Services Guidance document, and new K Ancillary Services Process Flow document were added
  • APD-IM-16-111 about K Plan Ancillary Services Guide was added to transmittal section
K-Plan Services  
 

Home and Community Based Services:

HCBS  
 

Long Term Care Rates

Long Term Care Rates

Chap. 411: Div 027, Div. 030, Div. 031

  Tool Kit for Recent APD LTC Rule and Program Changes document was updated APD Case Management Tools - Other Links & Tools section  
 

APD Case Management Tools - Resources section:

  • Links to information about a seniors study and Oregon fall injuries report were added

 

Relatable Tools for Aging & People with Disabilities

 


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