Manual |
Change |
Section/Item |
Rule Change
(available 7-1-2019 unless otherwise indicated) |
| OSIP(M) |
Updated Authorized Representatives (section 6) to reflect changes in who can be an Auth Rep, who can designate and how to designate an Auth Rep, coding, forms, FAQs, and other resources. |
OSIPM B.6 |
461-115-0090 |
| |
Annual COLA updates to the shelter standard ($634.13) and need standard ($2113.75) |
OSIPM WG.1, WG.2, WG.6, WG.12, E.4 |
461-160-0620 |
| - |
Updated Medical Costs section to include medical costs paid by credit card as a countable deduction, examples included. |
OSIPM E.6 |
461-160-0030 |
| |
Updated Effective Dates for Special and Service Needs to align with changes in services effective dates described in APD-PT-18-023 |
OSIPM F.4 |
461-180-0040 |
| |
Added note that ACCESS will not require an ISS N/R code on In-Home Supplement eligible individuals when the BPM code is present. Please remember to review for In-Home Supplement eligiblity on MH 20-Hour Personal Care cases. |
OSIPM H.16 |
|
| |
Added clarification that individuals approved for EWE must have their NF/PIF check issued via 437 due to EWE coding. |
OSIPM E.2 |
|
| |
Clarified that to be eligible for a Home Repair Special Need payment the individual must be eligible to receive in-home services under OAR chapter 411 division 030. |
OSIPM H.5 |
|
| MSP |
Updated Authorized Representatives (section 6) to reflect changes in who can be an Auth Rep, who can designate and how to designate an Auth Rep, coding, forms, FAQs, and other resources. |
MSP B.6 |
461-115-0090 |
| Counting Client Assets |
Added treatment of insurance payouts to Reimbursements section. When an insurance payout is made to replace an excluded asset that was lost, stolen or damaged, the payment is excluded for 9 months. |
CCA B.68 |
|
| APD Worker Guide |
Added note that ACCESS will not require an ISS N/R code on In-Home Supplement eligible individuals when the BPM code is present. Please remember to review for In-Home Supplement eligiblity on MH 20-Hour Personal Care cases. |
APD WG.D.10 |
|
| |
Printable APD Income Standards Tool added |
APD WG.E.5 |
|
|
Added reduction notice language for reduction from OSIPM to OSIPM-EPD in Decision Notice Prep Tips |
APD WG.G.9 |
|
| SNAP |
See SS-PT-19-011 and SS-PT-19-012 for more information on changes to SNAP. |
|
|
| APD MAGI Manual |
This manual will be updated frequently; check periodically for new information. |
APD MAGI Manual |
|
REF(M) |
See SS-PT-19-011 and SS-PT-19-012 for more information on changes to REF(M). |
|
|
| Miscellaneous |
Completely updated the GA Program Worker Guide 1 |
GA WG.1 |
|
| MMIS |
No updates this quarter |
|
|
| Generic Program Elements |
No updates this quarter |
|
|
| Case Management Tools |
Adult Day Services Section: No updates this quarter |
Adult Day Services |
Chapter 411, Division 066 |
|
APD Client Pay-In section: No updates this quarter |
APD Client Pay-In |
|
| |
APD Training section:
|
APD Training |
|
| |
Assessment Tools section:
- Updated the following:
- CA/PS 4 ADL Assessment Tool
- Full CA/PS Assessment Paper Tool
- Examples of Good Comments in CA/PS
|
Assessment Tools |
|
| |
Behavior Support Services Page:
- Added the following:
- Behavior Support Services Field Guide
- APD-AR-19-033 – Behavior Support Services Billing in MMIS
|
Behavior Support Services |
Chapter 411, Division 046 |
| |
Client Details, Treatment, Forms & Miscellaneous LTC Info section
- Updated the following:
- APD Long Term Care Services Form Requirements
- SPAN Notice Flow Chart
- SPAN Form Decision Notice
- Added the following:
- APD-IM-19-042 – Updates and enhancements to form 2780 SPAN
- APD-IM-19-034 – Updates to the SPAN Flowchart
- APD-IM-19-033 – Risk Assessment and Individually-Based Limitations (IBL)
- APD-AR-19-019 – Risk Assessment Survey
|
Client Details, Treatment, Forms & Miscellaneous LTC Info |
|
| |
Complex Case Consultations section: No updates this quarter |
Complex Case Consultations |
|
| |
Diversion/Transition Section:
- Updated the following:
- Transition Team Contact List
|
Diversion/Transition |
|
| |
Emergency Response Systems page: No updates this quarter |
Emergency Response Systems |
|
| |
Employed Persons with Disabilities (EPD) Section:
No updates this quarter |
Employed Persons with Disabilities |
|
| |
Enhanced Care page: No updates this quarter |
Enhanced Care |
Chapter 309, Division 32-0720 through 32-0830 |
| |
Exceptions section: No updates this quarter |
Exceptions |
|
| |
Extended Waiver Eligibility (EWE) Section:
No updates this quarter |
Extended Waiver Eligibility (EWE) |
|
| |
Facilities section:
- Added the following:
- APD-AR-19-027 – New Assisted Living Facilities, Memory Care Facilities, Adult Foster Home Specific Needs Contract
- APD-AR-19-025 – Changes in Names, Changes in Ownership, Specific Needs Provider CBC Facilities
- APD-AR-19-023 – Changes in Names, Changes in Ownership CBC Facilities and In-Home Agencies
- APD-AR-19-018 – New CBC Facilities and Changes in Ownership Nursing Facilities
- APD-PT-19-015 – New APS Policy – Structure of APS Investigations in APD Licensed Facilities
|
Facilities |
RCF & ALF Rules - Chapter 411, Division 054
Memory Care Communities - Chapter 411, Division 057
Nursing Facilities Licensing - Chapter 411, Division 085 |
| |
General Assistance page: No updates this quarter |
General Assistance |
Chapter 411, Division 031 |
| |
Home and Community Based Services page:
- Added the following:
- Individual Consent to HCBS Limitation(s) – APD 0556
- Individual Based Limitation(s) Approval Process Checklist
- APD-PT-19-020 – Implementation of Individually Based Limitations (IBLs)
- APD-IM-19-039 – Communication to Community Based Care Providers Regarding Individually Based Limitations
- APD-IM-19-033 – Risk Assessment and Individually-Based Limitations (IBLs)
- APD-AR-19-026 – Action Needs to Update Authorized Representative and Alternate Payee Designation Forms
|
Home and Community Based Services |
Chapter 411, Division 004 |
| |
Home Delivered Meals (HDM) section:
No updates this quarter |
Home Delivered Meals (HDM) |
|
| |
Homecare Worker section:
- Added the following:
- APD-IM-19-022 – Expedited Background Checks for Homecare Workers
|
Homecare Worker |
Chap. 411, Div. 031 |
| |
Independent Choices section:
- Updated the following:
- Program Overview for Consumers
- Forms Processing Chart
- ICP Employee Provider(s) Information form SDS 0548
- ICP Bookkeepers List
- Added the following:
- Acumen Request for Vendor Payment / Reimbursement Form
|
Independent Choices |
411-030-0100 |
| |
In-Home Care Agencies section:
- Updated the following:
- In-Home Care Agencies list of providers
- Added the following:
- APD-AR-19-032 – Changes in Ownership in Home Care Agencies
- APD-AR-19-030 – New In-Home Care Agency
- APD-AR-19-023 – Changes in Names, Changes in Ownership CBC Facilities and In-Home Agencies
|
In-Home Care Agencies |
Chap. 411, Div. 033 |
| |
In-Home Support Services section:
- Added the following:
- APD-AR-19-030 – New In-Home Care Agency
|
In-Home Support Services |
Chap. 411, Div. 030 |
| |
K-Plan Services page:
- Updated the following:
- K-Plan Ancillary Services Provider List
|
K-Plan Services |
Chap. 411, Div. 035 |
| |
Long Term Care Community Nursing page:
- Added the following:
- APD-AR-19-020 – LTCCN Prior Authorizations for ODDS Consumers
|
Long Term Care Community Nursing |
Chapter 411, Division 048 |
| |
Long Term Care Rates section:
- Added the following:
- APD-PT-19-018 – Community Based & Nursing Facility Rates
|
Long Term Care Rates |
Chap. 411: Div 027, Div. 030, Div. 031 |
| |
Mandatory Case Manager In-Service Webinars page:
- Added the following:
- Risk Assessment and HCBS Individually-Based Limitations (PowerPoint Material, and Audio Recording 5/22/19)
- APD-IM-19-032 – Mandatory Webinar for case managers, D/T coordinators, and managers that supervise case managers and D/T coordinators – Wednesday 05/22/19
|
Mandatory Case Manager In-Service Webinars |
|
| |
Mental or Emotional Disorder Review Team (MED) page:
- Updated the following:
- Instructions for Completing MED Referrals
- Added the following:
- APD-PT-19-019 – Mental or Emotional Disorders (MED) Referral Process Update
|
Mental or Emotional Disorder Review Team (MED) |
Chap. 411, Div. 015 |
| |
Nursing Facilities & PAS section:
- Added the following:
- APD-AR-19-018 – New CBC Facilities and Changes in Ownership Nursing Facilities
|
Nursing Facilities & PAS |
|
| |
Older Americans Act page: No updates this quarter |
Older Americans Act |
|
| |
Oregon ACCESS & CA/PS Information section:
- Updated the following:
- SPAN Notice Flow Chart
- SPAN Form Decision Notice
- 4 ADL CA/PS Assessment Paper Tool
- Full CA/PS Assessment Paper Tool
- Examples of Good Comments in CA/PS
- Added the following:
- APD-IM-19-042 – Updates and enhancements to form 2780 SPAN
- APD-IM-19-041 – Changes/Additions to Client Index Verification Codes – night of June 28th
- APD-IM-19-034 – Updates to the SPAN Flow Chart
- APD-AR-19-026 – Action Needed to Update Authorized Representative and Alternate Payee Designation Forms
- APD-AR-19-022 – Medicare ID Numbers Must be Updated in Oregon ACCESS
|
Oregon ACCESS & CA/PS Information |
|
| |
Oregon Project Independence: No updates this quarter |
Oregon Project Independence |
Chap. 411, Div. 032 |
| |
Program of All-Inclusive Care for the Elderly (PACE) section:
- Updated the following:
- PACE Training for Enrollment & Coding
- Added the following:
- ElderPlace PACE Referral Form
- APD-IM-19-038 – Refunds to PACE Participants
|
PACE |
Chap. 411, Div. 045 |
| |
Provider Time Capture (PTC) Information page: No updates this quarter |
Provider Time Capture (PTC) Information |
|
| |
Resources section on the CM Tools page: No updates this quarter |
|
|
| |
Service Planning page: No updates this quarter |
Service Planning |
|
| |
Service Priority Level Information page:
- Added the following:
- APD-IM-19-042 – Updates and enhancements to form 2780 SPAN
- APD-IM-19-034 – Updates to the SPAN Flow Chart
|
Service Priority Level Information |
Chapter 411, Division 015 |
| |
Specialized Services/Specific Needs Contracts page:
- Updated the following:
- Contact List for Specific Needs Contracts
- Added the following:
- APD-AR-19-027 – New Assisted Living Facilities, Memory Care Facilities, Adult Foster Home Specific Needs Contract
- APD-AR-19-025 – Changes in Names, Changes in Ownership, New Specific Needs Provider CBC Facilities
- APD-IM-19-029 – Specific Needs Contract Vacancy Report Changes
- APD-AR-19-023 – Changes in Names, Changes in Ownership CBC Facilities and In-Home Care Agencies
|
Specialized Services/Specific Needs Contracts |
|
| |
Spousal Pay page: No updates this quarter |
Spousal Pay |
411-030-0080 |
| |
State Plan Personal Care page: No updates this quarter |
State Plan Personal Care |
Chap. 411, Div. 034 |
| |
Tribal Navigator page:
- Added the following:
- Blank Invoice Templates for:
- Coquille Indian Tribe
- Cow Creek Band of Umpqua Indians
- The Confederated Tribes of the Coos, Lower Umpqua, and Siuslaw Indians (CTCLUSI)
- Native American Rehabilitation Association of the Northwest, Inc. (NARA)
- The Confederated Tribes of the Umatilla Reservation (CTUIR)
- The Confederated Tribes of Warm Springs
- Tribal Navigator FAQs
- APD Tribal Navigator Overview
|
Tribal Navigator |
|
| |
Waivered Case Management section:
- Updated the following:
- Ongoing Monthly/Yearly WCM Statistics by Branch
- Added the following:
- APD-AR-19-019 – Risk Assessment Survey
|
Waivered Case Management |
Chapter 411, Division 028 |
