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APD Manual Letters

Manual Letter #86

Effective Date: January 1, 2020
Reference: SS-PT-19-019, SS-PT-19-021

Manual changes are summarized below. Click on the related links to view the changes, which will be indicated with red 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 references for Self-Sufficiency policy updates.

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

Manual Letter Index

Manual/Worker Guide

Change

Section/Item

Rule Change

(available 10-1-2019 unless otherwise indicated)

OSIP(M) Clarified and corrected information in the Authorized Respresentatives section as found in APD-IM-19-083 OSIP B.6  
  Manual and Worker Guide were updated to allow Special Needs Payments to be issuead for Room & Board separately from PIF in one allowable situation. OSIP H.13 and WG.12 461-155-0700
 

Pickle multiplier updated due to 2020 COLA

OSIP WG 9

461-135-0780

  Income Standards and NF PIF amounts updated OSIP E.2, E.4, WG 1, Rate Schedule 461-155-0250
  Inflated EPD Participant Fee countable income amounts and clarifications for individuals eligible for EPD and services were added to the EPD worker guide OSIP WG 11  
  Room and Board standard updated OSIP E.2., E.4, Rate Schedule 461-155-0270
  Special Needs WG - Payments for PIF and Room and Board updated OSIP WG 12 461-155-0270
  Community spouse resource allowance updated OSIP E.8, OSIPM WG 2 461-160-0580
  Maximum community spouse income allowance updated OSIP E.4, OSIPM WG 1, OSIPM WG 6 461-160-0620
  Allocating and Deeming Worker Guide updated due to 2020 COLA OSIP WG 8 461-155-0250
MSP Clarified and corrected information in the Authorized Respresentatives section as found in APD-IM-19-083 MSP B.6  
Counting Client Assets Home equity exclusion limit was updated. CCA B.34 461-145-0220
APD Worker Guide OSIPM income standards updated APD E.5

461-155-0250

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

See SS-PT-19-019 and SS-PT-19-021 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-19-019 and SS-PT-19-021 for more information on changes to REF(M).

 

 

Miscellaneous LIS Reference Sheet, LIS amounts and RX co-payments were updated in the MMA manual MMA.B  
 
  • Updated the following:
    • 2020 Part D Stand-Alone Plan list
    • Medicare Advantage Plan Prescription Drug Plan List
    • CCO and Affiliated Medicare Advantage Plan List
MMA.C  
 

2020 APD Financial Eligibility Training Calendar will be added when available

2020 APD SNAP Training Calendar will be added when available

APD Training  
MMIS No updates this quarter    
Generic Program Elements No updates this quarter    
Case Management Tools

Adult Day Services Section:

  • Updated the following:
    • Adult Day Services – Certification and Registration List
  • Added the following:
    • APD-AR-19-051 – New In-Home Care Agency, Change in Ownership Memory Care
Adult Day Services Chapter 411, Division 066
 

APD Training section:

  • Updated the following:
    • 2020 APD LTSS Case Management Training Calendar
  • Added the following:
    • APD-IM-19-106 & APD-IM-19-101 – APD/AAA Case Manager 2020 1st Quarter Trainings iLearn
APD Training

 

 

Behavior Support Services Page:

  • Added the following:
    • APD-AR-19-045 – Name Change Assisted Living Facility and new Behavior Support Provider
Behavior Support Services Chapter 411, Division 046
 

Client Details, Treatment, Forms & Miscellaneous LTC Info section

  • Updated the following:
    • SPAN Notice Flow Chart
Client Details, Treatment, Forms & Miscellaneous LTC Info  
 

Diversion/Transition Section:

  • Added the following:
    • APD-PT-19-044 – Community-Based Care Transition Services
    • APD-IM-19-086 – New Case Management Contact for Transition Services
Diversion/Transition

 

 

Exceptions section:

  • Updated the following:
    • SDS 0514i In-Home Exceptions Request
    • 3-Day Task Log
    • In-Home Exceptions Checklist
  • Added the following:
    • APD-IM-19-097 – SDS 0514i In-Home Exceptions Request Form Updated and Translated
    • APD-PT-19-034 – APD Rate Schedule – LTCCN & RCF Hourly Exception
Exceptions  
 

Facilities section:

  • Added the following:
    • APD-PT-19-046 - Community Based, PACE & Nursing Facility Rates
    • APD-PT-19-044 - Community-Based Care Transition Services
    • APD-AR-19-049 - Keys Amendment - Annual Public Notification of Standards for Residential Facilities
    • APD-AR-19-047 - New In-Home Care Agency, Change in Ownership Memory Care
    • APD-AR-19-045 - Name Change Assisted Living Facility and new Behavior Support Provider
    • APD- PT-19-034 - APD Rate Schedule - LTCCN & RCF Hourly Exception
    • APD-AR-19-044 - New Assisted Living Facility
Facilities

RCF & ALF Rules - Chapter 411, Division 054

Memory Care Communities - Chapter 411, Division 057

Nursing Facilities Licensing - Chapter 411, Division 085

 

Homecare Worker section:

  • Updated the following:
    • HCW Payroll Calendar for 10/2019 thru 12/2021 List Format (one version for local office staff only and a separate version for HCWs)
    • HCW Payroll Calendar for 10/2019 thru 12/2021 Color Calendar Format (for HCWs)
    • CEP Specialist Training Manual
  • Added the following:
    • HCW Retention Rules
    • APD-PT-19-046 – Community Based, PACE & Nursing Facility Rates
    • APD-IM-19-092 – CEP manual has been updated and is posted on the HCW page
    • APD-IM-19-085 – HCW Payroll Calendar for 10/2019 - 12/2021
    • APD-IM-19-075 - Form 0356 has been removed
Homecare Worker

Chap. 411, Div. 031

 

Independent Choices section:

  • Updated the following:
    • Workers’ Benefit Fund Assessment Rate
    • ICP Participation Agreement
    • ICP Budget Worksheet (print and digital versions)
  • Added the following:
    • Acumen FAQs
    • APD-AR-19-056 - Independent Choices Program (ICP) Benefit Calculation Form Updated Due to Wage Increase and Wage Increase and WBF Rate Change for 2020
Independent Choices 411-030-0100
 

In-Home Care Agencies section:

  • Updated the following:
    • In-Home Care Agencies
  • Added the following:
    • APD-AR-19-051 – New In-Home Care Agency, Change in Ownership Memory Care
    • APD-AR-19-047 - New In-Home Care Agency, Change in Ownership Memory Care
In-Home Care Agencies

Chap. 411, Div. 033

 

In-Home Support Services section:

  • Added the following:
    • APD-PT-19-044 - Community-Based Care Transition Services
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-PT-19-034 – APD Rate Schedule – LTCCN & RCF Hourly Exception
Long Term Care Community Nursing Chapter 411, Division 048
 

Long Term Care Rates section:

  • Updated the following:
  • Added the following:
    • APD-PT-19-046 – Community Based, PACE & Nursing Facility Rates
    • APD-PT-19-034 - APD Rate Schedule - LTCCN & RCF Hourly Exception
Long Term Care Rates

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

 

Mandatory Case Manager In-Service Webinars page

  • Added the following:
    • APD Consumer Representative Roles Training Resource Guide (training material / Q & A / Audio recording)
    • APD-AR-19-057 – APD Mandatory Quarterly Webinars 2020 Schedule
    • APD-IM-19-106 – APD/AAA Case Manager 2020 1st Quarter Trainings: iLearn
    • APD-IM-19-093 - Mandatory Webinar for case managers, D/T coordinators, and managers that supervise case managers and D/T coordinators - Wednesday 11/20/19
Mandatory Case Manager In-Service Webinars  
 

Mental or Emotional Disorder Review Team (MED) page:

  • Added the following:
    • DHS – APD – MED (Mental Emotional Disorders) Review Team 2019 Updates Online Training
    • APD-IM-19-078 - Mental or Emotional Disorder (MED) review process for APD training module now available on iLearn
Mental or Emotional Disorder Review Team (MED) Chap. 411, Div. 015
 

Nursing Facilities & PAS section:

  • Added the following:
    • PASRR FAQs
    • APD-PT-19-046 - Community Bases, PACE & Nursing Facility Rates
Nursing Facilities & PAS  
 

Oregon ACCESS & CA/PS Information section:

  • Updated the following:
    • SPAN Notice Flow Chart
    • Oregon ACCESS Override Functions, Processes and Tiered Security Information
  • Added the following:
    • APD-IM-19-104 – Statewide Release of Information (form 3010) available in Oregon Access
    • APD-IM-19-100 – APD End of Year (2019) Processing Schedule and Updates
    • APD-IM-19-094 – Resolved: Issues with Oregon ACCESS Release 25.05
    • APD-IM-19-088 – Oregon ACCESS Release 25.05 - Friday, November 15, 2019
    • APD-IM-19-083 –  Additional APD-Specific Information about Authorized Representative and Alternate Payees
    • APD-IM-19-074 – CA/PS Re-assessments and Service Plan Updates While Pending for Financial Verification
    • APD-IM-19-073 - New CAM Indicator in Oregon ACCESS
Oregon ACCESS & CA/PS Information  
 

Program of All-Inclusive Care for the Elderly (PACE) section:

  • Added the following:
    • APD-PT-19-046 – Community Based, PACE & Nursing Facility Rates
    • APD-PT-19-038 - PACE In-home liability calculation
PACE Chap. 411, Div. 045
 

Provider Time Capture (PTC) Information page:

  • Added the following:
    • APD-IM-19-085 - HCW Payroll Calendar for 10/2019 - 12/2021
Provider Time Capture (PTC) Information  
 

Service Planning page:

  • Added the following:
    • APD-AR-19-074 - CA/PS Re-assessments and Service Plan Updates While Pending for Financial Verification
Service Planning  
 

Specialized Services/Specific Needs Contracts page:

  • Updated the following:
    • Contact List for Specific Needs Contracts

Specialized Services/Specific Needs Contracts

 
 

Tribal Navigator page:

  • Added the following:
    • Coquille Indian Tribe Blank Invoice Template
    • Cow Creek Band of Umpqua Indians Blank Invoice Template
    • The Confederated Tribes of the Coos, Lower Umpqua, and Siuslaw Indians (CTCLUSI) Blank Invoice Template
    • Native American Rehabilitation Association of the Northwest, Inc. (NARA) Blank Invoice Template
    • The Confederated Tribes of the Umatilla Indian Reservation (CTUIR) Blank Invoice Template
    • The Confederated Tribes of Warm Springs Blank Invoice Template
    • APD Tribal Navigator Client Tracker Template
    • Tribal Navigator Program Contact List
    • 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-IM-19-086 - New Case Management Contact for Transition Services
Waivered Case Management Chapter 411, Division 028


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