Manual/Worker Guide

Change

Section/Item

Rule Change

(available 1-1-2021 unless otherwise indicated)

Pickle multiplier updated due to annual COLA

461-135-0780

461-155-0250

See SS-PT-20-030 for more information on changes to SNAP.

REF(M)

See SS-PT-20-030 for more information on changes to REF(M).

• Updated the following:
  • 2021 Part D Stand-Alone Plan list
  • Medicare Advantage Plan Prescription Drug Plan List
  • CCO and Affiliated Medicare Advantage Plan List

Adult Day Services page:

• No updates this quarter

APD Client Pay-In page:

• No updates this quarter

APD Training page:

• Updated the following:
  • APD LTC Systems List of Online Trainings
  • APD CM Onboarding Workflow Training Document - for CMs

Assessment Tools page:

• No updates this quarter

Behavior Support Services Page:

• No updates this quarter

Client Details, Treatment, Forms & Miscellaneous LTC Info page:

• Updated the following:
  • APD Long Term Care Services Form Requirements
• Added the following:
• Assessing Strengths, Preferences, and Goals

Complex Case Consultations page:

• No updates this quarter

Diversion/Transition page:

• Added the following:
• Transmittals -
  • APD-AR-20-107: Best Practices for Hospitals & LTC Facilities for COVID-19 Flow chart for Local Office Staff

Emergency Response Systems page:

• No updates this quarter

Employed Persons with Disabilities (EPD) page:

• No updates this quarter

Enhanced Care page:

• Updated the following:
  • ECS Referral Form DHS 3082
  • Provider Agreement for ECOS Program Form DHS 3081
• Added the following:
• ECS Fact Sheet

Exceptions page:

• Added the following:
• Transmittals -
  • APD-PT-20-112: HCW Attendant Care During Individual Hospital Stay

Payment Limitations for In-Home and Community-Based Services Rules - Chapter 411, Division 027

In-Home Services Rules - Chapter 411, Division 030

Extended Waiver Eligibility (EWE) page:

• No updates this quarter

OAR 411-015-0030

Facilities page:

• Added the following:
• Best Practices for Hospitals & LTC Facilities for COVID-19 Related New/Readmissions & Discontinuing Transmission-Based Precautions Form 3464
• Transfor of Hospital Patients to LTC Facilities for COVID-19 Related New/Readmissions Flow Chart
• Transmittals -
  • APD-AR-20-109: Change in Ownership/Change in Name Memory Care Facility
  • APD-PT-20-118:Community Based, PACE & Nursing Facility Rates
  • APD-IM-20-138: APD Adult Foster Home Online Payment Website is Available
  • APD-PT-20-117:Surge Facility (COVID Recovery Units)
  • APD-IM-20-133: COVID-19 Testing for Home Health and Hospice Staff Visiting LTC Facilities
  • APD-AR-20-107: Best Practices for Hospitals & LTC Facilities for COVID-19 Flow Chart for Local Office Staff
  • APD-AR-20-106: New Memory Care Facility, New Residential Care Facility, Change in Ownership Memory Care and Residential Care Facility, New In Home Care Agency
  • APD-AR-20-101: Keys Amendment - Annual Public Notification of Standards for Residential Facilities
  • APD-AR-20-097: Change in Ownership/Change in Name Memory Care Facility
  • APD-AR-20-094: New Residential Care Facility
  • APD-AR-20-093: AFH Standard Ventilator Rate Requests
  • APD-AR-20-089: Change in Ownership Memory Care Facility

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

Hearings page:

• No updates this quarter

Chapter 137, Division 003

Home and Community Based Services (HCBS) page:

• Added the following:
• Transmittals -
  • APD-IM-20-134: 1915(i) HCBS Mental Health Consumers and ONE

Home Delivered Meals (HDM) page:

• Updated the following:
  • HDM Standards and Responsibilities
• Added the following:
  • Transmittals -
    • APD-IM-20-110: Medicaid Home Delivered Meals Standards and Responsibilities Update

Home Delivered Meals - Chapter 411, Division 040

Payment for Home Delivered Meals - OAR 411-027-0020(7)

Homecare Worker page:

• Updated the following:
  • APD/AAA/OPI Email Addresses for Voucher Submission
• Added the following:
• HCW Payroll Calendar for 11/2020 - 12/2022 List Format
• Transmittals -
  • APD-IM-20-131: New Worker Training Series for Homecare and Personal Support Workers Now Available Statewide
  • APD-PT-20-112: HCW Attendant Care During Individual Hospital Stay
  • APD-IM-20-120: Mandatory Training: Mass Mailing to Consumers, Common-Law Employers, Homecare Workers, Personal Support Workers, and Personal Care Attendants
  • APD-AR-20-096: CEP Vouchers Needinga New Authorization Relatingto the Wave One Conversion

Chap. 411, Div. 031

Independent Choices page:

• Updated the following:
  • ICP Forms Processing Chart
  • ICP Employee Provider(s) Information Form APD 0548
• Added the following:
• Acumen forms/information -
  • ICP Employer EVV Only 'Good to Go Notification'
  • ICP Employer EVV only 'Welcome Letter'
  • ICP Employer 'Home to Approve/Review Time in the Web Portal'
  • ICP Employer EVV Email Template
  • ICP Employee Provider EVV Only 'Good to Go Notification'
  • ICP Employee Provider 'Time Entry Instructions'
  • ICP Employee Provider EVV Only 'time Entry Report Schedule for 7/2020-6/2020'
• Transmittals -
  • APD-IM-20-136: ICP Participants and Providers Online EVV Trainings Offered by Acumen
  • APD-IM-20-132: Checks not mailed for Medical Related Payments and Daycare
  • APD-IM-20-131: New Worker Training Series for Homecare and Personal Support Workers Now Available Statewide
  • APD-IM-20-124: URGENT - Changes to Independent Choices and Special Needs Payments when Cases Converted to ONE at Wave 1

In-Home Care Agencies page:

• Added the following:
• Transmittals -
  • APD-AR-20-106: New Memory Care Facility, New Residential Care Facility, Change in Ownership Memory Care and Residential Care Facility, New In Home Care Agency
  • APD-AR-20-100: Change in Ownership/Change in Name Memory Care Facility/IHCA

Chap. 411, Div. 033

In-Home Support Services page:

• No updates this quarter

Chap. 411, Div. 030

K-Plan Services page:

• Updated the following:
  • Assistive Technology Acceptance of Delivery
  • Consumer/Landlord/Owner Environmental Modification Consent
  • K-Plan Ancillary Services Provider List

Long Term Care Community Nursing page:

• No updates this quarter

Long Term Care Rates page:

• Added the following:
• Transmittals -
  • APD-PT-20-118: Community Based, PACE & Nursing Facility Rates
  • APD-AR-20-093: AFH Standard Ventilator Rate Requests

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

Mandatory Case Manager In-Service Webinars page:

• Added the following:
• Home & Community-Based Services Waiver (1915c) Assurances & Performance Measures (Training material / Q & A)
• Self-Preservation, Part 1
• Tranmittals -
  • APD-IM-20-118: Mandatory Webinar for case managers, D/T coordinators,managers that supervise case managers & D/T coordinators-Thursday 11/12/20

Mental or Emotional Disorder Review Team (MED) page:

• No updates this quarter

MMIS Desk Manuals page:

• No updates this quarter

Nursing Facilities & PAS page:

• No updates this quarter

Older Americans Act page:

• No updates this quarter

ONE System Information & Resources section on the CM Tools page:

• Added the following:
  • Troubleshooting Tools Page
  • Known Issues & Interim Business Processes
  • Quick Reference Guides (QRGs)
  • Medicaid Provider Payment Troubleshooting in ONE
  • Eligibility Transformation Operational Processes (ETOPs)

Oregon ACCESS & CA/PS Information page:

• Added the following:
• Transmittals -
  • APD-IM-20-144: End of Year Processing for Legacy Cases During COVID Adverse Action Suspension
  • APD-IM-20-140: Oregon ACCESS School House Training Environment Limited Functionality
  • APD-IM-20-124: URGENT - Changes to Independent Choices and Special Needs Payments when Cases Converted to ONE at Wave 1

Oregon Project Independence page:

• No updates this quarter

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

• Updated the following:
• Added the following:
• Standard Operating Procedures Between Providence ElderPlace & Case Management Entities
• Transmittals -
  • APD-PT-20-118: Community Based, PACE & Nursing Facility Rates

Provider Guides for Oregon ACCESS page:

• No updates this quarter

Provider Payment Adjustments page:

• No updates this quarter

Provider Time Capture (PTC) Information page:

• No updates this quarter

Resources section on the CM Tools page:

• No updates this quarter

Respite Stay page:

• No updates this quarter

411-066 Adult Day Services

411-086-0050 NF

Risk Assessment page:

• No updates this quarter

Service Planning page:

• No updates this quarter

Service Priority Level Information page:

• No updates this quarter

Service Priority Level Information

Specific Needs Contracts page:

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

Specialized Services/Specific Needs Contracts

Spousal Pay page:

• No updates this quarter

State Plan Personal Care page:

• No updates this quarter

Tribal Navigator page:

• Updated 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
  • The Confederated Tribe of the Siletz Blank Invoice Template
  • Tribal Navigator Client Tracker Template
  • Tribal Navigator Program Contact List

Waivered Case Management page:

• Updated the following:
  • Ongoing Monthly/Yearly WCM Statistics by Branch