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APD Manual Letters

Manual Letter #91

Effective Date: April 1, 2021
Reference: SS-PT-21-006

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 Oregon Programs Eligibility Notebook.

Manual Letter Index

Manual/Worker Guide

Change

Section/Item

Rule Change

(available 4-1-2021 unless otherwise indicated)

OSIP(M) Updated income standards and participant fee categories based on Federal Poverty Level changes OSIPM E.2, WG-6, & WG-11  
MSP Updated income standards based on Federal Poverty Level changes MSP E.2 461-155-0290, 461-155-0291, 461-155-0295
Counting Client Assets No updates this quarter    
APD Worker Guide Updated income standards based on Federal Poverty Level changes APD WG E.5 & D.10  
SNAP

See SS-PT-21-006 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-21-006 for more information on changes to REF(M).

 

 

Miscellaneous Updated income standards based on Federal Poverty Level changes MMA.B  
  Updated APD COVID-19 Response Worker Guide with ONE information and adverse action changes.

COVID-19 WG

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

Adult Day Services page:

  • Updated the following:
    • Adult Day Services - Certification and Registration List
Adult Day Services Chapter 411, Division 066
 

APD Training page:

  • Updated the following:
    • APD Case Manager Training Checklist-for CMs
    • APD Case Manager Onboarding Workflow Training Document-for CMs
    • APD Case Manager Trial Service Review Tool-for CM Supervisors/Managers
APD Training

 

 

Assessment Tools page:

  • No changes made this quarter
Assessment Tools

 

 

Behavior Support Services (BSS) page:

  • Updated the following:
    • Behavior Support Services Local Office Guide
    • Behavior Support Services Contacts
  • Added the following:
    • Transmittals -
      • APD-AR-21-014: Behavior Support Services Billing in MMIS
      • APD-AR-21-012: Authorization for Behavior Support Services to Utilize Vioance Remote Interpreting Services
Behavior Support Services Chapter 411, Division 046
 

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

  • Updated the following:
    • Task List Form SDS 0598
    • APD Long Term Care Services Form Requirements
Client Details, Treatment, Forms & Miscellaneous LTC Info  
 

Complex Case Consultations page:

  • No changes made this quarter
Complex Case Consultations  
 

Diversion/Transition page:

  • No changes made this quarter
Diversion/Transition

 

 

Emergency Response Systems (ERS) page:

  • No changes made this quarter
Emergency Response Systems

Special Need OAR 461-155-0680

K-State Plan Ancillary Services OAR 411-035-0025

 

Employed Persons with Disabilities (EPD) page:

  • Added the following:
    • Transmittals -
      • APD-PT-21-006: Adjusted Income Standard and Participant Fee for the Employed Persons with Disabilities (EPD) Program effective March 1, 2021
Employed Persons with Disabilities

OSIP Program Manual - WG.11

 

Enhanced Care page:

  • No changes made this quarter
Enhanced Care Chapter 309, Division 019, Section 0155
 

Exceptions page:

  • No changes made this quarter
Exceptions

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 changes made this quarter
Extended Waiver Eligibility (EWE)

OAR 411-015-0030

 

Facilities page:

  • Added the following:
    • Transmittals -
      • APD-AR-21-013: Changes in Ownership/Change in Name Community Based Care Facilities, Change in ownership In Home Care Agency
      • APD-PT-21-011: APD AFH License Renewals post-COVID
      • APD-AR-21-007: Change in Ownership/Change in Name Community Based Care Facilities, New Community Based Care Facilities and New In Home Care Agency Provider
      • APD-AR-21-005: COVID-19 Vaccine Support and Follow-upfor AFH
      • APD-AR-21-004: Change in Ownership Residential Care Facility, Change in Ownership In Home Care Agencies, New InHome Care Agencies
      • APD-PT-21-004: Framework for APD Licensing Renewals and Monitoring
      • APD-PT-20-118: Community Based, PACE & Nursing Facility Rates (Updated #2)
      • APD-AR-21-003: Change in Ownership/Change in Name Memory Care Facility, New Adult Foster Home Specific Needs Contracts
Facilities

RCF & ALF Rules - Chapter 411, Division 054

Memory Care Communities - Chapter 411, Division 057

Nursing Facilities Licensing - Chapter 411, Division 085

 

General Assistance (GA) page:

  • No updates made this quarter
General Assistance Chapter 411, Division 031
 

Hearings page:

  • Updated the following:
    • Local Office Hearing Instructions
APD Hearings

Chapter 137, Division 003

Chapter 461, Division 025
 

Home and Community Based Services (HCBS) page:

  • Added the following:
    • Individually-Based Limitation Process Flowchart
    • No Need for Individually-Based Limitation
    • Contact for HCBS Questions
Home and Community Based Services Chapter 411, Division 004
 

Home Delivered Meals (HDM) page:

  • No updates made this quarter
Home Delivered Meals (HDM)

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:
    • Submitting Timesheets/Vouchers Via Secure Email
    • Transmittals -
      • APD-PT-21-002: VDQ Certification Requirement
      • APD-IM-21-025: OHCC Conditional Certifications
      • APD-IM-21-024: OregonSaves Benefit for Homecare Workers and Personal Care Attendants
      • APD-IM-21-022: Carewell SEIU 503 Refresher Training Pilot
      • APD-PT-21-010: HCW Transportation for Individuals to Access Vaccines
      • APD-AR-21-010: Homecare Workers Expiration Dates in 2021
      • APD-IM-21-019: Oregon Home Care Commission’s Registry Changes
      • APD-IM-21-018: Medical Grade Personal Protective Equipment (PPE) for Homecare Workers
      • APD-IM-21-004: Carewell SEIU 503 Refresher Training Pilot
      • APD-IM-21-003: COVID-19 Vaccine Informational Flyer Sent to Homecare Workers, Personal Care Attendants, and Individuals Who Receive Medicaid/Oregon Project Independence In-Home Services
Homecare Worker

Chap. 411, Div. 031

 

Independent Choices Program (ICP) page:

  • Updated the following:
    • Budget Worksheet (Digital and Print Version)
  • Added the following:
    • Six Month Budget Review Process
    • Budget Monitoring Review Letter
    • Six Month Budget Review Coming Due Letter
    • ICP FAQ Podcast 1.0 Recording
    • ICP FAQ Podcast 1.0 Script
    • Transmittals -
      • APD-PT-21-002: VDQ Certification Requirement
      • APD-IM-21-025: OHCC Conditional Certifications
      • APD-IM-21-024: OregonSaves Benefit for Homecare Workers and Personal Care Attendants
      • APD-IM-21-007: Weekly Update for CM Tools Website (ICP SUTA Rate Change) (01/11/21-01/22/21)
      • APD-IM-21-004: Carewell SEIU 503 Refresher Training Pilot
      • APD-IM-21-003: COVID-19 Vaccine Informational Flyer Sent to Homecare Workers, Personal Care Attendants, and Individuals Who Receive Medicaid/Oregon Project Independence In-Home Services
Independent Choices 411-030-0100
 

In-Home Care Agencies (IHCA) page:

  • Added the following:
    • Transmittals -
      • APD-AR-21-013: Changes in Ownership/Change in Name Community Based Care Facilities, Change in ownership In Home Care Agency
      • APD-AR-21-004: hange in Ownership Residential Care Facility, Change in Ownership In Home Care Agencies, New InHome Care Agencies
      • APD-PT-20-118: APD Provider Rate increases due to COVID-19 (Updated #2)
In-Home Care Agencies

Chap. 411, Div. 033

 

In-Home Support Services page:

  • Updated the following:
    • ERC Consumer Checklist
    • ERC Referral Form
  • Added the following:
    • Transmittals -
      • APD-PT-21-010: HCW Transportation for Individuals to Access Vaccines
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 (LTCCN) page:

  • No updates made this quarter
Long Term Care Community Nursing Chapter 411, Division 048
 

Long Term Care Rates page:

  • Added the following:
    • Transmittals -
      • APD-PT-20-118: Community Based, PACE & Nursing Facility Rates (Updated #2)
Long Term Care Rates

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

 

Mandatory Case Manager In-Service Webinars page:

  • No updates made this quarter
Mandatory Case Manager In-Service Webinars  
 

Mental or Emotional Disorder Review Team (MED) page:

  • No updates made this quarter
Mental or Emotional Disorder Review Team (MED) Chap. 411, Div. 015
 

MMIS Desk Manuals page:

  • No updates made this quarter
APD MMIS Resources  
 

Nursing Facilities & PAS page:

  • Added the following:
    • Transmittals -
      • APD-PT-20-118: APD Provider Rate increases due to COVID-19 (Updated #2)
Nursing Facilities & PAS  
 

Older Americans Act (OAA) page:

  • No updates made this quarter
Older Americans Act  
 

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

  • Added the following:
    • OregONEligibility Case Manager Toolkit
CM Tools Home Page  
 

Oregon ACCESS & CA/PS Information page:

  • Added the following:
    • Transmittals -
      • APD-AR-21-006: Removal of the APD 539 forms series
      • APD-PT-21-001: Reassessments and Actions Required for APD LTSS Cases
Oregon ACCESS & CA/PS Information  
 

Oregon Project Independence (OPI) page:

  • Added the following:
    • Transmittals -
      • APD-IM-21-003: COVID-19 Vaccine Informational Flyer Sent to Homecare Workers, Personal Care Attendants, and Individuals Who Receive Medicaid/Oregon Project Independence In-Home Services
Oregon Project Independence Chap. 411, Div. 032
 

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

  • Updated the following:
    • AllCare PACE Referral Form
    • AllCare PACE Program Agreement
  • Added the following:
    • ONE System Interim Business Process for PACE Liability Calculation
    • Transmittals -
      • APD-PT-20-118: Community Based, PACE & Nursing Facility Rates (Updated #2)
PACE Chap. 411, Div. 045
 

Provider Guides for Oregon ACCESS page:

  • Updated the following:
  • Added the following:
Provider Guides for Oregon ACCESS  
 

Provider Payment Adjustments page:

  • No updates made this quarter
Provider Payment Adjustments  
 

Provider Time Capture (PTC) Information page:

  • Added the following:
    • Transmittals -
      • APD-IM-21-013: Provider Time Capture (PTC) - Staff Webinars (March 2021)
Provider Time Capture (PTC) Information  
 

Resources section on the CM Tools page:

  • No updates done this quarter
CM Tools Home Page  
 

Respite Stay page:

  • No updates done this quarter
Respite Stay

411-066 Adult Day Services

411-086-0050 NF

411-050 AFH ADS
 

Risk Assessment page:

  • No updates done this quarter
Risk Assessment  
 

Service Planning page:

  • No updates done this quarter
Service Planning  
 

Service Priority Level Information page:

  • Added the following:
    • Transmittals -
      • APD-PT-21-001: Reassessments and Actions Required for APD LTSSCases

Service Priority Level Information

Chapter 411, Division 015
 

Specific Needs Contracts page:

  • Updated the following:
    • AFH Basic SOW
    • AFH Advanced SOW
    • AFH Bariatric SOW
    • AFH Complex SOW
    • AFH Advanced Ventilator SOW
  • Added the following:
    • Transmittals -
      • APD-AR-21-003: Change in Ownership/Change in Name Memory Care Facility, New Adult Foster Home Specific Needs Contracts

Specialized Services/Specific Needs Contracts

 
 

Specialized Living Program page:

  • Added the following:
    • Adeo SOW
    • Home Forward SOW
    • Kampfe Management Services SOW
    • MAIDS SOW for In-Home Services
    • MAIDS SOW for Hospice Contract
    • Quad Inc. SOW
    • Quad Inc. Quick Reference Guide
Specialized Living Program

Specialized Living Services Contracts OAR Chap. 411, Div. 065

In-Home Services OAR Chap. 411, Div. 030

 

Spousal Pay (SP) page:

  • No updates made this quarter
Spousal Pay 411-030-0080
 

State Plan Personal Care (SPPC) page:

  • No updates made this quarter
State Plan Personal Care Chap. 411, Div. 034
 

Tribal Navigator page:

  • Added the following:
    • Tribal Navigator Program Invoices and Tracking Recording
Tribal Navigator  
 

Waivered Case Management (WCM) page:

  • No updates made this quarter
Waivered Case Management Chapter 411, Division 028


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