Manual/Worker Guide

Change

Section/Item

Rule Change

(available 7-1-2021 unless otherwise indicated)

Moved all program manuals and worker guides except those listed below to OPEN. All future updates for item moved will be communicated in the OPEN updates transmittal and will not be included in this manual letter.

• General Assistance Program
• Citizen Alien Waived Emergent Medical
• COVID-19 Response Worker Guide
• Medical Assistance Programs Worker Guide
• Timely Notice Deadline
• Decision Notice Preparation Tips
• Life Estate and Remainder Interest Table
• Trust & Agency Accounts
• Americans with Disabilities Act
• Residents of State Hospitals and Training Centers

Added the following manuals and worker guides to Staff Tools:

• Legacy Worker Guide
• APD Non-Citizen Manual

See SS-PT-21-013 for more information on changes to SNAP and REF(M).

Adult Day Services page:

• Added the following:
• Transmittals -
  • APD-IM-21-044: Adult Day Services Reopening

APD Training page:

• Updated the following:
  • 2021 APD Financial Eligibility Training Calendar
• Added the following:
• Transmittals -
  • APD-AR-21-031: APD Central Office LTSS Policy and Training Units to Review Training Materials involving Case Manager Policy

Assessment Tools page:

• Updated the following:
  • Buckley Notice (Russian version)
• Added the following:
• Quality Assurance (QA) Review Tool
• Transmittals -
  • APD-AR-21-035: Case Management, Adult Protective Services, Central Office, and Licensing resumption of in-person activities

Behavior Support Services (BSS) page:

• No changes made this quarter

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

• Updated the following:
  • APD Long Term Care Services Form Requirements

Complex Case Consultations page:

• No changes made this quarter

Diversion/Transition page:

• Updated the following:
  • County to County Expectations Checklist

Emergency Response Systems (ERS) page:

• No changes made this quarter

Special Need OAR 461-155-0680

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

Employed Persons with Disabilities (EPD) page:

• No changes made this quarter

OSIP Program Manual - WG.11

Enhanced Care page:

• No changes made this quarter

Exceptions page:

• Updated the following:
  • SDS 514i In-Home Exceptions Request
  • In-Home Exceptions Checklist
  • Service Plan Hourly Cap Exceptions for Providers Serving an Individual
  • AFH Exceptions Checklist

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

OAR 411-015-0030

Facilities page:

• Added the following:
• Transmittals -
  • APD-AR-21-030: Change in Ownership/Change in Name Community Based Care Facilities
  • APD-AR-21-029: New Community Based Care Providers, Change in Ownership/Change in Name Community Based Care Facilities
  • APD-AR-21-026: Change in Ownership In Home Care Agency, New Community Based Care Facility
  • APD-AR-21-025: New Community Based Care Facilities
  • APD-AR-21-024: Changes in Ownership/Change in Name Community Based Care Facilities
  • APD-AR-21-018: New CBC Facility, Change in Ownership

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 changes made this quarter

Hearings Branch Information page:

• Updated the following:
  • Local Office Hearing Instructions
  • Decision Notice Powerpoint

Chapter 137, Division 003

Home and Community Based Services (HCBS) page:

• No changes made this quarter

Home Delivered Meals (HDM) page:

• No changes made this quarter

Home Delivered Meals - Chapter 411, Division 040

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

Homecare Worker page:

• Added the following:
• Transmittals -
  • APD-IM-21-039: Homecare Worker and Personal Care Attendant Direct Deposit Delay
  • APD-IM-21-032: Oregon Home Care Commission’s Registry Changes

Chap. 411, Div. 031

Independent Choices Program (ICP) page:

• Updated the following:
  • ICP Budget Worksheet - Print Version
  • ICP Budget Worksheet - Digital Version
  • ICP Budget Worksheet Instructions
  • Completed ICP Budget Worksheet - Example
• Added the following:
• Acumen OR ICP Payment (Payroll) Schedule for 07/2020 - 06/2021
• Transmittals -
  • APD-IM-21-053: ONE System Modifications (MRP Payments)
  • APD-IM-21-052: Employee Providers of ICP Participants

In-Home Care Agencies (IHCA) page:

• Added the following:
• Transmittals -
  • APD-AR-21-029: New Community Based Care Providers, Change in Ownership/Change in Name Community Based Care Facilities
  • APD-AR-21-027: Changes in Ownership In-Home Care Agencies
  • APD-AR-21-026: Change in Ownership In Home Care Agency, New Community Based Care Facility
  • APD-AR-21-020: Change in Name and Change Ownership and New Community Based Care Provider
  • APD-AR-21-019: In-Home Care Agency Medicaid Provider Relinquished License

Chap. 411, Div. 033

In-Home Support Services page:

• Updated the following:
  • ERC Consumer Checklist
  • ERC Referral Form
  • ERC Information
• Added the following:
• Transmittals -
  • APD-AR-21-033: Change in rate and rate structure for consumers receiving in-home services provided by Quad Inc.

Chap. 411, Div. 030

K-Plan Services page:

• Updated the following:
  • Request for K-Plan Ancillary Services
  • K-Plan Ancillary Services Provider List
  • K-Plan Ancillary Services Process Flow
  • K-Plan Ancillary Services FAQs
• Added the following:
• Durable Medical Equipment (DME) Resource Guide

Long Term Care Community Nursing (LTCCN) page (For Case Managers):

• Added the following:
• Rate Schedule

Long Term Care Rates page:

• Added the following:
• Transmittals -
  • APD-AR-21-033: Change in rate and rate structure for consumers receiving in-home services provided by Quad Inc.
  • APD-PT-21-019: Community Based & Nursing Facility Rates

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

Mandatory Case Manager In-Service Webinars page:

• No changes made this quarter

Mental or Emotional Disorder Review Team (MED) page:

• No changes made this quarter

MMIS Desk Manuals page:

• No changes made this quarter

Nursing Facilities & PAS page:

• No changes made this quarter

Older Americans Act (OAA) page:

• Added the following:
• Supportive Services for Older Adults
• Nutrition Services
• Disease Prevention and Health Promotion Services
• National Family Caregiver Support Program
• Prevention of Elder Abuse, Neglect, and Exploitation
• Working with Tribal Communities: Title III and Title VI Coordination
• AAA Service Delivery Models

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

• Added the following:
• APD LTC and ONE Series Review and Wrap Up Training/Demo (as well as the Power Point material)
• APD LTC and ONE Medical Related Payments (MRP) Training (as well as the Power Point material)
• APD LTC and ONE Forms, Notices, and Reports Training (as well as the Power Point material)
• APD LTC and ONE Medical Deductions and Liability Training (as well as the Power Point material)
• APD LTC and ONE DQ's, RA's, and ICT's Training (as well as the Power Point material)
• APD LTC and ONE Payment Systems Training (as well as the Power Point material)
• APD LTC and ONE Service Eligibility Training (as well as the Power Point material)
• APD LTC and ONE Overview Training (as well as the Power Point matieral)

Oregon ACCESS & CA/PS Information page:

• Added the following:
• Transmittals -
  • APD-IM-21-042: Oregon ACCESS Release 25.50 - Friday, May 21, 2021
  • APD-AR-21-023: New PACE Benefit Types in Oregon ACCESS and Liability Calculations

Oregon Project Independence (OPI) page:

• Added the following:
• Community Services and Supports Contacts

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

• Updated the following:
  • Module 1- Introduction to PACE
  • Module 2 - ElderPlace
  • Module 3 - AllCare
  • Module 4 - Local Office Responsibility
  • Module 5 - Enrollment and Disenrollment
  • Module 6 - Deeming, EWE, Grievances, Appeals, and Hearings
• Added the following:
• Transmittals -
  • APD-IM-21-041: PACE Email Box
  • APD-AR-21-023: New PACE Benefit Types in Oregon ACCESS and Liability Calculations

Provider Guides for Oregon ACCESS page:

• No changes made this quarter

Provider Payment Adjustments and Troubleshooting page:

• Updated the following:
  • SDS 0287A CEP and In-Home Service Adjustment Request Underpayment Form
  • SDS 0287B CEP Overpayment Request Form
  • SDS 0287C SPD CBC Adjustment Request Underpayment Form
  • SDS 0287D SPD CBC Adjustment Request Overpayment Form
• Added the following:
• 512 Payment Troubleshooting
• CEP Payment Troubleshooting

Provider Time Capture (PTC) Information page:

• Added the following:
• Transmittals -
  • APD-IM-21-054: Provider Time Capture (PTC) - Go-Live Staff Webinars
  • APD-AR-21-028: Provider Time Capture (PTC) Project Training and Implementation Tasks
  • APD-IM-21-046: Provider Time Capture (PTC) - Communication
  • APD-AR-21-022: Provider Time Capture (PTC) Project Training and Implementation Tasks for Homecare Workers
  • APD-AR-21-021: Provider Time Capture (PTC) Project Training and Implementation Tasks for Consumers and Consumer Employer Reps
  • APD-IM-21-036: Provider Time Capture (PTC) - Awareness Flyer

Resources section on the CM Tools page:

• No changes made this quarter

Respite Stay page:

• No changes made this quarter

411-066 Adult Day Services

411-086-0050 NF

Risk Assessment page:

• Updated the following:
  • Risk-Focused Templates

Service Planning page:

• Added the following:
  • Transmittals -
    • APD-PT-21-020: Update to Use of Modified Service Plan for Individuals Receiving LTSS

Service Priority Level Information page:

• No changes made this quarter

Service Priority Level Information

Specific Needs Contracts page:

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

Specialized Services/Specific Needs Contracts

Specialized Living Program page:

• Updated the following:
  • Quad Inc. Statement of Work
  • CM - Quad Inc. Quick Reference Guide
• Added the following:
  • Transmittals -
    • APD-AR-21-033: Change in rate and rate structure for consumers receiving in-home services provided by Quad Inc.

Specialized Living Contracts OAR Chap. 411, Div. 065

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

Spousal Pay (SP) page:

• Updated the following:
  • Eligibility, Authorization, and Payments
• Added the following:
• Spousal Pay Program Eligibility Determination Tool 

State Plan Personal Care (SPPC) page:

• No changes made this quarter

Tribal Navigator page:

• No changes made this quarter

Waivered Case Management (WCM) page:

• No changes made this quarter