Manual/Worker Guide

Change

Section/Item

Rule Change

(available 10-1-2021 unless otherwise indicated)

Adult Day Services page:

• Added the following:
  • Transmittals -
    • APD-AR-21-036: Adult Day Services (ADS) Service Authorization Update

APD Training page:

• Added the following:
• Transmittals -
  • APD-AR-21-041: Required Case Manager Training Risk Assessments

Assessment Tools page:

• No updates made this quarter

Behavior Support Services (BSS) page:

• Updated the following:
  • Behavior Support Services Local Office Guide
  • Behavior Support Services Contacts
• Added the following:
• Transmittals -
  • APD-AR-21-043: Change in Ownership, Change in Name and New Behavior Support Provider

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

• No updates made this quarter

Complex Case Consultations page:

• No updates made this quarter

Diversion/Transition page:

• No updates made this quarter

Emergency Response Systems (ERS) page:

• No updates 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 updates made this quarter

OSIP Program Manual - WG.11

Enhanced Care page:

• No updates made this quarter

Exceptions page:

• No updates made this quarter

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:

• Updated the following:
  • Task List Form SDS 598N
  • Mandatory EWE Webinar Q & A
  • EWE Training Material

OAR 411-015-0030

Facilities page:

• Added the following:
• Transmittals -
  • APD-IM-21-094: CBC and NF Survey Information
  • APD-AR-21-055: New Complex Behavior-Specific Needs Provider
  • APD-AR-21-053: Change in Ownership
  • APD-AR-21-050: New APD Provider Enrollment Procedure for APD Consumers Served in ODDS or HSD Adult Foster Homes
  • APD-AR-21-043: Change in Ownership, Change in Name and new Behavior Support Provider

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

Hearings page:

• No updates made this quarter

Chapter 137, Division 003

Home and Community Based Services (HCBS) page:

• No updates made this quarter

Home Delivered Meals (HDM) page:

• No updates made this quarter

Home Delivered Meals - Chapter 411, Division 040

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

Homecare Worker page:

• Updated the following:
  • CEP Specialist Training Manual
• Added the following:
• Transmittals -
  • APD-IM-21-089: Pay Processing Update for the CEP System
  • APD-IM-21-083: Podcast Announcement – Required Trainings for Homecare Workers, Personal Support Workers, and Personal Care Attendants
  • APD-PT-21-027: Mandatory Training for Homecare Workers, Personal Support Workers, and Personal Care Attendants
  • APD-IM-21-075: New Vaccination/Testing Requirement not Applicable to HCWs
  • APD-AR-21-039: EDMS Update: Scanning HCW and ICP-PSW documents to EDMS

Chap. 411, Div. 031

Hospital Decompression page: (NEW)

• Added the following:
  • Hospital Discharge Decompression Services Overview
  • Non-Medicaid ADL Assessment and Rate Setting
  • Hospital Decompression Consent Form
  • Hospital Discharge Decompression Invoice
  • Hospital Decompression Discharge Services Training Video
  • Transmittals -
    • APD-IM-21-092: Hospital Decompression Assistance- Contractor Support
    • APD-PT-21-028: Programs and Policy Changes to Support Hospital Decompression

Independent Choices Program (ICP) page:

• Updated the following:
  • Acumen OR ICP Payment Payroll & Time Entry Schedule for 07/2021 - 06/2022
  • ICP Employee Provider EVV Only 'Time Entry Report Schedule' for 07/2021 - 06/2022
• Added the following:
• ICP Background Check Cover Page
• Acumen Training Material Link
• ICP EVV Only Reason Codes and Verification Letter
• ICP Payroll and EVV Reason Codes and Verification Letter
• Transmittals -
  • APD-IM-21-070: Independent Choices Program (ICP) Training: Module Series Release
  • APD-AR-21-042: ONE and ICP
  • APD-AR-21-039: EDMS Update: Scanning HCW and ICP-PSW documents to EDMS
  • SS-PT-21-011: Oregon Minimum Wage Increase for 2021 Update

In-Home Care Agencies (IHCA) page:

• Updated the following:
• In-Home Care Agencies list
• Added the following:
• Transmittals -
  • APD-AR-21-049: New In-Home Care Agency
  • APD-AR-21-040: Change in Ownership and new In Home Care Agency

Chap. 411, Div. 033

In-Home Support Services page:

• Updated the following:
  • In-Home Support Services Overview

Chap. 411, Div. 030

K-Plan Ancillary Services page:

• Updated the following:
  • K-Plan Ancillary Services Provider List

Long Term Care Community Nursing (LTCCN) page:

• No updates made this quarter

Long Term Care Rates page:

• No updates made this quarter

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

Mandatory Case Manager In-Service Webinars page:

• No updates made this quarter

Mental or Emotional Disorder Review Team (MED) page:

• Updated the following:
  • 3010 Authorization for Disclosure, Sharing and Use of Individual Information Form: Pre-filled with Maximus Address for MED Referral
• Added the following:
• Transmittals -
  • APD-AR-21-037: Steps to refer individuals to behavioral health services

MMIS Desk Manuals page:

• No updates made this quarter

Nursing Facilities & PAS page:

• No updates made this quarter

Older Americans Act (OAA) page:

• No updates made this quarter

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

• Added the following:
• Service Categories and Types of Assistance (ToAs) QRG
• Medical Denials and Terminations with LTSS QRG

Oregon ACCESS & CA/PS Information page:

• Added the following:
• Transmittals -
  • APD-AR-21-056: Statewide LTSS/SPPC Transfer Process

Oregon Project Independence (OPI) page:

• No updates made this quarter

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

• Updated the following:
  • PACE In-Home Pay-in Letter
  • PACE NF Payment Letter
  • PACE CBC Payment Letter
  • Module 8 - Case Set up in Oregon ACCESS & ONE

Provider Guides for Oregon ACCESS page:

• Updated the following:
• Added the following:

Provider Payment Adjustments page:

• No updates made this quarter

Provider Time Capture (PTC) Information page:

• Updated the following:
• Added the following:
• OR PTC DCI Staff Learning Materials Catalog
• PTC Priority Topics for Staff -
  • Week 1 - 09/15/21
  • Week 2 - 09/24/21
• Transmittals -
  • APD-IM-21-087: Provider Time Capture (PTC) - OR PTC DCI Fob Option and Details
  • APD-IM-21-082: Provider Time Capture (PTC) - Statewide Go-Live Support Guides, Critical Go-Live Information and Helpful Resources
  • APD-AR-21-044: Provider Time Capture (PTC) - Statewide In-Home Services ONGO Data Clean Up Request
  • APD-IM-21-074: Provider Time Capture (PTC) - Statewide Go-Live Announcement Mailer
  • APD-IM-21-071: Provider Time Capture (PTC) - Statewide Go-Live Announcement
  • APD-PT-21-025: OR PTC DCI Policies and Procedures
  • APD-PT-21-024: PTC EVV Non-Compliance, Violations, Corrective Actions
  • APD-AR-21-038: OR Provider Time Capture Direct Care Innovations (PTC DCI) in-home consumers time tracking options

Resources section on the CM Tools page:

• No updates made this quarter

Respite Stay page:

• No updates made this quarter

411-066 Adult Day Services

411-086-0050 NF

Risk Assessment page:

• Updated the following:
  • Procedures for Risk Assessments, Monitoring, and Documentation
• Added the following:
• Risk Assessment Comment Box Guide
• Risk Level Definitions - Quick Reference Chart
• Transmittals -
  • APD-AR-21-041: Required Case Manager Training: Risk Assessments

Service Planning page:

• No updates made this quarter

Service Priority Level Information page:

• No updates made this quarter

Service Priority Level Information

Specific Needs Contracts page:

• Updated the following:
  • Contact List for Specific Needs Contracts
• Added the following:
• Transmittals -
  • APD-AR-21-055: New Complex Behavior-Specific Needs Provider

Specialized Services/Specific Needs Contracts

Specialized Living Program page:

• Updated the following:
  • Home Forward Statement of Work

Specialized Living Contracts OAR Chap. 411, Div. 065

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

Spousal Pay (SP) page:

• Updated the following:
  • Spousal Pay Program Eligibility Determination Tool

State Plan Personal Care (SPPC) page:

• No updates made this quarter

Tribal Navigator page:

• Added the following:
• Tribal Navigator Program Flyer

Waivered Case Management (WCM) page:

• Updated the following:
  • WCM Best Practice Tips for Success
  • WCM Case Manager Statistics Tracking Spreadsheet
  • Ongoing Monthly/Yearly WCM Statistics by Branch
  • WCM Definitions and Examples