Manual/Worker Guide

Change

Section/Item

Rule Change

(available 7-1-2022 unless otherwise indicated)

Updates to the Asset Verification System (AVS) page:

• Removed outdated training
• Added Top AVS Banks list

Adult Day Services page:

• No updates this quarter

APD Training page:

• Added the following:
• Transmittals -
  • APD-IM-22-055: APD/AAA Case Manager New Training Available: Workday Learning
  • APD-IM-22-031: Spring 2022 Collective Basic Training

Assessment Tools page:

• No updates this quarter

Behavior Support Services (BSS) page:

• Updated the following:
  • Behavior Support Services Contacts

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

• Updated the following:
  • APD LTSS Notice of Request for Information or Verification Needed form DHS 4234
  • SPAN Notice Flow Chart
  • APD Long Term Care Services Form Requirements
• Added the following:
• APD LTSS Notice of Request for Information or Verification Needed form DHS 4234
• Transmittals -
  • APD-IM-22-029: New APD LTSS Notice of Request for Information or Verification Needed Form

Complex Case Consultations page:

• No updates this quarter

Crisis Support Program page:

• Added the following:
  • Crisis Support Program Outline
  • Funding Sources for Supplementary Services, Transitions, and Crisis
  • Crisis Support Program Request Form
  • Consumer Job Satisfaction Form
  • Contractor Consent Form
  • Transmittals -
    • APD-PT-22-014: Crisis Support Program

Diversion/Transition page:

• No updates this quarter

Emergency Response Systems (ERS) page:

• No updates 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 this quarter

OSIP Program Manual - WG.11

Enhanced Care page:

• No updates this quarter

Exceptions page:

• Updated the following:
  • 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 updates this quarter

OAR 411-015-0030

Facilities page:

• Added the following:
• Transmittals -
  • APD-AR-22-032: Re-enrollment of Residential Care Facility and Change in Ownership Long Term Care Community Nursing Provider
  • APD-PT-22-019: APD AFH Licensing Complaints
  • APD-PT-22-018: Community Based & Nursing Facility Rates
  • APD-AR-22-030: APD AFH Sprinkler Status in ASPEN
  • APD-AR-22-028: Change in Ownership/Change in Name Residential Care Facility
  • APD-IM-22-051: Nursing Facility Change of Ownership and Name Change
  • APD-IM-22-048: Community Based Care Distressed Provider Relief Fund
  • APD-AR-22-026: Changes in ownership and name changes Assisted Living Facilities & Memory Care Facilities. New Assisted Living Facility. Change In Ownership In-Home Care Agency
  • APD-AR-22-025: New Memory Care Facility
  • APD-AR-22-023: Changes in Ownership Assisted Living and Residential Care Facilities
  • APD-PT-22-012: Review of Vaccine Documentation in APD AFH

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 this quarter

Healthier Oregon page:

• Added the following:
• Healthier Oregon Infographic
• Transmittals -
  • OEP-PT-22-012: Healthier Oregon Medical Benefits
  • APD-AR-22-029: Oregon Project Independence (OPI) - Citizenship Waived Medical (CWM) to Healthier Oregon conversion

Hearings page:

• Updated the following:
  • Local Office Hearing Instructions
• Added the following:
• OEP-IM-22-003 - Hearing Requests: Changes and Procedural Updates

Chapter 137, Division 003

Home and Community Based Services (HCBS) page:

• No updates this quarter

Home Delivered Meals (HDM) page:

• No updates 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
  • Medicaid Fraud Control Unit-FAQs
• Added the following:
• 2021-2023 HCW CBA
• Transmittals -
  • APD-IM-22-057: Required Refresher Training Deadline and Next Steps
  • APD-PT-22-016: Homecare Worker Terminations: Failure to Complete Core Training
  • APD-IM-22-036: Provider Time Capture Settlement Agreement
  • APD-IM-22-035: Required Refresher Training Due Date Extended to June 30, 2022

Chap. 411, Div. 031

Housing Navigators page:

• Added the following:
  • This is a new page and no rules or tools have yet to be added

Housing Support Services page:

• Added the following:
  • This is a new page and no rules or tools have yet to be added

Independent Choices Program (ICP) page:

• Updated the following:
  • FAQ-Workers' Compensation and Benefit Fund Assessment
  • ICP Provider and ICP Representative Background Check Application
  • ICP Budget Worksheet (Print and Digital Versions)
  • ICP Budget Worksheet Instructions
  • ICP Budget Worksheet Example
  • Six Month Budget Review Checklist
  • ICP Participant Letter with EVV Information
  • Acumen OR ICP Payment Payroll and Time Entry Schedule
  • ICP Employee Provider EVV Only 'Time Entry Report Schedule'

In-Home Care Agencies (IHCA) page:

• Updated the following:
• In-Home Care Agencies
• Added the following:
• Transmittals -
  • APD-AR-22-031: New In-Home Care Agencies
  • APD-AR-22-026: Changes in ownership and name changes Assisted Living Facilities & Memory Care Facilities. New Assisted Living Facility. Change In Ownership In-Home Care Agency

Chap. 411, Div. 033

In-Home Support Services page:

• Added the following:
• In-Home Services Multi-Provider Planning Worksheet
• Comparison of In-Home Service Plan Assistance Roles

Chap. 411, Div. 030

K-State Plan Ancillary Services page:

• Updated the following:
  • K-Plan Ancillary Services Provider List
• Added the following:
• Transmittals -
  • APD-IM-22-054: Lift Chairs Provided by K Plan Ancillary Services

Long Term Care Community Nursing (LTCCN) page:

• No updates this quarter

Long Term Care Rates page:

• Added the following:
• Transmittals -
  • APD-PT-22-018: Community Based & Nursing Facility Rates

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

Mandatory Case Manager In-Service Webinars page:

• No updates this quarter

Mental or Emotional Disorder Review (MED) page:

• Updated the following:
  • Instructions for Completing MED Referrals
  • MED Process Flow Chart
  • MED Referral Form
• Added the following:
• Notice of Request for Information or Verification Needed Form - Pre-filled for MED

MMIS Desk Manuals page:

• No updates this quarter

Nursing Facilities & PAS page:

• Added the following:
• Transmittals -
  • APD-PT-22-018: Community Based & Nursing Facility Rates
  • APD-IM-22-051: Nursing Facility Change of Ownership and Name Change

Older Americans Act (OAA) page:

• No updates this quarter

Older Americans Act of 1965

CFR for OAA

ORS 410

Chap. 411, Div. 002

Chap. 411, Div. 011

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

• No updates this quarter

Oregon ACCESS & CA/PS Information page:

• Updated the following:
  • SPAN Notice Flow Chart
• Added the following:
• Statewide Process for Transfers of APD/AAA Service Consumers
• Transmittals -
  • APD-IM-22-045: Oregon ACCESS Release
  • APD-IM-22-044: Branch 5515 Transfers
  • APD-IM-22-041: Oregon ACCESS Release 26.00 - Friday, May 13, 2022

Oregon Project Independence (OPI) page:

• Added the following:
• Transmittals -
  • APD-AR-22-029: Oregon Project Independence (OPI) - Citizenship Waived Medical (CWM) to Healthier Oregon conversion
  • APD-IM-22-039: Provider Time Capture (PTC) - Branch Transfers when OPI Consumers Apply for Title XIX Services

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

• Updated the following:
• Added the following:
• PACE - Program for All-Inclusive Care for the Elderly training in Workday

Provider Guides for Oregon ACCESS page:

• No updates this quarter

Provider Payment Adjustments and Troubleshooting page:

• Updated the following:
  • CEP Underpayment/Overpayment Request Spreadsheet
• Added the following:
• Transmittals -
  • APD-IM-22-040: Provider Time Capture (PTC) - Changes to Underpayment Request Spreadsheet

Provider Time Capture (PTC) Information page:

• Added the following:
• QRG - Provider and Consumer Resources
• QRG - Staff Resources
• Transmittals -
  • APD-IM-22-049: Provider Time Capture (PTC) - Relinking Consumers and Providers in OR PTC DCI
  • APD-IM-22-042: Provider Time Capture (PTC) - Residence Address in OR PTC DCI
  • APD-IM-22-040: Provider Time Capture (PTC) - Changes to Underpayment Request Spreadsheet
  • APD-IM-22-039: Provider Time Capture (PTC) - Branch Transfers when OPI Consumers Apply for Title XIX Services
  • APD-IM-22-036: Provider Time Capture Settlement Agreement
  • APD-IM-22-033: Provider Time Capture (PTC) - Consumer Phone Numbers in OR PTC DCI
  • APD-IM-22-032: Provider Time Capture (PTC) - Updating OR PTC DCI Profiles
  • APD-AR-22-022: Action Request- PTC Provider Referrals
  • APD-IM-22-030: Provider Time Capture (PTC) - Fob Process Updates

Resources section on the CM Tools page:

• Added the following:
• Oregon Deaf and Hard of Hearing Services

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

Specialized Living Program page:

• No updates this quarter

Specialized Living Contracts OAR Chap. 411, Div. 065

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

Spousal Pay (SP) page:

• No updates this quarter

State Plan and Waivers page:

• Added the following:
• State Plan and Waivers page - This is a new page/tool

State Plan Personal Care (SPPC) page:

• No updates this quarter

Tribal Navigator page:

• No updates this quarter

Waivered Case Management (WCM) page:

• No updates this quarter