Manual/Worker Guide |
Change |
Section/Item |
Rule Change
(available 10-1-2022 unless otherwise indicated) |
Oregon Programs Eligibility Notebook updates for APD |
Updates to EPD:
- Max countable earned income from $5,453 to $5,749
- Updated participant fee payment portal URL
- Updated to reflect elimination of in-home liabilities
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Chapter 2, Section 9: EPD
- Financial eligibility
- Participant fee, Making payments
- EPD and long-term care (LTC) services
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Updated all examples and calculations due to FUA and LUA changes |
Chapter 8, Examples:
- Chapter 2, section 10: Long-term care (LTC) services
- Financial eligibility, examples 1 & 2
- Post-eligibility
- Calculating the liability, example 1
- Deciding to what extent to allow the CSIA, example 1
- Chapter 2, section 11: Medical Related Payments (MRP)
- Accommodation allowance, example 1
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461-160-0420 |
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Updated to reflect that individuals are no longer required to pursue Medicare |
- Chapter 2, Section 6: Non-financial eligibility, Pursuit of assets
- Chapter 7, Section 7: OSIPM worker guides, Verifying assumed and protected eligibility, Disabled adult child status
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461-120-0345 |
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Added provision that allows income to be excluded and room and board to be paid for up to 3 months when an incapacitated LTC recipient requires it to obtain placement while they find a financial representative. |
- Chapter 2, Section 10: Long-term care services, Financial eligibility, Income, Availability of income
- Chapter 2, Section 11: Medical Related Payments (MRP), Community-based care
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461-140-0040 & 461-155-0630 (changes will not be reflected in rule until Jan 2023) |
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Added LTC disquaification divisor of $10,342 for initial month that is on or after October 1, 2022. |
Chapter 2, Section 10: Long-term care services, Financial eligibility, Calculating the disqualification |
461-140-0296 |
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Added note clarifying that CDDPs, Brokerages, and CIIS are ODHS partner agencies that can report address changes without a release of information. |
- Chapter 2, Section 10: Long-term care services, Coordination
- Chapter 3, Section 1: Acting on reported changes, Medical reporting requirements
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See coming transmittal for SSP program updates to OPEN |
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APD Staff Tools |
No updates this quarter |
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APD Non-MAGI Financial Eligibility Tools |
No updates this quarter |
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SNAP/REF(M) |
See SS-PT-22-018 for more information on changes to SNAP. |
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Case Management Tools |
Adult Day Services page:
|
Adult Day Services |
Chapter 411, Division 066 |
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APD Training page:
- Added the following:
- Transmittals -
- APD-IM-22-079: PACE Learing Modules
- APD-IM-22-063: Summer 2022 Collective Basic Training
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APD Training |
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Assessment Tools page:
|
Assessment Tools |
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Behavior Support Services (BSS) page:
|
Behavior Support Services |
Chapter 411, Division 046 |
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Client Details, Treatment, Forms & Miscellaneous LTC Info page:
- Updated the following:
- SPAN Notice Flow Chart
- APD Long Term Care Services Form Requirements
- Comparison of In-Home Service Plan Assistance Roles
- Added the following:
- Consumer Health and Safety - Red Flags
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Client Details, Treatment, Forms & Miscellaneous LTC Info |
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Complex Case Consultations page:
|
Complex Case Consultations |
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Crisis Support Program page:
|
Crisis Support Program |
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Diversion/Transition page:
|
Diversion/Transition |
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Emergency Response Systems (ERS) page:
|
Emergency Response Systems |
Special Need OAR 461-155-0680
K-State Plan Ancillary Services OAR 411-035-0025 |
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Employed Persons with Disabilities (EPD) page:
- Added the following:
- Transmittals -
- APD-IM-22-059: New Online Payment Portal for Employed Persons with Disabilities (EPD)
|
Employed Persons with Disabilities |
OSIP Program Manual - WG.11 |
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Enhanced Care page:
|
Enhanced Care |
OAR 309-019-0155 |
|
Exceptions page:
- Updated the following:
- Request for SPPC Exception
|
Exceptions |
Payment Limitations for In-Home and Community-Based Services Rules - Chapter 411, Division 027 In-Home Services Rules - Chapter 411, Division 030 |
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Extended Waiver Eligibility (EWE) page:
|
Extended Waiver Eligibility (EWE) |
OAR 411-015-0030 |
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Facilities page:
- Added the following:
- Transmittals -
- APD-IM-22-092: Name Change Residential Care Facility
- APD-AR-22-044: APS Investigations and Acuity-Based Staffing Tools (ABST) in Assisted Living Facilities (ALF), Residential Care Facilities (RCF), and Endorsed Memory Care Communities (MCC)
- APD-IM-22-090: ALF Payment Level Calculation
- APD-AR-22-043: Change in Ownership & Name Change Memory Care Facility, Change in Ownership Specific Needs Facility, New Residential Care Facility, New In-Home Care Agency
- APD-IM-22-084: CBC Payments Delayed
- APD-AR-22-037: Facility Draft Report Distribution
- APD-PT-22-023: APD AFH Public Disclosure File
- APD-PT-22-022: APD AFH Licensing Visits
- APD-AR-22-034: Change in Ownership Memory Care Facilities
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Facilities |
RCF & ALF Rules - Chapter 411, Division 054
Memory Care Communities - Chapter 411, Division 057
Nursing Facilities Licensing - Chapter 411, Division 085 |
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General Assistance (GA) page:
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General Assistance |
Chapter 411, Division 031 |
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Healthier Oregon page:
- Added the following:
- Transmittals -
- APD-IM-22-058: Healthier Oregon: Case Management Information
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Healthier Oregon |
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Hearings Information page:
|
APD Hearings |
Chapter 137, Division 003
Chapter 461, Division 025 |
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Home and Community Based Services (HCBS) page:
|
Home and Community Based Services |
Chapter 411, Division 004 |
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Home Delivered Meals (HDM) page:
|
Home Delivered Meals (HDM) |
Home Delivered Meals - Chapter 411, Division 040
Payment for Home Delivered Meals - OAR 411-027-0020(7) |
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Homecare Worker (HCW) page:
- Updated the following:
- HCW Payroll Calendar for 09/2021 thru 01/03/2024 List Format
- CEP Specialist Training Manual
- Added the following:
- Transmittals -
- APD-IM-22-095: In-Person Orientation Informational Sessions for Staff in Lane, Linn, and Benton Counties Who Work with Homecare Workers, Personal Support Workers, and Personal Care Attendants
- APD-IM-22-073: Updated Homecare Worker Credential Renewal Letter
- APD-AR-22-035: Those that process homecare worker credentials
- APD-IM-22-065: Informational Sessions for Local Office Staff: 2021-2023 Collective Bargaining Agreement Between SEIU, Local 503 and the Oregon Home CareCommission
- APD-IM-22-061: In-Person Orientation Informational Sessions for Staff in Clackamas andJackson Counties Who Work With Homecare Workers, Personal Support Workers,and Personal Care Attendants
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Homecare Worker |
Chap. 411, Div. 031 |
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Housing Navigators (For Housing Navigators) page:
|
Housing Navigators |
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Housing Support Services (For Case Managers) page:
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Housing Support Services |
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Independent Choices Program (ICP) page:
- Updated the following:
- ICP Forms Processing Chart
|
Independent Choices |
411-030-0100 |
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In-Home Care Agencies (IHCA) page:
- Updated the following:
- Added the following:
- Transmittals -
- APD-AR-22-043: Change in Ownership & Name Change Memory Care Facility, Change in Ownership Specific Needs Facility, New Residential Care Facility, New In-Home Care Agency
- APD-IM-22-074: New In-Home Care Agency
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In-Home Care Agencies |
Chap. 411, Div. 033 |
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In-Home Support Services page:
- Updated the following:
- Comparison of In-Home Service Plan Assistance Roles
- Added the following:
- Transmittals -
- APD-AR-22-039: Air Conditioner Distribution and Installation
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In-Home Support Services |
Chap. 411, Div. 030 |
|
K-State Plan Ancillary Services page:
- Updated the following:
- K-Plan Ancillary Services Provider List
|
K-State Plan Ancillary Services |
Chap. 411, Div. 035 |
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Long Term Care Community Nursing (LTCCN) page:
|
Long Term Care Community Nursing |
Chapter 411, Division 048 |
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Long Term Care Rates page:
|
Long Term Care Rates |
Chap. 411: Div 027, Div. 030, Div. 031 |
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Mandatory Case Manager In-Service Webinars page:
|
Mandatory Case Manager In-Service Webinars |
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Mental or Emotional Disorders Review (MED) page:
|
Mental or Emotional Disorder Review Team (MED) |
Chap. 411, Div. 015 |
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MMIS Desk Manuals page:
- Updated the following:
- MMIS Plan of Care Reference Guide and Tips
- Issuing a Temporary Medical ID
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APD MMIS Resources |
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Money Management Services (MMS) page:
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Nursing Facilities & PAS page:
- Added the following:
- Transmittals -
- APD-IM-22-081: Nursing Facility Change of Ownership and Name Change
- APD-IM-22-067: Nursing Facility Change of Ownership and Name Changes
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Nursing Facilities & PAS |
|
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Older Americans Act (OAA) page:
|
Older Americans Act |
Older Americans Act of 1965
CFR for OAA
ORS 410
Chap. 411, Div. 002
Chap. 411, Div. 011 |
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ONE System Information & Resources section on the CM Tools page:
- Updated the following:
- Medical Denials and Terminations with LTSS QRG
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CM Tools Home Page |
|
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Oregon ACCESS & CA/PS Information page:
- Updated the following:
- Added the following:
- Transmitals -
- APD-IM-22-090: ALF Payment Level Calculation
|
Oregon ACCESS & CA/PS Information |
|
|
Oregon Project Independence (OPI) page:
- Updated the following:
- Added the following:
- Transmitals -
- APD-IM-22-072: Oregon Project Independence to Oregon Project Independence-Medicaid: Transition Reviews
|
Oregon Project Independence |
Chap. 411, Div. 032 |
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Oregon Project Independence-Medicaid (OPI-M) and Family Caregiver Assistance Program (FCAP) page:
- Added the following:
- 1115 Medicaid Demonstration Waiver Application
- 1115 Questions and Answers
- OPI/OPI-M/Medicaid Comparison Chart
- OPI-M and FCAP Business Flowchart
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Oregon Project Independence-Medicaid (OPI-M) and Family Caregiver Assistance Program (FCAP) |
|
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Program of All-Inclusive Care for the Elderly (PACE) page:
- Added the following:
- Transmitals -
- APD-IM-22-079: PACE Learning Modules
|
PACE |
Chap. 411, Div. 045 |
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Provider Guides for Oregon ACCESS page:
|
Provider Guides for Oregon ACCESS |
|
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Provider Payment Adjustments and Troubleshooting page:
- Updated the following:
- CEP Specialist Training Manual
|
Provider Payment Adjustments and Troubleshooting |
|
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Provider Time Capture (PTC) Information page:
- Updated the following:
- Added the following:
- OR PTC DCI Help Tool *BETA VERSION*
- PTC Quarterly Recap -
- Transmitals -
- APD-IM-22-087: Provider Time Capture (PTC) - Attestation Changes to OR PTC DCI
- APD-IM-22-086: Provider Time Capture (PTC) - OR PTC DCI System Update - 16 hour limit
- APD-IM-22-076: Provider Time Capture (PTC) - Entries Claimed After 365 Days
- APD-IM-22-075: Provider Time Capture (PTC) - When a Consumer Changes Programs
- APD-IM-22-062: Provider Time Capture (PTC) - Do's and Don'ts in OR PTC DCI
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Provider Time Capture (PTC) Information |
|
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Resources section on the CM Tools page:
- Added the following:
- Language Guidance When Serving LGBTQ+ Populations
- Senior Health Insurance Benefits Assistance (SHIBA)
|
CM Tools Home Page |
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Respite Stay page:
|
Respite Stay |
411-066 Adult Day Services
411-086-0050 NF
411-050 AFH ADS |
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Risk Assessment page:
|
Risk Assessment |
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Service Planning page:
|
Service Planning |
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Service Priority Level (SPL) Information page:
- Updated the following:
- Added the following:
- Transmitals -
- APD-PT-22-021: Definition of Service Priority Level (SPL) 18
|
Service Priority Level Information |
Chapter 411, Division 015 |
|
Specific Needs Contracts page:
- Updated the following:
- Contact List for Specific Needs Contracts
- Added the following:
- Adult Foster Home Contracts for multiple providers
- Assisted Living Facility Contracts for multiple providers
- Residential Care Facility Contracts for multiple providers
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Specialized Services/Specific Needs Contracts |
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Specialized Living Program page:
- Updated the following:
- Statement of Work for Brain Rehab Network Oregon, Inc. (Formerly Kampfe Management Services)
- Added the following:
- BRN Referral form for Brain Rehab Network Oregon, Inc. (Formerly Kampfe Management Services)
- Transmittals -
- APD-IM-22-082: Changes to the Brain Rehab Network Specialized Living Program Contract
|
Specialized Living Program |
Specialized Living Contracts OAR Chap. 411, Div. 065
In-Home Services OAR Chap. 411, Div. 030 |
|
Spousal Pay (SP) page:
|
Spousal Pay |
411-030-0080 |
|
State Plan and Waivers page:
|
State Plan and Waivers |
Medicaid and CHIP State Plans |
|
State Plan Personal Care (SPPC) page:
- Updated the following:
- SPPC HDMs Invoice
- Request for SPPC Exception
- SPPC Changes Fact Sheet
- Added the following:
- Transmittals -
- APD-PT-22-020: State Plan Personal Care (SPPC) Policy Updates
|
State Plan Personal Care |
Chap. 411, Div. 034 |
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Tribal Navigator page:
- Added the following:
- Title VI Grantees in Oregon
|
Tribal Navigator |
|
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Waivered Case Management (WCM) page:
- Updated the following:
- Ongoing Monthly/Yearly WCM Statistics by Branch
|
Waivered Case Management |
Chapter 411, Division 028 |