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APD Long-Term Care Changes E​ffective 10/1/2017

In-Home Services Hours Rebalancing​​
SEIU Member Resource Fact Sheet

Due to the timing of upcoming changes, this information is being provided prior to final ratification of the contract between SEIU and the State of Oregon. These changes are subject to final ratification by SEIU membership. 

Changes to Activity of Daily Living Definitions and Level of Care Assessment:

What’s happening?

Oregon Administrative Rule (OAR) 411-015 is being amended effective October 1, 2017. Amending OAR 411-015 will change the minimum frequency required to meet a nursing facility level of care. The amendments will also change what kind of tasks drive eligibility for long-term care services. 

  • The rule amendments will apply when an individual is assessed on or after October 1, 2017 and is determined eligible for in-home services.

This means the rule changes will apply whenever there is an assessment after October 1, 2017, which includes annual reassessments, new assessments, requests by consumer for a new assessment, a change of condition or living situation, or any other reason that would require an assessment. 

Changes to the rule were discussed through an extended Rule Advisory Committee (RAC) process, and with a large amount of input from internal and external stakeholders and national experts, changes have been made to the definitions for all the Activities of Daily Living (ADLs).

  • Participants included consumers, providers, advocates, staff and others concerned with eligibility for long-term care benefits. 

Who does the change impact? 

Based on a review of in-home and facility cases completed by central office, the department estimates that 4% of all long-term care consumers will be impacted by this change. 

Why is this change happening?

  • To ensure the sustainability of the Long-Term Care program.
  • The legislature has mandated that APD ‘bend the cost curve’ of its programs; this is a more targeted option than previously suggested cost-cutting measures. 
  • The APD budget is built on the changes occurring on October 1, 2017.
  • To more clearly define the Activities of Daily Living that comprise the Nursing Facility Level of Care.

Change in pay periods for home care workers

Starting in October, our program will see a change in pay periods for our home care workers. Plans are in place to change the number of pay periods for home care workers from 24 to 26.* New payroll calendars will be mailed to let all home care workers know when to turn in the vouchers and when payments will be sent out.

The pay rate remains the same, only the frequency of the paychecks increases (two more checks a year). The process to get paid also remains the same and will NOT change.

Making this change on October 1, which falls on a Sunday, means that home care workers will not experience a delayed paycheck or any disruption to paychecks. If you are a home care worker, please keep an eye out for a letter in the mail offering additional detail. It will answer many of your questions. It is our goal to help make this a smooth transition for everyone.

*Due to the timing of the upcoming changes, we are publishing this information prior to final ratification of the contract between SEIU and the State of Oregon. These changes are subject to final ratification by SEIU membership.

If you have any questions regarding this upcoming change, we kindly ask you contact your local office. Contact information can be found at : http://www.oregon.gov/DHS/Offices/Pages/Seniors-Disabilities.aspx​

Rulemaking Notices

Homecare Choice Program

Recent Adoptions and Revisions

  
Division Title
  
Chapter 418, Division 040
Homecare Choice Program
6/20/2016

Current Rules

  
Division Title
  
Chapter 418, Division 010
Purpose and Rulemaking
12/1/2014
Chapter 418, Division 020
Oregon Home Care Commission Functions
12/1/2014
Chapter 418, Division 030
Public Contracting and Procurement
12/1/2014
Chapter 418, Division 040
Homecare Choice Program
6/20/2016
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Ru​le History

  
Division Title
  
Chapter 418, Division 040-Temporary Rule
Homecare Choice Program
1/1/2016
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