PSW Payment Processing Changes
Summary: The 2019 – 2021 Collective Bargaining Agreement (CBA) between the Department of Administrative Services (DAS) and the Service Employees International Union (SEIU) for Personal Support Workers (PSWs) has been ratified and finalized. The following Action Request regards payment processing changes that impact Case Management Entities.
EVV Exceptions for Agency DSPs
Summary: ODDS has drafted a policy guide for Agency community living services providers to use when asked to grant individual DSP or customer exceptions to the requirement to use EVV when beginning and ending shifts. The drafted policy is intended to guide agencies in approval or denials of DSP exceptions.
Health Care Advocate Training for Case Managers and Provider Agencies
Summary: This AR offers a training schedule for services coordinators, personal agents and provider agency staff to get training on OAR 411-390 ISP team appointed Health Care Advocate (HCA) rule. The transmittal outlines training requirements for current ISP team appointed Health Care Representatives (HCRs) to become ISP team appointed Health Care Advocates (HCAs) and also communicates training requirements of case managers and provider agency staff.
Health Care Advocate Training for ISP Team Appointed Health Care Representatives, Services Coordinators and Provider Agencies
Summary: This AR offers a training schedule for services coordinators, provider agency staff and current ISP team appointed HCRs to get training on a new rule (OAR 411-390) that will allow ISP teams to appoint a Health Care Advocate (HCA). The training outlines requirements for current ISP team appointed Health Care Representatives (HCRs) to become ISP team appointed Health Care Advocates (HCAs).
Guidelines for supporting individuals in 24-hour residential settings who have a Physician Orders for Life-Sustaining Treatment (POLST) form that may contain a Do Not Resuscitate order (DNR)
Summary: This policy transmittal communicates the expectations of DSPs when supporting an individual with a POLST. It provides direction to provider agencies on how to follow an individual’s wishes as outlined in their POLST, including Do Not Resuscitate (DNR) orders.
OTIS Abuse Investigations in Schools
Summary: The transmittal relates to 2019 SB 155, new Department abuse investigation rules for children, and revised rules for adults with DD abuse investigation and protective services assessments.
Union Bulletin Boards Required at all CME Locations
Summary: In order to comply with the Local 503 SEIU and State Office of the Oregon Home Care Commission 2019-2021 Collective Bargaining Agreement, each Case Management Entity (CME) shall reserve and maintain a bulletin board space that is accessible to all individuals at their location as permitted by facilities management.
Waiver Services and Child Welfare Medicaid
Summary: This draft policy transmittal describes changes in waiver service eligibility for children and youth with Child Welfare Medicaid.
Foster Care 2:1 Worker Guide Update (January 2020)
Summary: The Foster Care 2:1 Worker Guide is being updated to reflect changes in the request process including the policy on annual 2:1 re-authorization and updates reflected from the changeover from Community Based Care payment system to the eXPRS Plan of Care (POC) authorization and claims process.
Revised ODDS and VR Tools for Evaluating Whether a Job Meets Requirements for Competitive Integrated Employment
Summary: Federal and State guidance requires that the VR program, as well as ODDS-funded job coaching, be in Competitive Integrated Employment settings that are typical to the community. This does not include work under contracts requiring a mandated ratio of workers with disabilities. This is long-standing guidance. Revisions seek to clarify that Oregon’s QRF (Qualified Rehabilitation Facility) program as well as the federal AbilityOne program are examples of contracts mandating a ratio of workers with disabilities. Work under a QRF or AbilityOne contract is therefore not Competitive Integrated Employment and not eligible for funding through the VR program or for ODDS job coaching. Additional and revised tools include a VR toolkit as well as an updated ODDS worker’s guide. The VR toolkit include a new checklist for evaluating whether a particular job meets requirements for Competitive Integrated Employment (CIE). This toolkit, including the CIE checklist, are incorporated into the ODDS worker’s guide on Competitive Integrated Employment.
Request for New Entries When Imposition of Conditions Restricts New Entries or Transfers Without Approval
Summary: This Policy Transmittal will inform providers, service coordinators and personal agents of steps to take if a Medicaid provider agency or foster care provider has a condition of no new admissions without ODDS/CDDP/Brokerage approval.
Temporary Lodging - Child Welfare Collaboration
Summary: This worker guide describes expectations for timely collaboration between CDDP staff and DHS Child Welfare staff when a child or young adult enrolled in DD services is at risk for or experiencing temporary lodging.
Informational Memorandum: Social Security Cards and Applications
Summary: This transmittal describes acceptable alternatives when a child’s social security card cannot be obtained for a Children’s Medical Eligibility Unit (CMEU) application.
SB 917 - Prohibition on Provider Practices Interfering with Disclosure of Information Related to Concerns of Abuse or Mistreatment of an Individual
Summary: 2019 Oregon Legislature passed Senate Bill 917 which restricts residential setting providers from interfering with the good faith disclosure of information by employees or volunteers regarding abuse, licensing/certification violations, and other categories of information to law enforcement, residential facilities/LTC ombudsman, legal or regulatory authorities or family member, guardian, friend or other person acting on the individuals behalf.
Death Reporting Process Changes and Update to Death Reporting Worker Guide
Summary: This transmittal instructs that after certification in CAM all CMEs should report deaths as serious incidents in CAM and not with the death report form (0705); ODDS will obsolete form 0705 in January of 2020. The transmittal also announces an update to the death reporting worker guide and provides a new email address for technical assistance requests about client deaths.
Informational Memorandum: School Residency and Senate Bill 905
Summary: This transmittal describes Senate Bill 905 (SB 905) which passed during the 2019 Oregon Legislative Session. SB 905 impacts school residency determinations for children who live in group or foster homes while their parent/guardian retains guardianship.
Employer Responsibilities and Criteria Agreement form
Summary: ODDS has updated PT-19-08 to require that all EORs acknowledge their role in writing by the end of the calendar year 2020.
The Guide to Assistive Devices and Assistive Technology
Summary: This worker guide explains assistive devices and assistive technology and clarifies eligibility.
ODDS Expenditure Guidelines, Version 11
Summary: Version 11 of the ODDS Expenditure Guidelines is being prepared for release on November 1, 2019. The main purpose is to remove Special Diets, as this is no longer an available service. Other services descriptions were updated as needed.
Exits, Entries, and Hearing Rights for Individuals Supported in Residential Service Settings - New Oregon Administrative Rule (OAR) Language
Summary: ODDS has made rule changes related to residential setting standards for entry, exit, hearing requests, and expedited hearings. The Information Memorandum (IM) has been developed to provide an overview summary of the changes in rule language related to entries and exits, including hearing rights and expedited hearings. The slide show modules have been developed to help the DD community and individuals in understanding the process and expectations related to exit notices in residential service settings.
Host Homes for Children with Intellectual or Developmental Disabilities
Summary: Introducing a new residential service setting option for children! ODDS intends to launch Host Home settings for children with intellectual and developmental disabilities beginning November 2019. These are community-based licensed family homes supported by provider agencies.
Summary: ODDS is adopting administrative rule changes November 1, 2019. Included in those changes are expanded restrictions on providers who have dual relationships with an individual receiving services effective January 1, 2020. This transmittal provides guidance on the implementation of these dual role restrictions for service planning.
ODDS Model Entry Checklist
Summary: ODDS Model Entry Checklist to use to ensure that the provider has all the documents and information needed before services begin.
Updated PT Notice of Functional Needs Assessment
Summary: The current Policy for sending the Notice of Functional Needs Assessment outlined in PT-14-041 is outdated and does not reflect current expecations and rules with the transition to the Oregon Needs Assessment. This transmittal will align the policy with current rules. Additional updates will be made with updated forms in the near future.
Agency EVV Survey
Summary: ODDS is assessing the readiness of agencies to comply with a January 1, 2020 requirement. Agencies providing Community Living Supports under OAR Chapter 411-450 will be required to implement Electronic Visit Verification (EVV) for certain attendant care services.
This Action Request requires agencies complete a short survey indicating their readiness to meet the rule requirements being adopted on November 1, 2019.
PT Oregon Home Care Commission OAR Changes
Summary: The Oregon Home Care Commission (OHCC) has updated Chapter 418, Division 20 Oregon Administrative Rules (Oregon Home Care Commission Functions). Local APD/AAA offices, County Developmental Disability Program (CDDP) offices, and Support Services Brokerages need to be aware of the changes that impact the HCW/PSW program and voluntary consumer-employer training services available to consumers, authorized representatives, and common-law employers receiving services through Aging and People with Disabilities or the Office of Developmental Disabilities Services.
Case Management activities and the ONA worker guide version 3.
Summary: The Case Management activities and the ONA worker’s guide is being updated to version 3. It reflects the end of the transition period that implemented the ONA and incorporates certain details that have changed or were not originally included, most significantly additional ages when an assessor must conduct the ONA for a child.
Loss of Medicaid Worker Guide Update
Summary: ODDS is seeking input on the updated guidance for services coordinators and personal agents about their roles and responsibilities in providing assistance to people who have lost or may lose their Medicaid eligibility. The current version of the worker guide can be found at: Loss of Medicaid Worker Guide
The Guide To Home Modifications
Summary: The guide explains how the procedures for requesting the development of a scope of work as well as the process to build a home modification. This applies to case management entities who are serving individuals who reside in an In-home setting and require a home modification to meet an ADL/IADL or health-related task.
ONA Completion Variance Request Transmittal
CDDPs and Brokerages must have an ONA completed on each person who has an authorized ISP by June 3, 2019. A variance option is available for completion of ONA’s between July 1, 2019 and September 30, 2019
ODDS received no comments on this proposal.