Fee for Services:
(a) A $5 annual minimum fee will be applied
to all individuals receiving OPI services who have adjusted income levels at or
below federal poverty level. The fee is due at the time eligibility for OPI
service has been determined and for each 12 month subsequent reassessment. This
fee does not apply to home-delivered meals.
Fees for service will be charged based on
a sliding fee schedule to all eligible individuals whose annual income exceeds
the minimum, as established by the Department. No fees for service will be
charged for Home Delivered Meals or case management services. For purposes of
these rules, an individual's gross annual income will include:
(A) Salaries from the household;
(B) Interest and dividends from the
(C) Pensions, annuities,
Social Security and railroad retirement benefits from the household;
Any other income from the
(i) All medical costs, including
prescription drugs that are the responsibility of the household, may be
deducted from the individual's gross annual income.
(ii) All child support paid by a
non-custodial parent may be deducted from the individual's gross annual
recommended donation will be established for OPI-funded Home Delivered Meals
and implemented in the same manner as for the Older Americans Act meal
(d) Individuals will
receive written notification of the hourly and maximum monthly fee for service
upon initial service determination and whenever there is a change.
Area agencies will develop procedures for
assessing, billing, collecting, and expending fees.
(A) The Area Agency will establish a written
policy addressing individual non-payment of fees to be reviewed and approved in
the agency area plan.
Individuals will be given a copy of the agency policy pertaining to individual
non-payment of fees upon initial eligibility determination.
(C) The decision to terminate Oregon Project
Independence services for non-payment of assessed fees for service will be the
responsibility of the local area agency.
A record of surcharges and all fees for
service will be kept by each area agency and reported monthly to the
(A) Annual minimum fees and fee
for service determination forms will be a part of each individual's case
record. Fee for service determination forms will meet minimum requirements for
documentation, as established by the Department.
(B) The maximum monthly authorized fee for
services will be recorded on each individual's Oregon ACCESS record upon
initial service determination and at least annually thereafter, at time of
Nothing in these rules will prevent Oregon Project Independence individuals, or
his or her family, from making a donation or contribution. Such donations will
also be used to expand services under Oregon Project Independence. Expansion of
services will be limited to services authorized in OAR 411-032-0010
identified in the agency's area plan.
The minimum annual fee and all fees for
service will be used to expand services under Oregon Project Independence.
Expansion of services will be limited to services authorized in OAR
(1)(a) as identified in the agency's area plan.
(i) Area agencies and providers will not be
required to make a second attempt to collect Oregon Project Independence fees
of $5.00 or less.
for Service Schedule.
(a) The Department,
after consultation with the Area Agencies, will develop and publish a fee
schedule for services based on the federal poverty level and distribute the
schedule to the area agencies annually.
(b) The fee for service schedule will be
applied to the local rate specific to the service and the type of provider for
(c) Fees for OPI
services start at the federal poverty level net monthly income and increase by
approximately $25 income increments up to 200% of the federal poverty level.
Families with net monthly incomes over 200% of the federal poverty level will
pay the full hourly rate of services provided.