Or. Admin. R. 411-028-0010 - Definitions
Unless the context indicates otherwise, the following definitions apply to the rules in OAR chapter 411, division 028:
(1) "Adult" means any person at least 18
years of age.
(2) "Adult
Protective Services" mean the services provided in response to the need for
protection from abuse described in OAR chapter 411, division 020, OAR chapter
407, division 045, and OAR chapter 943, division 045.
(3) "Case Management" means the functions
described in OAR 411-028-0020 performed by a case manager or higher level
management staff.
(4) "Case
Manager" means a Department employee or an employee of the Department's
designee that meets the minimum qualifications in OAR 411-028-0040 who is
responsible for service eligibility, assessment of need, offering service
choices to eligible individuals, service planning, service authorization and
implementation, and evaluation of the effectiveness of Medicaid home and
community-based services.
(5)
"Collateral Contact" means contact by a case manager with others who may
provide information regarding an individual's health, safety, functional needs,
social needs, or effectiveness of the individual's plan for services.
Collateral contact may include family members, service providers, medical
providers, neighbors, pharmacy staff, friends, or other professionals involved
in the service coordination of an individual receiving Medicaid home and
community-based services.
(6)
"Department" means the Department of Human Services.
(7) "Designee" means an organization that the
Department contracts with or has an interagency agreement with for the purposes
of providing case management services.
(8) "Disability" means a physical, cognitive,
or emotional impairment which, for an individual, constitutes or results in a
functional limitation in one or more of the activities of daily living defined
in OAR 411-015-0006.
(9)
"Individual" means an older adult or an adult with a disability applying for or
determined eligible for Medicaid home and community-based services.
(10) "Medicaid Home and Community-Based
Services" mean the services for older adults and adults with disabilities
approved for Oregon by the Centers for Medicare and Medicaid Services.
(11) "Older Adult" means any
person at least 65 years of age.
(12) "OSIPM" means Oregon Supplemental Income
Program-Medical as defined in OAR 461-101-0010. OSIPM is Oregon Medicaid
insurance coverage for individuals who meet eligibility criteria as described
in OAR chapter 461.
(13)
"Representative" is a person either appointed by an individual to participate
in service planning on the individual's behalf or a person with longstanding
involvement in assuring the individual's health, safety, and welfare.
Notes
Stat. Auth.: ORS 410.070
Stats. Implemented: ORS 410.070
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