In addition to the following definitions, OAR 411-317-0000
includes general definitions for words and terms frequently used in OAR chapter
411, division 415. If a word or term is defined differently in OAR
411-317-0000, the definition in this rule applies.
(1) "Affiliated Entity" means an individual,
a trust or estate, a partnership, a corporation (including associations, joint
stock companies, and insurance companies), or a political subdivision or
instrumentality (including a municipal corporation of a state), that has an
incident of ownership in the CME.
(2) "Case Management Contact" means a
reciprocal interaction between a case manager and an individual or their legal
or designated representative (as applicable).
(3) "Case Management Services" mean the
functions performed by a case manager that are funded by the Department. Case
management services include, but are not limited to the following:
(a) Assessment of support needs.
(b) Developing an ISP or Annual Plan that may
include authorized services.
(c)
Information and referral for services.
(d) Monitoring the effectiveness of services
and supports.
(4) "CDDP"
means "Community Developmental Disabilities Program".
(5) "CIIS" means "Children's Intensive
In-Home Services".
(6) "CME" means
"Case Management Entity". A CME includes the following:
(a) A CDDP.
(b) A Brokerage.
(c) CIIS.
(d) The Children's Residential Program of the
Department.
(7)
"Geographic Service Area" means the area within the state of Oregon where a CME
is approved to provide developmental disabilities services. The geographic
service area for a CDDP is the county.
(8) "IEP" means "Individualized Education
Program".
(9) "Incident of
Ownership" means an ownership interest, an indirect ownership interest, or a
combination of direct and indirect ownership interests.
(10) "Indirect Ownership Interest" means an
ownership interest in an entity that has an ownership interest in another
entity. Indirect ownership interest includes an ownership interest in an entity
that has an indirect ownership interest in another entity.
(11) "Initial ISP" means the first ISP:
(a) For an individual who is newly entered
into case management services; or
(b) Following a period when an individual did
not have an authorized ISP.
(12) "Initial Level of Care" means the first
level of care determination:
(a) For an
individual who is newly accessing Community First Choice state plan or waiver
services; or
(b) Following a period
when an individual was not determined to meet level of care.
(13) "Initial ONA" means the first
ONA:
(a) For an individual who is newly
accessing Community First Choice state plan or waiver services; or
(b) Following a period when an individual did
not have a current ONA.
(14) "ISP" means "Individual Support
Plan".
(15) "Level of Care" means
ICF/IID Level of Care, Hospital Level of Care, or Nursing Facility Level of
Care, as defined in OAR
411-317-0000.
(16) "OHP" means "Oregon Health
Plan".
(17) "ONA" means "Oregon
Needs Assessment".
(18) "Owner"
means a person with an ownership interest.
(19) "Ownership Interest" means the
possession of equity in the capital, stock, or profits of an entity.
(20) "SSI" means "Supplemental Security
Income".
(21) "These Rules" mean
the rules in OAR chapter 411, division 415.
(22) "Transition Period" means the first 60
calendar days after an individual enters a new program type, setting, or
CME.
