For the purpose of this rule, "supervisor" means an employee of
a CME who provides management level oversight of an assessor and is trained and
qualified to conduct an ONA according to OAR chapter 411, division 425.
(1) An ONA must be conducted according to the
standards described in OAR chapter 411, division 425.
(2) A CME must assure an individual has an
initial ONA from an assessor or supervisor prior to receiving Community First
Choice state plan or waiver services.
(3) The Department may require an ONA to be
completed by an assessor employed or identified by the Department.
For each individual who has an authorized
ISP, a CME must assure an ONA is conducted by:
An assessor or supervisor:
(A) For each individual who has not had a
functional needs assessment using the ONA when a functional needs assessment or
ICF/IID Level of Care determination is required.
(B) Any time there may be a significant
change in an individual's support needs.
(C) At a frequency or at specific ages as
determined by the Department.
Upon a request for reassessment by an individual or the individual's legal or
a child who has been determined to be eligible for developmental disabilities
services according to OAR 411-320-0080
and is enrolled to the Medically
Involved Children's Program or Medically Fragile Children's Program and will be
turning 18 in the next year and expects to receive Community First Choice state
plan or waiver services as an adult.
(b) A case manager, an assessor, or a
supervisor, when none of the conditions in subsection (a) of this section are
individual whose services are authorized in an ISP must have a completed ONA by
June 30, 2019.
An ONA must be
(a) Not more than 12 months from a
previously completed ONA, ICF/IID Level of Care determination, or functional
(b) Within 45
calendar days from the date an individual, or as applicable their legal or
designated representative, requests a new ONA.
(c) Within 45 calendar days from the date the
CME acquires information that the support needs of an individual may have
(7) No fewer than 14 calendar days prior to
conducting an ONA, the CME must mail a notice of the assessment process to the
individual to be assessed. The notice must include a description and
explanation of the assessment process and an explanation of the process for
appealing the results of the assessment.
(8) An assessment for State Plan Personal
Care must be completed by a case manager as described in OAR chapter 411,
Or. Admin. R.
28-2016, f. & cert. ef.
6/29/2016; APD 35-2016(Temp), f.
8-31-16, cert. ef. 9-1-16 thru 2-27-17;
2-2017, f. 2-21-17, cert. ef.
2/28/2017; APD 23-2018, temporary amend filed
07/02/2018, effective 07/02/2018 through 12/27/2018;
46-2018, amend filed 12/28/2018, effective
Statutory/Other Authority: ORS
Statutes/Other Implemented: ORS