INDIVIDUAL-DIRECTED GOODS AND SERVICES. Individual-directed
goods and services are available through the Medically Involved Children's
Waiver, Medically Fragile (Hospital) Model Waiver, and Behavioral (ICF/IID)
Only a child who
meets the general eligibility criteria in OAR 411-435-0030
and enrolled in CIIS
may access individual-directed goods and services.
(2) Individual-directed goods and services
provide equipment and supplies not otherwise available through another source,
such as waiver services or state plan services.
(3) Authorization of individual directed
goods and services must be based on an assessed need.
(4) Individual-directed goods and services
must directly address the disability related need of a child identified in
goods and services must:
(a) Decrease the need
for other Medicaid services;
Promote inclusion of a child in the community; or
(c) Increase the safety of a child in the
Individual-directed goods and services may not be:
(a) Otherwise available through another
source, such as waiver services or state plan services;
(b) Experimental or prohibited treatment;
(c) Goods or services that are
normally purchased by a family for a typically developing child of the same
Individual-directed goods and services purchased must be the most
cost-effective option available to meet the needs of the child.
Or. Admin. R.
20-2016, f. & cert. ef.
6/29/2016; APD 36-2016(Temp), f.
8-31-16, cert. ef. 9-1-16 thru 2-27-17;
6-2017, 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
47-2019, amend filed 10/29/2019, effective
Statutory/Other Authority: ORS
Statutes/Other Implemented: ORS