Or. Admin. R. 411-070-0087 - Bariatric Criteria and Services
(1) A Medicaid eligible individual qualifies
for the bariatric reimbursement rate if the individual has a physician
diagnosis of obesity with a BMI>40 and the individual meets the following
criteria as defined in OAR chapter 411, division 015:
(a) Two-person full assist with ambulation or
transfers; and
(b) Full assist in
one of the following: cognition, eating or elimination.
(2) If an individual meets the criteria
listed in section (1) of this rule, and the Department has authorized the
bariatric rate, the facility must provide one (1) additional Certified Nursing
Assistant, above the licensing staffing standard in OAR 411-086-0100(5), for
every five (5) individuals receiving the bariatric rate.
Notes
Statutory/Other Authority: ORS 410.070
Statutes/Other Implemented: ORS 410.070
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