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

Or. Admin. R. 411-070-0087
APD 25-2020, adopt filed 06/23/2020, effective 7/1/2020

Statutory/Other Authority: ORS 410.070

Statutes/Other Implemented: ORS 410.070

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