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
(b) Full assist in
one of the following: cognition, eating or elimination.
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
every five (5) individuals receiving the bariatric rate.
Or. Admin. R.
25-2020, adopt filed 06/23/2020, effective
Statutory/Other Authority: ORS
Statutes/Other Implemented: ORS