Or. Admin. Code § 410-120-2010 - [Effective 6/29/2025] HRSN Service Requests
(1) MCEs and the Authority shall accept and
document all requests for HRSN Services ("HRSN Request(s)") received through
the pathways identified in OAR
410-120-2005. MCEs and the
Authority shall accept, document, and receive all Self-Attestations for HRSN
Services in the same manner as HRSN Requests.
(2) MCEs and the Authority shall accept HRSN
Requests from HRSN Connectors, who are not HRSN Service Providers, in writing
or via telephone (or both). With the exception of HRSN Medically Tailored Meals
and HRSN Home Modifications and Remediations, a HRSN Request made to the MCE
or, as applicable, the Authority shall be effective when made:
(a) By telephone upon documenting all of the
information in subsection (c) of this section (2). Documentation must be made
during the telephone call or immediately thereafter; or
(b) In writing by the HRSN Connector and
delivered to the MCE or, as applicable the Authority, provided that the writing
includes all of the information described in subsection (c) of this section
(2).
(c) An HRSN Request submitted
by HRSN Connectors must be documented in writing as described in subsections
(a) or (b) of this section (2) and include all of the following information:
(A) The name and contact information for the
individual recommended; and
(B) The
HRSN Service(s) the individual needs or may need; and
(C) A statement that the individual desires
to take part in an HRSN Eligibility Screening performed by the MCE, or as
applicable, the Authority, in accordance with OAR
410-120-2015.
(3) HRSN Requests made
by HRSN Connectors who are not HRSN Service Providers for Medically Tailored
Meals shall be effective when the MCE, or as applicable, the Authority, has
collected the information in subsections (a) - (d) of this section (3).
Information in sections (a) - (c) of this section (3) may be collected during a
telephone call or immediately thereafter. Information in sections (d) and (e)
must be provided to, or otherwise obtained by, the MCE or, as applicable, the
Authority, in writing:
(a) The name and
contact information for the individual recommended; and
(b) The HRSN Service(s) the individual needs
or may need; and
(c) A statement
that the individual desires to take part in an HRSN Eligibility Screening
performed by the MCE, or as applicable, the Authority; and
(d) An assessment conducted by a Registered
Dietitian Nutritionist licensed in the state of Oregon (RDN) indicating that
Medically Tailored Meals are Medically Necessary and Medically Appropriate for
the individual together with a Nutrition Care Plan.
(e) In the event access to a RDN is limited
or delayed, the assessment and Nutrition Care Plan described in subsection (d)
of this Section (3) may be provided by a primary care physician or a physician
specialist such as a cardiologist or oncologist.
(4) HRSN Requests made by an HRSN Connector
that is not an HRSN Service Provider for Home Modifications and Remediations
shall be effective when the MCE, or as applicable, the Authority, has collected
the information in subsections (a) and (b) of this section (4) as follows:
(a) The information identified in this
subsection (a) may be collected in writing or during a telephone call. If the
information is collected during a telephone call, the information must be
documented by the MCE or, as applicable, the Authority during or immediately
after the telephone call.
(A) The name and
contact information for the individual recommended; and
(B) The HRSN Service(s) the individual needs
or may need; and
(C) A statement
that the individual desires to take part in an HRSN Eligibility Screening
performed by the MCE, or as applicable, the Authority.
(b) The following information must be
provided to, or collected by, the MCE or, as applicable, the Authority, in
writing:
(A) A completed scope of work must be
submitted to the MCE or the Authority as appropriate, as detailed in OAR
410-120-2005 Table 4;
and
(B) If the Member rents their
home, the landlord must provide written consent to the service, which shall
also serve as verification that the individual lives at the residence;
or
(C) If the Member owns their
home, the Member must provide proof of homeownership (for example, Certificate
of Title/Deed, Monthly mortgage bill).
(5) With the exception of HRSN Medically
Tailored Meals and HRSN Home Modifications and Remediations, HRSN Requests made
by an HRSN Connector that is also an HRSN Service Provider must be in writing
and at a minimum, must include the information in (a) - (c), and may include
the information identified in (d) - (f) as follows:
(a) Name and contact information for the
individual being recommended;
(b)
The HRSN Service(s) the individual needs or may need;
(c) A statement that the individual desires
to take part in an HRSN Eligibility Screening performed by the MCE, or as
applicable, the Authority, which must be signed or orally attested to by the
individual for whom the request is being made or the individual's
Representative;
(d) Confirmation of
individual's current OHP enrollment;
(e) Confirmation of current enrollment in the
MCE or in FFS;
(f) Any other
information regarding the individual's potential HRSN Eligibility.
(6) HRSN Requests for HRSN
Medically Tailored Meals made by an HRSN Connector that is also an HRSN Service
Provider must be in writing and at a minimum must include the information in
(a) - (e), and may include the information identified in (f) - (h) as follows:
(a) Name and contact information for the
individual being recommended;
(b)
The HRSN Service(s) the individual needs or may need;
(c) A statement that the individual desires
to take part in an HRSN Eligibility Screening performed by the MCE, or as
applicable, the Authority, which must be signed or verbally attested to by the
individual for whom the request is being made or the individual's
Representative;
(d) Registered
Dietitian Nutritionist (RDN) assessment (or Primary Care Provider (PCP) if RDN
access is limited or delayed) indicating that Medically Tailored Meals are
Medically Appropriate and Medically Necessary for the individual;
(e) Nutrition Care Plan;
(f) Confirmation of individual's current OHP
enrollment;
(g) Confirmation of
current enrollment in the MCE or in FFS;
(h) Any other information regarding the
individual's potential HRSN Eligibility.
(7) HRSN Requests made for Home Modifications
and Remediations made by an HRSN Connector that is also an HRSN Service
Provider must be in writing and at a minimum, must include the information in
(a) - (e), and may include the information identified in (f) - (h) as follows:
(a) The name and contact information for the
individual recommended;
(b) The
HRSN Service(s) the individual needs or may need;
(c) A statement that the individual desires
to take part in an HRSN Eligibility Screening performed by the MCE, or as
applicable, the Authority;
(d) If
the Member rents their home, the landlord must provide written consent to the
service, which shall also serve as verification that the individual lives at
the residence. If the Member owns their home, the Member must provide proof of
homeownership (for example, Certificate of Title/Deed);
(e) A completed scope of work must be
submitted to the MCE or the Authority as appropriate, as detailed in OAR
410-120-2005 Table 4;
(f) Confirmation of individual's current OHP
enrollment;
(g) Confirmation of
current enrollment in the MCE or in FFS;
(h) Any other information regarding the
individual's potential HRSN Eligibility.
(8) HRSN Connectors must not be required to
use a particular form or template to make the HRSN Request; instead, all MCEs
and the Authority shall accept any HRSN Request used by an HRSN Connector
(including the HRSN Request Form made available by the Authority) that complies
with the requirements in this rule.
(9) All MCEs and the Authority shall accept
HRSN Requests by any delivery method used by HRSN Connectors, including, but
not limited to email, fax, mail, personal delivery, CIE, or any other reliable
delivery method. For HRSN Connectors who are not HRSN Service Providers,
delivery method may also include telephone.
(10) A request for HRSN Services that does
not comply with the requirements of this rule is not considered complete and is
not subject to the service authorization timelines defined in OAR
410-120-2015, OAR
410-120-2020 and OAR
410-141-3835. MCEs or the
Authority must work with the Member or HRSN Connector as applicable to obtain
the minimum required information to achieve a complete HRSN Request.
Notes
Statutory/Other Authority: ORS 413.042
Statutes/Other Implemented: ORS 414.572, 414.605, 414.665, 414.719 & 414.632
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