Or. Admin. Code § 411-070-0438 - Enhanced Wage Add-on Program
(1)
ESTABLISHMENT. The Department establishes the Enhanced Wage Add-on Program
(Program). The Program is designed to support nursing facilities with retention
of Certified Nursing Assistants (CNAs) by paying a starting wage of $17 per
hour for all Certified Nursing Assistants (CNAs), with an increase to $17.50
per hour by the second year of the 2021-2023 biennium (July 1, 2022).
(2) The Department will provide additional
compensation to nursing facilities who meet the criteria contained in paragraph
(3). Such compensation shall be an add-on of 4% of the daily Medicaid nursing
facility rate during the effective dates of the Program. A nursing facility may
be eligible to apply between October 1, 2021 and June 30, 2023.
(3) CRITERIA. Criteria must be met in order
for a nursing facility to be eligible for the Enhanced Wage Add-on Program. The
nursing facility shall submit documentation supporting that it provides a
starting wage of $17 per hour or more for all CNAs, escalating up to $17.50 per
hour or more by the second year of the 2021-2023 biennium (July 1, 2022).
Sufficient documentation shall be submitted to the Department with the required
form referenced in paragraph (5) and shall include at least one of the
following:
(a) A copy of a collective
bargaining agreement or addendums with such provisions;
(b) Amended policies that includes the wages
for CNAs during the period of the Program;
(c) Notification to CNAs of wages during the
period of the Program; or
(d)
Payroll records demonstrating rates of pay for CNAs equal to or higher than
$17.50 per hour.
(e) Written
communication to staff with wage criteria that includes reference to the
Legislature establishing a wage add-on to Medicaid rates for the purpose of
supporting caregiver wages in partnership with the Oregon Department of Human
Services, the Oregon Health Care Association, SEIU Local 503, and other senior
care advocates.
(4)
PAYMENT. The Department will provide the Enhanced Wage Add-on equal to 4% of
the daily Medicaid nursing facility rate between October 1, 2021 and June 30,
2023, for nursing facilities who meet the criteria contained in paragraph (3).
The documentation of the criteria being met shall be submitted with the form by
the 15th of the month for which the provider is requesting to be approved. The
wage add-on rate will not be effective until the Department provides written
approval to the nursing facility.
(5) FORM. Nursing facilities shall submit a
claim for the Enhanced Wage Add-on Program on the form created by the
Department. The documentation of the criteria being met shall be submitted with
the form by the 15th of the month for which the provider is requesting to be
approved.
(6) APPLICABILITY. The
Department will only provide the Enhanced Wage Add-on rate for services
provided during the period of October 1, 2021 to June 30, 2023, in which the
facility was in compliance with the criteria contained in paragraph
(3).
(7) TIMELINESS. Forms for the
Enhanced Wage Add-on rate may be submitted during the effective dates of the
Program. The documentation of the criteria being met shall be submitted with
the form by the 15th of the month for which the provider is requesting to be
approved.
Notes
Statutory/Other Authority: ORS 410.070
Statutes/Other Implemented: ORS 410.070
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