Or. Admin. R. 410-173-0000 - Purpose

Current through Register Vol. 60, No. 12, December 1, 2021

(1) These rules ensure eligible individuals served by the Oregon Health Authority, Health Systems Division (Division), have access to 1915(i) Home and Community Based State Plan Option services that are not defined in other rules in this chapter. These rules describe services intended to increase Individuals' independence, empowerment, dignity, and human potential through the provision of flexible, efficient, appropriate, and cost-effective services.

(2) Services described in these rules include:

(a) Home Based Habilitation;

(b) HCBS Behavioral Habilitation; and

(c) HCBS Psychosocial Rehabilitation for Persons with Chronic Mental Illness (PSR).

(3) Services described in this rule should improve eligible individuals' access to the greater community to the same degree as individuals who do not require services and supports to remain in their home or community.

(4) Payments for the services outlined in these rules are limited to the lowest possible cost that meet the individual's assessed needs.

(5) Medicaid is a payer of last resort. All other payment sources shall be billed prior to billing Medicaid for services.

Notes

Or. Admin. R. 410-173-0000

DMAP 46-2019, adopt filed 11/07/2019, effective 11/26/2019

Statutory/Other Authority: ORS 409.050, 413.042, 413.085, 427.104 & 430.662

Statutes/Other Implemented: ORS 409.050, 413.042, 413.085, 427.007, 430.610, 430.620 & 430.662 - 430.670