Or. Admin. Code § 309-035-0120

Current through Register Vol. 63, No. 11, November 1, 2024

Section 309-035-0120 - Contracts and Rates

(1) A provider receiving service payments shall enter into a contract with the local CMHP, statewide coordinated care organizations, the Division, or other Division-approved party. The contract does not guarantee that any number of individuals eligible for Division funded services shall be referred to or maintained in the program.

(2) The provider shall specify in a fee policy and procedure rates for all services and the procedures for collecting payments from individuals and payees. The fee policy and procedures shall describe the schedule of rates, conditions under which rates may be changed, acceptable methods of payment, and the policy on refunds at the time of termination of residency:

(a) For individuals whose services are funded by the Division, reimbursement for services shall be made according to the rate schedule outlined in the contract. Room and board payments for individuals receiving Social Security benefits or public assistance shall be in accordance with rates determined by the Division;

(b) For private paying individuals, the program shall enter into a signed agreement with the individual, and, if applicable, the individual's designated representative. This agreement shall include but is not limited to a description of the services to be provided, the schedule of rates, conditions under which the rates may be changed, and policy on refunds at the time of termination of residency; and

(c) Before increasing rates or modifying payment procedures, the program shall provide a 30-day advance notice of the change to all individuals, representatives, payees, guardians, or conservators.

Or. Admin. Code § 309-035-0120

MHD 9-1984(Temp), f. & ef. 12-10-84; MHD 9-1985, f. & ef. 6-7-85; MHD 4-1998, f. 5-21-98, cert. ef. 6-1-98; MHD 4-2005, f. & cert. ef. 4-1-05; MHS 4-2008, f. & cert. ef. 6-12-08; MHS 13-2016(Temp), f. 9-6-16, cert. ef. 9-7-16 thru 3-3-17; MHS 2-2017(Temp), f. 3-3-17, cert. ef. 3-4-17 thru 8-30-17; MHS 5-2017, f. & cert. ef. 6/8/2017

Stat. Auth.: ORS 413.042, 443.450

Stats. Implemented: ORS413.032, 443.400 - 443.465 & 443.991