Or. Admin. Code § 411-016-0130

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

Section 411-016-0130 - [Effective until 11/26/2024] Unpaid Caregiver Education and Training and Provider Qualifications

(1) For the purposes of this rule, an unpaid caregiver means a person providing assistance that meets the following conditions:

(a) Longevity/Acuity:

(A) The caregiver has been providing unpaid caregiving for 3 months or longer; and

(B) Expects to continue providing caregiving for 3 months or longer; or

(C) The individual is receiving hospice services; or

(D) There is a new diagnosis of an acute or traumatic event causing an increase in the need for activities of daily living care and the increase in additional care is expected to last 3 months or longer; or

(E) There is a significant deterioration of functional ability causing the need for an immediate increase in assistance with activities of daily living which is expected to last 3 months or longer.

(b) The eligible individual, or their representative, attests that the unpaid caregiver meets the longevity and other criteria of this rule.

(c) The unpaid caregiver provides in person care in the individual's home or community at least 10 hours per week.

(d) The unpaid caregiver is providing Activities of Daily Living or Instrumental Activities of Daily Living care or assistance with treatments related to the individual's needs that are identified in the CA/PS assessment.

(e) The unpaid caregiver has the skills, knowledge and ability to adequately or safely perform the required work. This means the unpaid caregiver possesses and demonstrates the physical, mental, organizational, and emotional skills or abilities necessary to perform services which safely and adequately meet the needs of the individual.

(2) Caregiver Education and Training may be authorized to improve an unpaid caregiver's skills, knowledge, ability to perform caregiving tasks that support health and safety of eligible individuals or to help the unpaid caregiver manage the stress of caregiving.

(3) Caregiver Education and Training may be authorized for, but is not limited to, the following topics:

(a) Chronic disease self-management;

(b) Dementia;

(c) Fall prevention;

(d) Depression;

(e) Self-care;

(f) Stress Reduction;

(g) Suicide prevention;

(h) Addressing complex behaviors;

(i) Loneliness and isolation;

(j) Hoarding; and

(k) Culturally specific caregiving.

(4) Through a person-centered planning process with the individual, the Services Case Manager must assess and document the request for caregiver education on the service plan form using the Unpaid Caregiver Assessment tool.

(5) The eligible individual, the representative or the unpaid caregiver may request topic specific caregiver education and training and the request shall be documented in the service plan.

(6) Unpaid caregivers are not paid for their time attending caregiver education and training or for their transportation to and from training. Unpaid caregivers will not be charged training tuition or registration fees.

(7) Caregiver Education and Training providers are contracted entities that provide one to one training or those that are contracted to provide classroom type trainings or online if the content does not require hands-on learning. Providers may be reimbursed for reasonable costs for transportation for participants attending training.

(8) Caregiver Education and Training does not count in the hourly maximum hours.

(9) Caregiver Education and Training providers must at a minimum meet the following requirements:

(a) Be over the age 18;

(b) Have a high school diploma or GED;

(c) Pass a department approved background check as described in OAR chapter 407, division 7;

(d) Have demonstrated experience in assisting caregivers of older adults and people with disabilities;

(e) Are subject matter experts with demonstrated experience in their field;

(f) Meet the training, licensing or credential requirements for the education and training they are providing; and

(g) Meet the qualifications to be a Medicaid enrolled provider and be enrolled as a Medicaid provider.

(10) Caregiver Education and Training may not be authorized for education and training available through Long Term Care Community Nursing.

(11) Caregiver Education and Training may not be authorized for In-Home Care Agency providers.

(12) Caregiver Education and Training may not be authorized in place of readily available free training accessible to unpaid caregivers unless the quality of the education and training is more substantive or relevant than the free training.

Or. Admin. Code § 411-016-0130

APD 22-2024, temporary adopt filed 05/20/2024, effective 5/31/2024 through 11/26/2024

Statutory/Other Authority: ORS 410.070

Statutes/Other Implemented: ORS 410.060, 410.070 & 414.065