Or. Admin. Code § 411-016-0150

Current through Register Vol. 63, No. 10, October 1, 2024
Section 411-016-0150 - [Effective until 11/26/2024] Community Caregiver Supportive Services and Provider Qualifications
(1) Community Caregiver Supportive Service may be authorized to assist the individual and their natural support systems.
(2) Through a person-centered planning process with the individual, the Services Case Manager must assess and document the need for Community Caregiver Supportive Services on the service plan form using the Unpaid Caregiver Assessment tool.
(3) The caregiver meets the criteria for an unpaid caregiver in OAR 411-016-0130(1).
(4) Services include but are not limited to:
(a) Paid wellness services;
(b) Group-based activities;
(c) Peer supports; and
(d) Facilitated support groups.
(5) Community Caregiver Supportive Services providers must at a minimum meet the following requirements:
(a) Be over age 18;
(b) Have a high school diploma or GED;
(c) Pass a department approved background check;
(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 supportive service they are providing; and
(g) Meet the qualifications to be a Medicaid enrolled provider and be enrolled as a Medicaid provider.
(6) Services must be prior authorized by the Services Case Manager.
(7) Providers are paid depending on the service by one of the following processes as directed by the Department:
(a) Provider submits competitive rate bid for approval to the case manager; or
(b) Invoice is submitted at the contracted rate.
(8) No payment will be released to the provider until the work is finished and meets the specifications of the service.

Or. Admin. Code § 411-016-0150

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

Statutory/Other Authority: ORS 410.020 & 410.070

Statutes/Other Implemented: ORS 410.020 & 410.070