Or. Admin. Code § 413-050-0420

Current through Register Vol. 63, No. 12, December 1, 2024

Section 413-050-0420 - Administrative Exams Payments

"Administrative Exams" are provided to children in DHS's care and custody who are eligible or potentially eligible for Title XIX or GA (General Assistance). "Administrative Exams" are also provided to parents or other adults identified on the Face Sheet in the child's case record. Parents or adults must be Medicaid or GA eligible and have medical coverage through the Oregon Health Plan on the date of service. Expenditures are federally matchable and will be paid through DMAP. An "Administrative Exam" expenditure includes any payment to a medical provider for a physical examination, psychological/psychiatric evaluation, or copies of medical records in connection with:

(1) Protective Service assessments when medical treatment or examination is necessary to evaluate and plan for child safety as per I-B.2.2(6)(a)-(f). "Administrative Exam" payments may be authorized regardless of whether placement is made; or

(2) Casework planning for Title XIX or GA eligible children in substitute care; or

(3) Evaluation and/or testing for children in their own home to determine if out-of-home placement is an appropriate case plan. "Administrative Exam" payments may be authorized regardless of whether placement is made;

(4) Copies of hospital or medical records.

(5) Psychiatric or psychological evaluations of parents or other adults identified in the child's case record. Parents or adults must be Medicaid or GA eligible through the Oregon Health Plan.

(6) Urinalysis collection and screening for children and/or parents or other adults identified in the child's case record. Parents or adults must be Medicaid or GA eligible through the Oregon Health Plan.

Or. Admin. Code § 413-050-0420

SCF 6-1995, f. 12-22-95, cert. ef. 1-29-95; SOSCF 40-2001, f. 12-31-01, cert. ef. 1-1-02

Stat. Auth.: ORS 418.005

Stats. Implemented: Title XIX