Or. Admin. Code § 333-022-2080

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

Section 333-022-2080 - Supportive Services

(1) A client enrolled in the HIV Case Management Program may be eligible for supportive services if income is at or below 250 percent of the FPL.

(2) Authorization by an agency of supportive services is discretionary and a decision to provide such services will be based on the following factors:

(a) The agency is funded to provide the services;

(b) The funds are available in the agency budget;

(c) The services are allowable per the contract with the Authority;

(d) No other payer exists to provide the needed services, with the exception of those that qualify for Veteran's Administration or Indian Health Services who may still qualify to receive Ryan White services;

(e) The client is eligible and currently active in the HIV Case Management Program; and

(f) The client's need for the service has been determined by the agency and documented in the client's file.

(3) An agency may authorize supportive services for any of the following:

(a) Emergency financial assistance, per agency budget, including but not limited to assistance with short-term medical costs, food, utilities or housing;

(b) Housing assistance, including but not limited to short-term assistance to support emergency, temporary or transitional housing;

(c) Linguistics services, meaning interpretation and translation services;

(d) Medical nutritional therapy provided by a licensed registered dietitian outside of a primary care visit, including the provision of nutritional supplements;

(e) Oral health care, including but not limited to diagnostic, preventive, and therapeutic services provided by general dental practitioners, dental specialists, dental hygienists and auxiliaries, and other trained primary care providers;

(f) Outpatient substance abuse services, meaning the provision of medical or other treatment or counseling to address substance abuse problems in an outpatient setting, provided by a physician or under the supervision of a physician or other qualified/licensed personnel;

(g) Residential substance abuse services, meaning treatment to address substance abuse problems in a residential health service setting, provided by a physician or under the supervision of a physician or other qualified/licensed personnel;

(h) Home health care services provided in the home by licensed health care workers such as nurses, and the administration of intravenous and aerosolized treatment, parenteral feeding, diagnostic testing, and other medical therapies;

(i) Mental health services meaning psychological and psychiatric treatment and counseling services offered to individuals with a mental illness, conducted in a group or individual setting, and provided by a mental health professional licensed or authorized within the state to render such services;

(j) Medical transportation services necessary to access health care services; or

(k) Other services funded by the Authority.

Or. Admin. Code § 333-022-2080

PH 29-2014, f. 11-10-14, cert. ef. 12-1-14

Stat. Auth.: ORS 413.042, 431.250, 431.830

Stats. Implemented: ORS 431.250, 431.830