Or. Admin. Code § 410-120-2010

Current through Register Vol. 64, No. 1, January 1, 2025

Section 410-120-2010 - [Effective until 6/29/2025] HRSN Service Requests

(1) MCEs and the Authority shall accept and document all requests for HRSN Services ("HRSN Request(s)") received through the pathways identified in OAR 410-120-2005. MCEs and the Authority shall accept, document, and receive all Self-Attestations for HRSN Services in the same manner as HRSN Requests.

(2) MCEs and the Authority shall accept HRSN Requests from HRSN Connectors, who are not HRSN Service Providers, in writing or via telephone (or both). With the exception of HRSN Medically Tailored Meals, an HRSN Request made under this section (2) shall be effective when the MCE, or as applicable, the Authority, has documented the telephone call, which must include the information in 2(a) - (c) below this section (2) be done during the phone call or immediately thereafter, or when the MCE, or as applicable, the Authority, has received documentation from the HRSN Connector of all of the following:

(a) The name and contact information for the individual recommended; and

(b) The HRSN Service(s) the individual needs or may need; and

(c) A statement that the individual desires to take part in an HRSN Eligibility Screening performed by the MCE, or as applicable, the Authority.

(3) HRSN Requests made for Medically Tailored Meals shall be effective when the MCE, or as applicable, the Authority, has documented the telephone call, which must include the information in 3(a) - (e) below this section (3) be done during the phone call or immediately thereafter, or when the MCE, or as applicable, the Authority, has received documentation from the HRSN Connector of all of the following:

(a) The name and contact information for the individual recommended; and

(b) The HRSN Service(s) the individual needs or may need; and

(c) A statement that the individual desires to take part in an HRSN Eligibility Screening performed by the MCE, or as applicable, the Authority; and

(d) Registered Dietitian Nutritionist (RDN) assessment (or Primary Care Provider (PCP) if RDN access is limited or delayed) indicating that Medically Tailored Meals are Medically Appropriate and Medically Necessary for the individual; and

(e) Nutrition care plan

(4) With the exception of HRSN Medically Tailored Meals, HRSN Requests made by an HRSN Connector that is also an HRSN Service Provider must be in writing and must include the information in (a) - (c) and may include the information identified in (d) - (f) as follows:

(a) Name and contact information for the individual being recommended,

(b) The HRSN Service(s) the individual needs or may need,

(c) A statement that the individual desires to take part in an HRSN Eligibility Screening performed by the MCE, or as applicable, the Authority, which must be signed by the individual for whom the request is being made or the individual's Representative,

(d) Confirmation of individual's current OHP enrollment,

(e) Confirmation of current enrollment in the MCE or in FFS

(f) Any other information regarding the individual's potential HRSN Eligibility.

(5) HRSN Requests for HRSN Medically Tailored Meals made by an HRSN Connector that is also an HRSN Service Provider must be in writing and must include the information in (a) - (e) and may include the information identified in (f) - (h) as follows:

(a) Name and contact information for the individual being recommended; and

(b) The HRSN Service(s) the individual needs or may need; and

(c) A statement that the individual desires to take part in an HRSN Eligibility Screening performed by the MCE, or as applicable, the Authority, which must be signed by the individual for whom the request is being made or the individual's Representative; and

(d) Registered Dietitian Nutritionist (RDN) assessment (or Primary Care Provider (PCP) if RDN access is limited or delayed) indicating that Medically Tailored Meals are Medically Appropriate and Medically Necessary for the individual; and,

(e) Nutrition care plan,

(f) Confirmation of individual's current OHP enrollment,

(g) Confirmation of current enrollment in the MCE or in FFS,

(h) Any other information regarding the individual's potential HRSN Eligibility.

(6) HRSN Connectors must not be required to use a particular form or template to make the HRSN Request; instead, all MCEs and the Authority shall accept any HRSN Request used by an HRSN Connector (including the HRSN Request Form made available by the Authority) that complies with the requirements in this rule.

(7) All MCEs and the Authority shall accept HRSN Requests by any delivery method used by HRSN Connectors, including, but not limited to email, fax, mail, personal delivery, CIE, or any other reliable delivery method. For HRSN Connectors who are not HRSN Service Providers, delivery method may also include telephone.

Or. Admin. Code § 410-120-2010

DMAP 130-2024, adopt filed 10/24/2024, effective 11/1/2024; DMAP 144-2024, temporary amend filed 12/29/2024, effective 1/1/2025 through 6/29/2025

Statutory/Other Authority: ORS 413.042

Statutes/Other Implemented: 414.572, 414.605, 414.665, 414.719 & 414.632