Or. Admin. Code § 410-173-0000

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

Section 410-173-0000 - Purpose

(1) These rules ensure eligible Individuals served by the Oregon Health Authority (Authority), Health Systems Division (Division), have access to 1915(i) Home and Community Based State Plan Option services that are not defined in other rules in this chapter. These rules describe services intended to increase an Individual's independence, empowerment, dignity, and human potential through the provision of person-centered and directed, flexible, efficient, appropriate, and cost-effective services.

(2) Services described in these rules include:

(a) Home and Community Based Services (HCBS);

(b) Community Based Integrated Supports (CBIS);

(c) Residential Habilitation;

(d) Psychosocial Rehabilitation for Persons with Chronic Mental Illness (PSR);

(e) Housing Support Services;

(f) Home Delivered Meals.

(3) Services described in this rule should improve eligible Individuals' access to the greater community to the same degree as individuals who do not require services and supports to remain in their home or community;

(4) Payments for the services outlined in these rules are limited to the lowest possible cost that meet the Individual's assessed needs. Payments are not intended to replace existing supports;

(5) Medicaid is a payer of last resort. All other payment sources shall be billed prior to billing Medicaid for services.

Or. Admin. Code § 410-173-0000

DMAP 12-2019, temporary adopt filed 05/21/2019, effective 06/01/2019 through 11/27/2019; DMAP 46-2019, adopt filed 11/07/2019, effective 11/26/2019; DMAP 42-2024, amend filed 02/14/2024, effective 2/29/2024

Statutory/Other Authority: ORS 409.050, 413.042, 413.085, 427.104 & 430.662

Statutes/Other Implemented: ORS 409.050, 413.042, 413.085, 427.007, 430.610, 430.620 & 430.662 - 430.670