Oregon Administrative Rules › Chapter 411 - DEPARTMENT OF HUMAN SERVICES, AGING AND PEOPLE WITH DISABILITIES AND DEVELOPMENTAL DISABILITIES › Division 35 - K-STATE PLAN ANCILLARY SERVICES › Section 411-035-0010 - Definitions

Current through Register Vol. 63, No. 7, July 1, 2024
Unless the context indicates otherwise, the following
				definitions apply to the rules in OAR chapter 411, division 035:
(1) "Activities of Daily Living (ADL)" mean
			 those personal, functional activities required by an individual for continued
			 well-being, which are essential for health and safety. Activities include
			 eating, dressing and grooming, bathing and personal hygiene, mobility,
			 elimination, and cognition as defined in OAR
			 411-015-0006.
(2) "Aging and People with Disabilities
			 (APD)" refers to the program within the Department of Human Services primarily
			 responsible for service seniors and people with disabilities.
(3) "Alert Systems" means a unit that is worn
			 by the individual or is located in the individual's home for the purpose of
			 generating notification that an emergency has or may occur.
(4) "Area Agency on Aging (AAA)" means the
			 Department designated agency charged with the responsibility to provide a
			 comprehensive and coordinated system of services to older adults or individuals
			 with disabilities in a planning and service area. The term Area Agency on Aging
			 is inclusive of both Type A and Type B Area Agencies on Aging as defined in ORS
			 410.040 and described in ORS
			 410.210 to
			 410.300.
(5) "Assistive Technology" means equipment
			 that provides additional security and support to an individual and replaces the
			 need for human interventions. Assistive technologies enable an individual to
			 self-direct their care and maximize their independence.
(6) "Back-up systems" mean devices, which
			 secure help in emergencies, safety in the community, or are other reminders
			 that help an individual with activities, including, but not limited to,
			 medication management, eating, or other types of monitoring.
(7) "Case Manager" means an employee of the
			 Department or AAA who assesses the service needs of an individual, determines
			 eligibility, and offers service choices to the eligible individual. The case
			 manager authorizes and implements an individual's service plan, and monitors
			 the services delivered as described in OAR chapter 411, division 028.
(8) "Central Office" means the unit within
			 the Department responsible for program and policy development and
			 oversight.
(9) "Chore Services"
			 means specific services intended to ensure the individual's home is safe and
			 allows for independent living.
(10)
			 "Consumer" or "Consumer-Employer" means the person applying for or eligible for
			 Medicaid home or community-based services.
(11) "Cost Effective" means being responsible
			 and accountable with Department resources by offering less costly alternatives
			 when providing choices that adequately meet an individual's service needs. Less
			 costly alternatives include resources not paid for by the Department, other
			 programs available from the Department, the utilization of assistive devices,
			 natural supports, architectural modifications, and alternative service
			 resources (defined in OAR
			 411-015-0005).
(12) "Department" means the Department of
			 Human Services (DHS).
(13) "Durable
			 Medical Equipment" means an apparatus, such as a walker, which is primarily
			 used to serve a medical purpose and is appropriate to use in the individual's
			 home.
(14) "Environmental
			 Modifications" means the changes made to adapt living spaces to meet specific
			 service needs of eligible individuals with physical limitations to maintain
			 their health, safety, and independence.
(15) "Exception" means the individual has
			 service needs above the limits described in these rules, and documented in the
			 assessment and service plan that warrant an exception for payment.
(16) "Individual" means a person 65 or older,
			 or an adult with a physical disability, applying for or eligible for
			 services.
(17) "In-Home Services"
			 mean the activities of daily living and instrumental activities of daily living
			 that assist an individual to stay in his or her own home or the home of a
			 relative.
(18) "Instrumental
			 Activities of Daily Living (IADL)" means those activities other than the
			 activities of daily living, required by an individual to continue independent
			 living. The definitions and parameters for assessing needs in IADL are
			 identified in OAR 411-015-0007.
(19) "Long-Term Care" means the Medicaid
			 system through which the Department provides nursing facility, community-based,
			 and in-home services to eligible adults who are aged, blind, or have physical
			 disabilities.
(20) "Medication
			 Reminders" are devices used for the purpose of prompting an individual to take
			 their medication.
(21) "Natural
			 Supports" means resources and supports (e.g. relatives, friends, neighbors,
			 significant others, roommates, or the community) who are willing to voluntarily
			 provide services to an individual without the expectation of compensation.
			 Natural supports are identified in collaboration with the individual and the
			 potential "natural support". The natural support is required to have the
			 skills, knowledge, and ability to provide the needed services and
			 supports.
(22) "Person-centered
			 Assessment and Service Plans" means:
(a) A
			 process, either formal or informal, for gathering and organizing information
			 that helps an individual:
(A) Determine and
			 describe choices about personal goals, activities, and lifestyle
			 preferences;
(B) Design strategies
			 and networks of support to achieve goals and a preferred lifestyle using
			 individual strengths, relationships, and resources; and
(C) Identify, use, and strengthen naturally
			 occurring opportunities for support at home and in the community.