Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 173 - 1915(i) HOME AND COMMUNITY BASED SERVICES STATE PLAN OPTION › Section 410-173-0005 - Definitions

Current through Register Vol. 63, No. 7, July 1, 2024
(1) "Activities of
			 Daily Living (ADL)," means functional activities required by an Individual for
			 continued well-being that are essential for health and safety. ADL's include
			 eating, dressing/grooming, bathing/personal hygiene, mobility (ambulation and
			 transferring), and elimination toileting bowel, and maintaining
			 continence
(2) "Adult Foster Home
			 (AFH)" means any home licensed by the Division in which residential care is
			 provided to five (5) or fewer Individuals who are not related to the provider
			 by blood or marriage as described in ORS
			 443.705 through
			 443.825. If an adult family
			 member of the provider receives care, they shall be included as one of the
			 Individuals within the total license capacity of the AFH. An AFH or Individual
			 that advertises, including word-of-mouth advertising, to provide room, board,
			 and care and services for adults is considered an AFH.
(3) "Aging and People with Disabilities
			 (APD)" means the division in the Oregon Department of Human Services (ODHS or
			 Department) that administers programs for older adults and people with
			 disabilities.
(4) "Alternative
			 Service Resources" means other resources for the provision of services to meet
			 an Individual's needs. Alternative service resources include but are not
			 limited to natural supports or other community supports. Alternative service
			 resources are not paid by Medicaid and shall be identified through the
			 person-centered planning process. When possible, alternative service resources
			 shall be used in lieu of Medicaid paid supports.
(5) "Assistance" means the help needed by an
			 Individual to complete Activities of Daily Living (ADL) and Instrumental
			 Activities of Daily Living (IADL). For 1915(i) HCBS, assistance includes only
			 the following activities:
(a) "Cueing" means
			 giving verbal or visual clues during an activity to help an Individual complete
			 the activity without hands-on assistance;
(b) "Hands-on" means a provider physically
			 performs all or parts of an activity because an Individual is unable to do so;
			 and
(c) "Supervision" means, along
			 with cueing, helping the Individual know when or how to carry out the task.
			 Supervision may be in the form of monitoring, set-up, reassurance, or stand-by
			 to ensure the Individual completes the task. Need for assistance may not be
			 based on possible or preventative measures:
(A) "Monitoring" means a provider observes an
			 Individual to determine if assistance is needed;
(B) "Set-up" means the preparation, cleaning,
			 and maintenance of personal effects, supplies, assistive devices, or equipment
			 so an Individual may perform an activity;
(C) "Reassurance" means to offer an
			 Individual encouragement and support;
(D) "Stand-by" means a provider is at the
			 side of an Individual ready to step in and take over the task if the Individual
			 is unable to complete the task independently.