Oregon Administrative Rules › Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS › Division 172 - MEDICAID PAYMENT FOR BEHAVIORAL HEALTH SERVICES › Section 410-172-0776 - Behavioral Health Personal Care Attendant (BH PCA) Program 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 410-172-0775 through OAR 410-172-0840 Personal Care Attendant Program:
(1)
			 "Alternative Service Resources" means other possible resources for the
			 provision of services to meet an individual's needs. Alternative service
			 resources include, but are not limited to, natural supports, risk intervention
			 services, Community Mental Health Programs, or other community supports.
			 Alternative service resources are not paid by Medicaid.
(2) "Assistance" means an individual requires
			 developmentally appropriate help from another person with the personal care
			 described in OAR 410-172-0780. Assistance may be in the form of hands-on
			 assistance, supervising, cueing, or redirecting so that the individual performs
			 the task on their own . In cases of cognitive impairments, assistance may
			 include cueing along with supervision to ensure that the individual performs
			 the task properly.
(3) "Assistive
			 Devices" means any category of durable medical equipment, mechanical apparatus,
			 electrical appliance, or instrument of technology used to assist and enhance an
			 individual's independence in performing any task described in OAR
			 410-172-0780.
(4) "Assistive
			 Supports" means the aid of service animals, general household items, or
			 furniture used to assist and enhance an individual's independence in performing
			 any task described in OAR 410-172-0780.
(5) "Background Check" means a criminal
			 history check and abuse check as described in OAR chapter 407 division
			 007.
(6) "Personal Care Attendant
			 Service Coordinator" or "PCA Service Coordinator" means an employee of the
			 Authority or the Authority's IQA designee, who assesses the service needs of
			 individuals, determines eligibility, and offers service choices to eligible
			 individuals. A PCA Service Coordinator authorizes and implements an
			 individual's person-centered service plan and monitors the personal care
			 services delivered. The PCA Service Coordinator will meet the qualifications
			 set forth by the Authority and IQA as per the current contract.
(7) "Cognitive Impairments" means an
			 individual may be physically capable of performing ADLs or IADLs, but may have
			 limitations in performing these activities because of a behavioral health
			 condition or disability which impacts the individual's cognitive abilities.
			 Personal care services may be required because a cognitive impairment prevents
			 an individual from knowing when or how to carry out the task. In such cases,
			 personal assistance may include cueing along with supervision to ensure that
			 the individual performs the task properly.
(8) "Collective Bargaining Agreement (CBA)"
			 means the ratified Collective Bargaining Agreement between the Home Care
			 Commission and the Service Employees International Union, Local 503. The
			 Collective Bargaining Agreement is maintained on the Department's website:
			 (
http://www.dhs.state.or.us/spd/tools/cm/homecare/index.htm
).
			 Printed copies may be obtained by writing the Oregon Department of Human
			 Services, Aging and People with Disabilities, ATTN: Rules Coordinator, 500
			 Summer Street NE, E-2, Salem, Oregon 97301.
(9) "Consumer-Employer" means an individual
			 eligible for and receiving in-home services through the Behavioral Health
			 Personal Care Attendant program.
(10) "Consumer-Employer Representative" means
			 any adult with longstanding involvement in assuring the individual's health and
			 safety, appointed to participate in service planning process, and is:
(a) Chosen and appointed by the individual or
			 their legal representative, if applicable;
(b) Not a paid provider of individual's
			 Behavioral Health Personal Care Attendant services;
(c) Authorized, in writing or other method
			 that clearly indicates consenting choice, by the individual or legal
			 representative, if applicable, to serve as the individual's representative in
			 connection with the provision of funded supports until the individual or legal
			 representative modifies the authorization or notifies the agency that the
			 representative is no longer authorized to act on their behalf; and
(d) Responsible for performing
			 consumer-employer duties described in OAR 410-172-0800.