Oregon Administrative Rules › Chapter 411 - DEPARTMENT OF HUMAN SERVICES, AGING AND PEOPLE WITH DISABILITIES AND DEVELOPMENTAL DISABILITIES › Division 28 - CASE MANAGEMENT SERVICES › Section 411-028-0010 - 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 028:
(1) "Adult" means any person at least 18
			 years of age.
(2) "Adult
			 Protective Services" mean the services provided in response to the need for
			 protection from abuse described in OAR chapter 411, division 020, OAR chapter
			 407, division 045, and OAR chapter 943, division 045.
(3) "Case Management" means the functions
			 described in OAR 411-028-0020 performed by a case
			 manager or higher level management staff.
(4) "Case Manager" means a Department
			 employee or an employee of the Department's designee that meets the minimum
			 qualifications in OAR
			 411-028-0040 who is responsible
			 for service eligibility, assessment of need, offering service choices to
			 eligible individuals, service planning, service authorization and
			 implementation, and evaluation of the effectiveness of Medicaid home and
			 community-based services.
(5)
			 "Collateral Contact" means contact by a case manager with others who may
			 provide information regarding an individual's health, safety, functional needs,
			 social needs, or effectiveness of the individual's plan for services.
			 Collateral contact may include family members, service providers, medical
			 providers, neighbors, pharmacy staff, friends, or other professionals involved
			 in the service coordination of an individual receiving Medicaid home and
			 community-based services.
(6)
			 "Department" means the Department of Human Services.
(7) "Designee" means an organization that the
			 Department contracts with or has an interagency agreement with for the purposes
			 of providing case management services.
(8) "Disability" means a physical, cognitive,
			 or emotional impairment which, for an individual, constitutes or results in a
			 functional limitation in one or more of the activities of daily living defined
			 in OAR 411-015-0006.
(9) "Individual" means an older adult or an
			 adult with a disability applying for or determined eligible for Medicaid home
			 and community-based services.
(10)
			 "Medicaid Home and Community-Based Services" mean the services for older adults
			 and adults with disabilities approved for Oregon by the Centers for Medicare
			 and Medicaid Services.
(11) "Older
			 Adult" means any person at least 65 years of age.
(12) "OSIPM" means Oregon Supplemental Income
			 Program-Medical as defined in OAR
			 461-101-0010. OSIPM is Oregon
			 Medicaid insurance coverage for individuals who meet eligibility criteria as
			 described in OAR chapter 461.
(13)
			 "Representative" is a person either appointed by an individual to participate
			 in service planning on the individual's behalf or a person with longstanding
			 involvement in assuring the individual's health, safety, and welfare.
Stat. Auth.: ORS
				  410.070
Stats. Implemented: ORS
				  410.070