(2) As used in this section, "patient-based reimbursement" means reimbursement for direct patient care according to the needs of the patient, based on multiple levels of patient health, functioning and impairment.
(3) A patient-based reimbursement system does not require the Department of Human Services to assess each patient and reimburse long term care facilities according to the constantly changing conditions of the patients except for changes between skilled and intermediate levels of care which shall result in prompt readjustment of rates.
(4) The department shall establish by rule definitions of levels of care and the payment rates for the patient-based reimbursement system. The rates shall be designed to maintain and enhance access to community-based care services.
(5) Notwithstanding ORS 410.555, the department, in cooperation with representatives of community-based care providers, shall implement policies that offer incentives to providers for entering into Medicaid contracts with the department and that enable a patient, to the greatest extent possible, to remain in the residential setting offering the scope of services that best meets the patient’s needs. [1987 c.523 §2 (enacted in lieu of 410.850); 2007 c.70 §186; 2008 c.18 §11; 2011 c.201 §10]
Structure 2021 Oregon Revised Statutes
Volume : 11 - Juvenile Code, Human Services
Chapter 410 - Senior and Disability Services
Section 410.010 - State policy for seniors and people with disabilities.
Section 410.020 - Implementation of state policy.
Section 410.030 - Legislative findings on long term care options.
Section 410.040 - Definitions for ORS 410.040 to 410.300, 410.320 and 410.619.
Section 410.050 - General policy.
Section 410.060 - Policy for persons with disabilities served by department.
Section 410.065 - Comprehensive plan for long term care system.
Section 410.072 - Determination of annual budget levels for type B area agencies; rules.
Section 410.100 - When department to administer area agency programs.
Section 410.120 - Senior and Disabled Services Account.
Section 410.180 - Long term care reimbursement audit manual.
Section 410.190 - Representation of entities in contested case proceedings before department.
Section 410.210 - Area agency advisory councils; membership; duties.
Section 410.250 - Duties of type A agencies.
Section 410.270 - Operation of type B agencies.
Section 410.280 - Duties of type B agencies.
Section 410.290 - Conditions for designation as type B agency; plan of operation.
Section 410.295 - Authority of type B agency to regulate adult foster homes.
Section 410.300 - Transfer of state employees to type B agency; conditions.
Section 410.320 - Governor’s Commission on Senior Services.
Section 410.330 - Legislator members; expenses.
Section 410.410 - Definitions for ORS 410.410 to 410.480.
Section 410.420 - Use of funds for specified services.
Section 410.422 - Oregon Project Independence Fund.
Section 410.430 - Eligibility for authorized services.
Section 410.435 - Expansion of Oregon Project Independence; rules.
Section 410.440 - Priorities for services.
Section 410.450 - Determinations of eligibility; rules.
Section 410.470 - Fees; collection; records; use.
Section 410.480 - Required record keeping; audit.
Section 410.490 - Duties of department; rules.
Section 410.495 - Registry for adult day care programs in state; rules.
Section 410.505 - Definitions for ORS 410.505 to 410.545.
Section 410.520 - When assessment to occur; exceptions.
Section 410.525 - Disclosure of fees; waiver of assessment; additional assessment services.
Section 410.530 - Department authority; delegation; advisory committee; rules.
Section 410.595 - Legislative intent and findings.
Section 410.598 - Training and testing for home care workers and personal support workers; rules.
Section 410.600 - Definitions for ORS 410.595 to 410.625.
Section 410.602 - Home Care Commission; membership; rules.
Section 410.603 - Developmental Disabilities and Mental Health Committee.
Section 410.604 - Duties of commission; executive director.
Section 410.605 - Private pay home care worker program; rules.
Section 410.606 - Referral of qualified individuals on home care registry.
Section 410.607 - Home care and personal support worker classifications and payment rates.
Section 410.612 - Collective bargaining.
Section 410.614 - Rights of home care and personal support workers.
Section 410.619 - Home care and personal support workers not state employees; exception.
Section 410.625 - Authority of commission; budget.
Section 410.710 - State policy on persons with disabilities.
Section 410.730 - Self-Sufficiency Trust Fund; rules.
Section 410.732 - Disabilities Trust Fund; rules.
Section 410.740 - Oregon Deaf and Hard-of-Hearing Services Program; advisory committee.
Section 410.851 - Policy on patient-based reimbursement system for long term care facilities; rules.