1. (1) Eligibility Case Managers are responsible for:

   1. (a) Eligibility related, consultation, and referral tasks including:

      1. (A) Service eligibility assessments and service eligibility determinations as described OAR 411-014-0040;

         1. (i) Initial eligibility determinations must be conducted within 45 days of the date of request;
         2. (ii) Redeterminations must be completed every two years.
      2. (B) Initial financial eligibility determinations and re-determinations as required by OAR 461-135-0010(3) including income and asset verifications and notice of eligibility.
      3. (C) Verifying all other eligibility requirements in OAR 411-014-0020 for OPI-M are met;
      4. (D) Program consultation, presenting options, resources, and alternatives to an individual to assist the individual in making informed choices about program selection; and
      5. (E) Referrals for program coordination and communication with the Services Case Manager when OPI-M is chosen by the individual.
   2. (b) Assisting individuals to make informed decisions by providing complete and unbiased information.

   3. (c) Person-centered planning processes and ensuring the processes:

      1. (A) Are driven by the individual;
      2. (B) Include people chosen by the individual;
      3. (C) Consider the program options that best meet the identified needs;
      4. (D) Reflect the cultural considerations of the individual; and
      5. (E) Use the language, format, and presentation methods appropriate for effective communication according to the needs and abilities of the individual and, as applicable, representative of the individual.
   4. (d) Informing individuals of grievance and hearing rights and follow grievance and hearing processes.
2. (2) Type B transfer AAA staff serving as OPI-M Eligibility Case Managers may also serve as Services Case Managers.
3. (3) ODHS Eligibility case managers must respond to OPI-M communication from AAAs within five business days. Responses to communication from eligible individuals and their representatives must also occur within five business days.

Statutory/Other Authority

ORS 410.070

Statutes/Other Implemented

ORS 410.060, 410.070 & 414.065

History

APD 65-2024, adopt filed 11/20/2024, effective 11/22/2024
APD 23-2024, temporary adopt filed 05/20/2024, effective 05/31/2024 through 11/26/2024