1. (1) “Aging and People with Disabilities (APD)" means the program within the Oregon Department of Human Services (ODHS) primarily responsible for serving older adults and people with physical disabilities as defined in OAR chapter 411, division 015.
2. (2) "Area Agency on Aging (AAA)" means the Department designated agency charged with the responsibility to provide a comprehensive and coordinated system of services to older adults and adults with disabilities in a planning and service area. The term Area Agency on Aging is inclusive of both Type A and Type B Area Agencies on Aging as defined in ORS 410.040 and described in ORS 410.210-300.
3. (3) "Case Manager" means an employee of the Department or Area Agency on Aging, who assesses the service needs of an applicant, determines eligibility, and offers service choices to the eligible individual. The Case Manager authorizes and implements the service plan and monitors the services described in OAR chapter 411, division 028.

4. (4) “Crisis” means the APD risk definitions, as follows:

   1. (a) High risk: An identified concern, that without mitigation, is likely to cause the individual to experience substantial injury or loss within the next 30 days, puts the individual at risk of institutionalization or displacement from their current living setting, or the individual has experienced substantial harm within the previous 30 days and the harm will likely recur without mitigation;
   2. (b) Medium risk: An identified concern, that without mitigation, is likely to cause the individual to experience minor injury or loss within the next 90 days, puts the individual at risk of institutionalization or displacement from their current living setting, or has experienced minor loss in the previous 30 days that will likely recur or worsen without mitigation.

5. (5) “Crisis support” means supports to assist with urgent or critical needs that cannot be addressed by other funding sources and one of the following;

   1. (a) To provide one-time funding to resolve an urgent need for individuals establishing or maintaining in-home plans or maintain placement in a licensed care setting; or
   2. (b) A bridge to establish and ensure ongoing stability of the individual’s in-home service plan, and includes, but is not limited to, certain home repairs, specialized items, temporary hotel costs, moving assistance, and surgery for a qualified service animal.
6. (6) “Crisis Support Program (CSP)” means the program within the Oregon Department of Human Services, Office of Aging and People with Disabilities that determines an individual’s eligibility for receiving crisis supports.
7. (7) “Department” means the Oregon Department of Human Services (ODHS), APD.

8. (8) “Emergency items” mean those items used to offer immediate, short-term help to individuals whose health and safety would be threatened when they experience a sudden need for an evacuation from their home, a loss of electrical power or heating source, or other emergency event. Emergency items mean:

   1. (a) “Emergency kit”, which is a bag with necessary supplies, including but not limited to a flashlight, “D” size battery, emergency blanket, N-95 breathing mask, personal first aid kit, whistle, and food rations to last for a few days, for use in case of an emergency;
   2. (b) “Portable power station”, which is a rechargeable battery device that provides off-grid electricity.
   3. (c) “Portable air conditioners’ which are self-contained cooling units designed for easy movement and use, allowing an individual to cool specific areas without the need for permanent installation.
   4. (d) “Back up heaters” which are self-contained heating units designed for easy movement and use, allowing an individual to heat specific areas without the need for permanent installation.
9. (9) “In-Home Services” mean those services that meet the established priorities for service as described in OAR chapter 411, division 015, and meet all the eligibility requirements in OAR 411-015-0010 through 411-015-0100. The individual must reside in a living arrangement that meets the criteria described in OAR 411-030-0033(2) to receive these services.
10. (10) "Individual" means a person aged 65 or older, or an adult with a physical disability, applying for or eligible for services per OAR 411-015-0100.
11. (11) “Licensed care settings” mean provider-owned, controlled, or operated residential settings per OAR 411-004-0010(17). The individual must reside in a living arrangement that meets the criteria described in OAR 411-004-0017 to receive these services.
12. (12) “Medicaid” means the program that provides health care coverage and long-term services to low-income individuals. The program is jointly funded by the federal government and states and administered by the State. For purpose of these rules, Medicaid means the state and federal program that provides the funding for long-term services and supports for qualified individuals.
13. (13) "Natural Supports" or "Natural Support System" means resources and supports (e.g., relatives, friends, neighbors, significant others, roommates, or the community) who are willing to voluntarily provide services to an individual without the expectation of compensation. Natural supports are identified in collaboration with the individual and the potential "natural support". The natural support is required to have the skills, knowledge, and ability to provide the needed services and supports.
14. (14) “Oregon Project Independence - Medicaid (OPI-M)” means the services approved and funded by the Centers for Medicare and Medicaid Services (CMS) for eligible individuals in accordance with the 1115 demonstration waiver for the OPI-M program and including the services defined in OAR chapter 411, division 014.
15. (15) "Person-Centered Service Plan (Service Plan)" means, for Medicaid eligible individuals, the written details of the supports, desired outcomes, activities, and resources required for an individual to achieve and maintain personal goals, health, and safety. The plan is written by the Case Manager with input and approval from the individual.
16. (16) “Reasonable resource” means one that is accessible quickly enough to resolve a crisis currently being experienced by the individual. It is only available to individuals who are clearly establishing or maintaining in-home service plans through APD.
17. (17) “State Plan Personal Care (SPPC)” means those services that enable an individual to move into or remain in their own home while also safely navigating their community, including the services defined in OAR Chapter 411, division 034.
18. (18) “Support Needs” means the assessed activities of daily living, instrumental activities of daily living and health related tasks and items or repairs that replace the need for human assistance or increases the individual’s independence.
19. (19) “These Rules” mean the rules in OAR chapter 411, division 017.

Statutory/Other Authority

ORS 409.050, 410.070, 410.090 & 410.210-410.300

Statutes/Other Implemented

ORS 410.010, 410.020 & 410.070

History

APD 2-2026, adopt filed 01/13/2026, effective 01/14/2026
APD 9-2025, temporary adopt filed 07/16/2025, effective 07/21/2025 through 01/16/2026