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Support Services for Adults with Developmental ... - DHS home

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(d) Fiscal intermediary services;<br />

(e) Basic employer and employee roles and responsibilities;<br />

(f) Developing new resources;<br />

(g) Major public health and welfare benefits;<br />

(h) Constructing and adjusting individualized support budgets; and<br />

(i) Assisting individuals to judge and improve quality of personal<br />

supports.<br />

(7) INDIVIDUAL RECORD REQUIREMENTS. The brokerage must<br />

maintain current, up-to-date records <strong>for</strong> each individual served and must<br />

make these records available to the Department upon request. Individual<br />

records must include at minimum:<br />

(a) Application and eligibility in<strong>for</strong>mation received from the referring<br />

CDDP.<br />

(b) An easily-accessed summary of basic in<strong>for</strong>mation, including the<br />

individual's name, family name (if applicable), individual's legal<br />

representative (if applicable), address, telephone number, date of<br />

entry into the program, date of birth, sex, marital status, individual<br />

financial resource in<strong>for</strong>mation, and plan year anniversary date.<br />

(c) Documents related to determining eligibility <strong>for</strong> brokerage services<br />

and the amount of support services funds available to the individual,<br />

including basic supplement criteria if applicable.<br />

(d) Records related to receipt and disbursement of funds, including<br />

expenditure authorizations, expenditure verification, copies of CPMS<br />

expenditure reports, and verification that providers meet the<br />

requirements of OAR 411-340-0160 through 411-340-0180.<br />

(e) Documentation, signed by the individual or the individual's legal<br />

representative, that the individual or the individual's legal<br />

representative has been in<strong>for</strong>med of responsibilities associated <strong>with</strong><br />

the use of support services funds.<br />

Page 81 of 106

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