SPD-AR-13-013 - DHS home

Seniors and People with Disabilities 

Action Request 

Transmittal 

Patrice Botsford 

Number: APD-AR-13-013 

Authorized Signature Issue Date: 3/11/2013 

CORRECTED 

Topic: Developmental Disabilities Due Date: 

Subject: 

Mandated 1.25% wage increase for DD Personal Support Workers (PSWs) 

who serve individuals with developmental disabilities 

Applies to (check all that apply): 

All DHS employees 

Area Agencies on Aging 

Children, Adults and Families 

County DD Program Managers 

County Mental Health Directors 

Health Services 

Seniors and People with Disabilities 

Other (please specify): Brokerage 

Directors, CDDP Service Coordinators, 

Brokerage Personal Agents, ODDS 

Program Staff; OBI-DIIU staff, Home 

Care Commision; Home Care 

Commision staff; 

HB3618 and the 2011-2013 Collective Bargaining Agreement between Home Care 

Commission and Services Employees International Union (SEIU) Local 503, OPEU 

requires that effective April 1, 2013, all Personal Support Workers (PSWs) defined by 

HB3618 receive a 1.25% wage/pay increase and that the rate guidelines published by 

the Department of Human Services shall be adjusted to reflect the 1.25% increase. In 

addition, these agreements require that there be no loss of service to individuals 

receiving in-home services as a result of implementing this wage/pay increase. 

To ensure compliance with these requirements the Office of Developmental Disabilities 

Services (ODDS) will take the following action: 

1. ODDS will facilitate an increase in funding for all DD In-Home services plans to 

accommodate the application of this 1.25% increase for PSWs. This will result in 

an increase of all service plan benefit levels by a corresponding 1.25%, effective 

4/1/2013. 

2. Update applicable published service rate guidelines for wage/pay rates for PSW 

covered services to include and reflect this 1.25% increase. 

DHS 0078 (02/04)

3. Provide additional information to assist CDDPs, Brokerages and CIIS Program staff 

in amending client service plans to include the 1.25% increase appropriately. That 

assistance includes the additional information and documents provided with this 

transmittal: 

• Guidance document to assist in defining PSW services and duties. 

• Updated Service Rate Range Guidelines for Adult Support Services (SE149). 

• Updated Service Rate Range Guidelines for Comprehensive In-Home 

Supports for Adults (SE49). 

• Updated Service Rate Guidelines for Children’s In-Home Service Programs 

(SE150, SE151, and CIIS). 

• Updated Adult Support Services Benefit Level matrix. 

• ISP Plan Revision Exemption documents. 

• Sample letter to in-home service recipients informing them of the 1.25% 

increase. 

4. ODDS will host a conference call to assist in answering questions that CDDPs, 

Brokerage and CIIS staff may have about this mandated increase. 

Call-in Date: Wed, March 20, 2013 

Call-in Time: 2:00 pm – 3:00 pm 

Conference Number: 1-866-680-0148 

Access Code: 458900 

Action Required: CDDP, Adult Support Service Brokerage and CIIS 

Program staff will assure that client in-home service plans are 

amended to include and apply this mandated 1.25% wage/pay increase 

to all PSWs, effective 4/1/2013. 

Please note that this action is not a general cost of living adjustment for all services 

and providers. This is to support the 1.25% increase in PSW provider rates/wages 

ONLY. When distributing the 1.25% increase to services in an individual’s plan, the 

increase should only be applied to those providers who are providing PSW type duties, 

as defined by HB3618 and the 2011-2013 Collective Bargaining Agreement between 

Home Care Commission and Services Employees International Union (SEIU) Local 

503, OPEU. This increase should not be applied to non-PSW defined services and 

non-PSW providers, such as consultants. 

Individual Support Plans will not require re-authorization to implement this change, 

however a copy of the “Plan Revision Exemption” document included with this 

transmittal should be attached to all ISPs affected by this change. As plans are 

renewed at their annual renewal date, they must be updated to reflect the adjusted or 

increased rates. 


The 1.25% increase to the benefit level will be pro-rated by the amount of time 

between 4/1/13 and the end of an individual’s plan year. 

Individuals receiving Adult Support Services and who are at the upper most limit of 

support service funding (eg: “Full Base Plus/ADL,” currently at the benefit amount of 

$24,488 per year) will not have an increase to their annual benefit level. 

PSW Job Descriptions do not have to be adjusted to reflect the new wage rate until 

they are renewed with the provider. 

This action does not impact or make other changes to rules and regulations governing 

the implementation of in-home services, the development of service plans, or the 

application of plan or benefit limits. 

Reason for Action: The 2011-2013 Collective Bargaining Agreement between Home 

Care Commission and Services Employees International Union (SEIU) Local 503, 

OPEU requires a 1.25% raise in wages for all personal support workers. 

Field/Stakeholder review: Yes No 

If yes, reviewed by: 

If you have any questions about this action request, contact: 

Contact(s): Corissa Neufeldt, Manager, ODDS Program, Policy & Service Delivery 

Mike Parr, Adult Support Sevices Policy Specialist 

Bruce Baker, Manager, ODDS Children’s Programs 

Phone: Corissa: 503-945-6742 

Fax: 

Mike: 503-945-6109 

Bruce: 503-945-9800 

E-mail: Corissa.neufeldt@state.or.us 

Mike.r.parr@state.or.us 

Bruce.m.baker@state.or.us 


Guidance to assist in defining PSW Duties & Services 

Personal Support Worker (PSW) duties that are subject to the requirements of HB3618 and the SEIU collective 

bargaining agreement are those services that provide “… assistance with activities of daily living, activities of 

community inclusion and self‐management.” Specifically defined in the HCW/SEIU bargaining agreement as: 

• “Activities of daily living” includes but is not limited to the following: 

(a) Bathing and personal hygiene; 

(b) Dressing and grooming; 

(c) Eating; 

(d) Mobility; 

(e) Bowel and bladder management; and 

(f) Cognition 

• “Activities of community inclusion” includes but is not limited to volunteer activities, employment, 

development of community life skills and participation in social and recreational community events. 

• “Self‐management” includes but is not limited to the following activities, other than activities of daily 

living, required by an individual to continue living independently in the individual’s own home: 

(a) Medication and oxygen management; 

(b) Transportation; 

(c) Meal preparation; 

(d) Shopping; and 

(e) Client‐focused general household work. 

It was further clarified in the CBA process that these PSW services were to be “ongoing” and not short‐term or 

time limited in duration. This means that ongoing services would be services and/or supports which are occurring 

consistently and regularly throughout the life of the client’s service plan. Attached is a matrix of examples for 

each service type by CPMS service expenditure code to assist in making this distinction. 

ar13013a.doc 

Page 1 of 5


In regards to services in SE150‐Family Support where CDDPs do not manage that service in ongoing plans, but 

rather as intermittent plans to address needs when they arise and as funds are available, applying the concept of 

“ongoing” as described can be difficult. So, for those situations for SE150‐Family Support where short‐term or 

intermittent plans are used, consider the provider a PSW type provider if they are an employee of the 

client/family and paid as such, even if the service they provide is part of a limited, short‐term or intermittent 

plan. 

Examples of PSW duties and non‐PSW duties by service and CPMS service code as outlined in HB3918 and SPD‐ 

AR‐11‐026. 

Client Service 

Adult Support/Brokerage 

Client Services 

(SE149) 

CPMS Services/Codes that 

ARE PSW duties 

• 725 ‐ Chore Services 

• 726 ‐ ONGOING Community Living & 

Inclusion Supports 

• 730 ‐ Home Maker 

• 731 ‐ Non‐medical Transportation 

• 735 ‐ Respite Care 

• 740 ‐ ONGOING Supported 

Employment supports/services 


ARE NOT PSW duties 

• 726 ‐ TIME LIMITED Community Living 

& Inclusion Supports 

• 728 ‐ Environmental Adaptations 

• 729 ‐ Family Training 

• 732 ‐ Occupational Therapy 

• 733 ‐ Pers Emergency Response System 

• 734 ‐ Physical Therapy 

• 736 ‐ Special Diets 

• 737 ‐ Specialized Equipment & Supplies 

• 738 ‐ Specialized Supports 

• 739 ‐ Speech, Hearing & Language 

Services 

• 740 ‐ TIME LIMITED Supported 



Page 2 of 5



Comprehensive In‐Home 

Supports 

(SE49) 


Family Support Services 

(SE150) 



• 498 ‐ Other: Family/Individual ‐ GF 

ONLY (if service would be covered by the 

below codes, if client was enrolled to the 

waiver). 

• 702 ‐ Day Habilitation 

• 706 ‐ ONOING In‐Home Support 

Services 



• 714 ‐ ONGOING Supported 




• 751 ‐ Community Inclusion 


Services 





• 498 ‐ Other: Family/Individual ‐ GF 

ONLY (if service would be covered by the 

below codes, if client was enrolled to the 

waiver). 

• 700 ‐ Behavior Consultation 

• 703 ‐ Environmental Accessibility 

Adaptations 






• 713 ‐ Speech, Hearing & Language 

Services 

• 714 ‐ TIME LIMITED Supported 

Employment services/activities 




• 752 ‐ Fiscal Intermediary Services 


Adaptations 




Page 3 of 5



Long Term Supports for 

Kids 

(SE151) 




Services 



• 760 ‐ Specialized Medical Equipment & 

Supplies 


• 762 ‐ Speech, Hearing & Language 

Services 

• 763 ‐ Information & Referral (I & R) 

Services 

• 764 ‐ Other‐RN Delegation Services 




• 752 ‐ Fiscal Intermediary Services 


Adaptations 


• 760 ‐ Specialized Medical Equipment & 

Supplies 

• 763 ‐ Information & Referral (I & R) 

Services 

• 764 ‐ Other‐RN Delegation Services 


Page 4 of 5



Children’s Intensive In‐ 

Home Services – CIIS 

Programs 

(SE145) 



• 701 – Chore Services 

• 705 – Homemaker 



and 

• State Plan In‐Home Care/Services 





Adaptations 






• 713 ‐ Speech, Hearing & Language 

Services 

• 715 – Translation services 


Page 5 of 5

Adult Support Services Rate Ranges 

CORRECTED Effective April 1, 2013 - All rates are hourly, unless indicated 

CHORE SERVICES (725) Individual Employed by 

Service Recipient/Family* 

Independent Provider 

Independent Contractor 

Provider 

Organization 

Chore Services - Completion or assistance with heavy household chores to maintain a clean, safe, and sanitary home environment approved only 

when no household members or others can pay for or perform the service. This is a time-limited service and is not to be used on a regular basis. 

Minimum Wage 

to 

$14.72 

$12.94 

to 

$24.02 

$15.63 

to 

$27.28 

COMMUNITY LIVING & INCLUSION (726) Individual Employed by 




Provider 

Organization 

Community Living and Inclusion - Support and instruction that facilitates independence and promotes community integration by supporting the 

individual to gain or maintain skills to live as independently as possible in the type of home the individual chooses and to provide support for the 

individuals to participate in activities in integrated settings that promote community inclusion and contribution. 

1:1 Living or Inclusion Assessment or Skill Training 

Time limited assistance to achieve a defined outcome related to a) 

identifying essential environmental supports; b) building 

relationships and skills related to independent or naturally supported 

participation in a local group or activity of interest; or c) increasing 

skills to achieve greater independence in activities of daily living. 

Staff must have training expertise. The outcome of the service must 

include a report and, if needed, a plan for implementation using ongoing 

supports. Maximum Assessment and Training hours = 100 

hours (Assessment 20- Training 80) 

$12.94 

to 

$35.58 

$15.63 

to 

$47.44 

As of Jan 1, 2013 – Minimum wage = $8.25 / hour. Adult Support Svcs Rate Ranges (v2; 4-1-13) 

Page 1 of 8



COMMUNITY LIVING & INCLUSION (726) Individual Employed by 




Provider 

Organization 

1:1 Living and Inclusion Assistance 

Providing on-going support with activities of daily living in the home (meal 

planning, shopping, bathing) and/or for an individual's participation in local 

groups or community activities of interest. Assistance is necessary due to 

the communication, personal care, and medical and safety support needs of 

the individual. Note: Some variability in rates may occur based upon 

negotiated strategies and support needs of person(s) in the home. For 

example the companionship exemption may be utilized or the hourly rate 

may be prorated if there is more than one person with disabilities receiving 

support at the same time. 

Minimum Wage 

to 

$14.72 

$12.94 

to 

$24.02 

$15.63 

to 

$27.28 

Small Group Inclusion Assistance 

Participation and learning in activities of interest along with others/friends 

with and without disabilities. 

Hourly rate above, prorated 

by number in group 

Hourly rate above, 

prorated by number in 

group 

Facility Based Socialization 

Providing opportunities for activities and socialization with other people 

with disabilities. Personalized or group learning activities that match the 

customer goals and interests are provided. Minimum 5 hour day and 1:8 

staff to customer ratio. 

$29.11 

to 

$43.88 per day 

Facility Based Employment 

Providing on-going opportunities for paid employment in a small business 

or workshop setting where the majority of workers are persons with 

disabilities. Personalized or group learning activities (non-paid) related to 

job exploration, job training, interpersonal skills, money management or 

mobility may also be provided. Minimum 5 hour day and 1:8 staff to 

customer ratio. 

NO MATTER 

RATE METHOD, 

MAXIMUM 

PAYMENT 

ALLOWED 

$43.88/DAY 


Page 2 of 8



FAMILY TRAINING (729) Individual Employed by 




Provider 

Organization 

Family Training - Training and counseling for a family to increase 

their ability to care for, support and maintain an individual with 

disabilities at home. Services provided by licensed psychologist, 

social worker, or counselor. Training and education related to 

information about disability, medical or behavioral conditions care 

requirements, treatment regimens, or equipment specified in ISP. 

$237.20 per event, 

as needed & justified 


as needed & justified, 

or hourly at: 

$53.91 

to 

$88.95 


as needed & 

justified, 

or hourly at: 

$26.95 

to 

$65.23 

HOMEMAKER (730) Individual Employed by 




Provider 

Organization 

Homemaker Services - Completion or assistance with general 

household activities provided by trained homemaker when regular 

caregiver is temporarily unavailable or unable to perform the tasks. 

This is a time-limited service approved only when the criteria is met. 

Minimum wage 

to 

$14.72 

$12.94 

to 

$24.02 

$15.63 

to 

$27.28 


Page 3 of 8



RESPITE (735) Individual Employed by 




Provider 

Organization 

Respite Care - Short-term (up to 14 days without permission from SPD) care for a person with disability in order to provide caregiver relief. Cannot 

be provided in order to allow caregiver to attend school or work. 

Note: Respite Care is a category where there is a high degree of variability in rates based on negotiated strategies, as well as the support needs of the 

person. The result may include rate payments below the stated minimums. For instance, there may be bona fide exceptions to minimum wage or 

overtime payments or to the hours requiring payment based on federal and state law. Examples may be the use of a companionship exemption or 

how sleep time is compensated. Rates paid for respite care may also vary based on such factors as whether supports are provided in an individual or 

small group, or the person's home or a provider's setting. 

Hourly 

Minimum Wage 

to 

$14.72 

$12.94 

to 

$24.02 

$15.63 

to 

$27.28 

Overnight (24 hours) 

Minimum: $168.20 

Maximum: $235.55 

Minimum: $129.38 

Maximum: $240.17 

Min: $134.77 

Max: $266.85 

SPECIALIZED SUPPORTS (738) Individual Employed by 




Provider 

Organization 

Specialized Supports - Time limited services providing treatment, training, consultation or other services not available through the State Medicaid 

Plan. Supports include a) needs assessment, b) plan development, c) caregiver training, and d) plan monitoring and revision. 

Behavior/Social Sexual 

$53.91 

to 

$88.95 

$26.95 

to 

$65.23 


Page 4 of 8



SPECIALIZED SUPPORTS (738) Individual Employed by 


Licensed RN 

$23.72 

to 

$39.80 



$26.95 to $65.23 

OR for shift care: 

$26.95 

to 

$41.51 

Provider 

Organization 

$32.35 

to 

$71.16 


$26.95 

to 

$65.23 

$21.56 

to 

$65.58 

Licensed LPN No Independent Rate, requires NR supervision 


$19.41 

to 

$33.81 

Nursing Aides 

Minimum wage 

to 

$11.86 

+ Admin Overhead 

Delegating RN $26.95 $29.65 

$26.95 

to 

$35.58 


Page 5 of 8



SUPPORTED EMPLOYMENT (740) Individual Employed by 




Provider 

Organization 

Time Limited Employment Supports: All initial phases of supported employment are time limited and must have measurable benchmarks or 

outcomes. They are services that help the individual to choose a type of work, get a job, and learn the tasks related to a paid community job in an 

integrated setting. Time limited services end when the goals for employment have been met and the individual is meeting performance expectations 

of the employer. Vocational Rehabilitation (OVRS) or the Oregon Commission for the Blind (OCB) must be used initially if individual meets 

eligibility criteria. Rate ranges apply to the use of support service funds (DD149) only. Job training provided should be designed to maximize the use 

of typical business co-workers and staff in supporting an individual's initial and on-going job performance. 

Job Development and Placement 

Development, creation, or identification of paid work in a community 

business or self employment setting that meets documented customer and 

plan expectations related to work tasks, use of co-worker or natural 

supports, location, integration, hours, wage level, transportation etc. This 

service may be done in the name of the customer (not require customer 

attendance at all times). 

Minimum wage 

to 

$14.54 

$12.94 

to 

$37.94 

$15.63 

to 

$47.44 

Job Exploration 

A defined and time limited series of short-term job placements designed as 

an assessment or “try out" of potential areas of employment identified as 

interests or strengths in the person’s PC employment plan. 

Minimum wage 

to 

$14.54 

$12.94 

to 

$37.94 

$15.63 

to 

$47.44 

Job Coaching, or Employment Consultation (time limited): 

Assessment, job adaptation, environmental accommodation, worker and coworker 

training with the goal of assisting the individual to meet job 

expectations with as much independence and natural co-worker support as 

possible. Regular and necessary accommodations and supports are to be 

put in place and available for the life of the job. Coaching and consultation 

is expected to include the worker (face to face). Limited business training 

(face to face with designated co-worker or supervisor) may be prior 

approved in the plan and billing must include documentation of activity and 

outcome. 

Minimum wage 

to 

$14.54 

$12.94 

to 

$37.94 

$15.63 

to 

$47.44 


Page 6 of 8



SUPPORTED EMPLOYMENT (740) Individual Employed by 




Provider 

Organization 

Long Term Employment Supports or Consultation: Providing on-going supports to an employee or an employer at or away from the job site to 

support success in keeping a job. Enhances what is typically available at the job site as an accommodation (no cost) and directly provides supports 

only above that level. Provides or arranges for personal care, as needed. 

Individual On-Going Supported Employment 

Worksite monitoring and interventions that will help assure continuing 

employment using and enhancing as much natural support as possible. 

Focuses consultation on individual and or co-workers. Assists in retraining 

for job upgrade or re-stabilization as needed. Provides or arranges for 

personal care, as needed Coaching and consultation is expected to include 

the worker (face to face). Limited business training (face to face with 

designated co-worker or supervisor) may be prior approved in the plan and 

billing must include documentation of activity. Federal supported 

employment regulations require regular (2x per mo or more) monitoring of 

all paid and unpaid employment supports. 

Minimum wage 

to 

$14.72 

OR 

Payment of Co-worker/ 

Business based on formula 

SPD-IM-04-017 (3/14/04) 

$12.94 

to 

$38.41 

$15.63 

to 

$47.44 

Enclave or Crew - Providing on-going supervision and training to a 

group of workers with disabilities to support integration and 

performance at the job site. Support must be above what is typically 

available to non-disabled workers. Paid work must be scheduled for 

all paid support time. Individualized general work related training 

and activities may be offered, on a limited basis, if paid work is not 

available. 

Hourly rate ranges 

above prorated by 

number in group 

OR 

Daily at: 

$29.11 

to 

$43.88 

No matter rate 

method, Max 

payment allowed 

is $43.88/day 


Page 7 of 8



TRANSPORTATION (731) Individual Employed by 




Provider 

Organization 

Non-Medical Transportation services that allows an individual to 

gain access to non-medical community activities, services and 

resources. 

IF NECESSARY, will negotiate a per-mile, per day, or per trip rate 

with organizations providing group or route based transportation to 

and from a work or facility site. 

Hourly wage for the 

category of service, 

plus mileage 

(max $0.445/mile) 


category of service, 

plus mileage 

(max $0.445/mile) 

Hourly wage for 

the cat. of services, 

plus mileage 

OR 

Negotiated 

rate 

* An individual, family, and or brokerage must carefully identify the existence of an employer-employee or independent 

contractor relationship and follow all relevant State and Federal employment laws. 


Page 8 of 8

COMPREHENSIVE IN-HOME SUPPORT SERVICES RATE GUIDELINES 

Effective 4/1/2013 

Svc 

Cat 

Service Title and Description Individual 

Employed by 

Family Training 

Family Training 

Training and counseling for a family to increase their ability to care for, support 

and maintain an individual with disabilities at home. Services provided by 

licensed psychologist, nurse, a professional licensed to practice medicine, 

social worker, or counselor. Training and education related to information 

about disability, medical or behavioral conditions, care requirements, 

treatment regimens, or equipment specified in the individual’s ISP. 


Family 

Independent 

Contractor 

A maximum of $215.65 per event, 

as needed and justified. 

$53.91 ‐ $80.86 

per hour 

Provider 

Organization 

$26.95 ‐ $59.30 

per hour 

In‐Home Support 

In‐Home Support Services is for the purpose of facilitating independence and integration by helping the individual to acquire skills to live 

as independently as possible in the family home or their own home. 

1:1 Daily Living Assessment or Skill Training 

Time limited assistance to achieve a defined outcome related to: 

a. identifying essential environmental supports, or 

b. increase skills to achieve greater independence in activities of daily living. 

Staff must have training expertise. The outcome of the service must include 

a report and plan for Daily Living Support implementation. Maximum 

Assessment and Training hours = 100 hours (Assessment 20, Training 80) 

1:1 Daily Living Support 

Assistance with ADLs and IADLs in the home (meal planning, shopping, 

bathing, etc.). 

Note: Some variability in rates may occur based upon negotiated strategies 

and support needs of person(s) in the home. For example the companionship 

exemption may be utilized or the hourly rate may be prorated if there is more 

then one person with disabilities receiving support in the home environment. 

Minimum wage ‐ 

$13.39 per hour, 

plus tax 

$12.94 ‐ $32.75 

per hour 

$12.94 ‐ $21.83 

per hour 

$15.63 ‐ S43.13 

per hour 

$15.63 ‐ $24.80 

per hour 

As of Jan 1, 2013, minimum wage = $8.95/hour ar13013c.doc 

Page 1 of 4



Svc 

Cat 

Service Title and Description Individual 

Employed by 

Family 

Transportation 

Non‐Medical Transportation 

Services that allows an individual to gain access to non‐medical 

community activities, services and resources. 

IF NENECESSARY, may negotiate a per mile, per day, or per trip rate with 

organizations providing group or route based transportation to and from a 

work or facility site. 



category of service 

plus mileage 

(max 

$0.404 per mile 

state rate). 

Independent 

Contractor 


the category of 

service plus 

mileage 

(max $0.404per 

mile state rate). 

Respite Care is short‐term care and supervision for a person with disability in order to provide caregiver relief. It cannot be 

provided in order to allow caregiver to attend school or work. 

Provider 

Organization 


the category 

of service plus 

mileage 

OR 

Negotiated 

Rate 

Hourly Respite Minimum wage ‐ 

$13.39 per hour 

plus tax 

$12.94 ‐ $21.83 

per hour 

$15.63 ‐ $24.80 

per hour 

Respite 

Overnight Respite (24 Hours) 

Note: Respite Care is a category where there is a high degree of variability in 

rates based on negotiated strategies, as well as, the support needs of the 

person. The result may include rate payments below the stated minimums. 

For instance there may be bona fide exceptions to minimum wage or 

overtime payments or to the hours requiring payment based on federal 

and state law. Examples may be the use of a companionship exemption 

or how sleep time is compensated. Rates paid for respite care may also 

vary based on such factors as whether supports are provided in an individual 

or small group, the person's home or a provider's setting. 

Minimum wage‐ 

$168.20 

Max. $214.13 

Min. $129.38 

Max $218.34 

Min. $134.77 

Max $242.59 


Page 2 of 4



Svc 

Cat 

Service Title and Description 


Individual 

Employed by 

Family 

Independent 

Contractor 

Provider 

Organization 

Specialized Supports: Time limited services providing treatment, training, consultation or other services not available through the State 

Medicaid Plan, including a) needs assessment, b) plan development, c) caregiver training, and d) plan monitoring and revision. 

Specialized Supports 

Behavior $53.91 ‐ $80.86 

per hour 

Social‐Sexual $52.91 ‐ $80.86 

per hour 

Registered Nurse (RN) 

Licensed Practical Nurse (LPN) 

Nursing Aides 

S23.72 ‐ S36.18 

per hour 

$26.95‐ $59.30 

per hour 

or 

$26.95 ‐ $37.74 

per hour shift 

care 

No Independent rate; 

requires RN supervision 

No Independent rate; 

requires RN supervision 

$26.95 ‐ $59.30 

per hour 

$26.95‐ $59.30 

per hour 

$32.35 ‐ $64.69 

per hour 

or 

$26.95 ‐ $59.30 


care 

$21.56 ‐ $32.35 

per hour 

or 

$19.41 ‐ $30.73 


care 

$8.63 ‐ $10.78 

per hour plus 

administrative 

overhead 


Page 3 of 4



Delegating Registered Nurse (RN) 

$26.95 per hour $26.95 per hour 

$26.95 ‐ $32.35 

per hour 

• An individual, individual's legal representative (if applicable), and or CDDP must carefully identify the existence of an 

employer‐employee or independent contractor relationship and follow all relevant state and federal employment laws. 

• For further information on employment issues: 

o Copies of the OREGON BUSINESSS GUIDE may be obtained from The Corporation Division of the Office of the 

Secretary of State; phone is (503) 986‐2222. 

o To receive more information on IRS publications (Circular E and the Guide to Household Employees 

are good ones) call toll free 1‐800‐829‐3676, go to the web site: www.irs.ustreas.gov , or contact 

your local IRS office. 

o The Oregon Bureau of Labor and Industries (BOLI) Technical Assistance Number is 1‐503‐731‐4200, and then press 

“4” when the automated attendant comes on. The web address is: 

http://www.oregon.gov/BOLI/TA/pages/index.aspx 

• For information on Oregon taxes, or to get the Combined Employer's Registration contact: 

Oregon Department of Revenue 

PO Box 14800 

Salem, OR 97310 

(503) 945‐8091 


Page 4 of 4

ODDS Children’s In-Home Programs Rate Guidelines 

Effective April 1, 2013 

• Maximum plan amounts for SE151- Children’s Long Term Supports are incorporated into this guideline and appear on 

page 7 of this document. 

• Exceptions to this rate guideline require written approval from ODDS prior to authorization of the rate in a plan. Written 

justification and documentation of efforts to procure the supports within the published rate ranges will be required. 

• Provider rates which were approved by the Region prior to May 6, 2010 may remain as negotiated until such time as 

there is a change in provider. All new providers or change in providers in a support plan must meet the new rate 

guideline. This includes former providers who are rehired after a break in employment. 

Category: RESPITE 

See applicable OAR for Service definition and restrictions. 


*Individual Employed 

by Service 

Recipient/Family 

*Independent 

Contractor 

Provider 

Organization 

Note: Respite Care is a category where there is a high degree of variability in rates based on negotiated strategies, as well as the support needs of the 

person. The result may include rate payments below the stated minimums. For instance, there may be bona fide exceptions to minimum wage or 

overtime payments or to the hours requiring payment based on federal and state law. For example, how sleep time is compensated. Rates paid for 

respite care may also vary based on such factors as whether supports are provided in an individual or small group, or the person's home or a 

provider's setting. 

Hourly 

SE 150 - Family Support (OAR 411-305) 

SE 151 - Children’s Long Term Supports (OAR 411-308) 

SE 641 - CIIS – Behavior (OAR 411-300) 

SE 642 - CIIS - Medically Fragile (OAR 411-350) 

SE 644 - CIIS - Medically Involved (OAR 411-355) 

* An individual or family must carefully identify the existence of an 

employer-employee or independent contractor relationship and follow all 

relevant State and Federal employment laws. 

Minimum Wage 1 

To 

$12.15 

$75.00 

To 

$201.25 

$12.00 

To 

$18.23 

Overnight (24 Hours) 

$75.00 

To 

$201.25 

Negotiated within 

Market Rates – Not 

to Exceed 

$27.28 

$75.00 

To 

$200.00 

1 

As of Jan 1, 2013 Minimum wage = $8.95/hour ar13013d.doc 

Page 1 of 7



Category: IN-HOME PROVIDER SUPPORT 





SE 642 - Medically Fragile (OAR 411-350) 

SE 644 - CIIS Medically Involved (OAR 411-355) 

* An individual or family must carefully identify the existence of an 

employer-employee or independent contractor relationship and follow all 

relevant State and Federal employment laws. 


*Individual Employed 

by Service 

Recipient/Family 


To 

$12.15 

*Independent 

Contractor 

Unlicensed direct staff (including CNA) 

$12.00 

To 

$18.23 

Licensed LPN (Requires RN Care Plan) 

Standard Rate: 

$20.42 

Licensed RN (Private Duty Nurse) 

Standard Rate: 

$23.72 

Provider 

Organization 

$12.00 

To 

$27.28 

$25.00 

to 

$30.74 

$32.35 

to 

$42.00 

1 


Page 2 of 7



Category: SPECIALIZED SUPPORTS 








*Individual Employed by 

Service Recipient/Family 

Independent 

Contractor 

Provider 

Organization 

Delegating RN 

** This is an all inclusive rate. Travel and administrative time cannot be 

billed separately 

$30.00 

To $45.00 

$26.95 

To $45.00 






Behavioral Consultant 

** This is an all inclusive rate. Travel and administrative time cannot be 

billed separately 

$45.00 

To 

$85.00 

$25.00 

To 

$47.00 

1 


Page 3 of 7

Category: HOMEMAKER/CHORE 











Independent 

Contractor 

After 7/1/09 After 7/1/09 


To 

$12.15 


To 

$30.38 

Business 

Organization 

After 7/1/09 

Market Rate 

Category: FAMILY TRAINING 

See each applicable OAR for Service definition and restrictions. 







*Individual Employed by Independent 

Service Recipient/Family Contractor 

Per event as needed 

and justified or 

hourly at: 

$53.91 

To 

$80.86 

Provider 

Organization 

Per event as needed 

and justified or 

hourly at: 

$26.95 

To 

$59.30 

1 


Page 4 of 7



Category: NON-MEDICAL TRANSPORTATION 




Individual Employed by 


Independent 

Contractor 

Provider 

Organization 

After 7/1/09 After 7/1/09 After 7/1/09 

Maximum $0.404 per mile 



Maximum $0.50 per mile 


Category: COMMUNITY INCLUSION 



Vendor or Organization 

Average, customary and usual cost for participation fee or deposit. Must 

be within identified individual program cap. 

Provider support required for community inclusion activity billed under 

In-Home Support provider 

Category: OCCUPATIONAL/PHYSICAL/SPEECH & 

LANGUAGE THERAPY 





Independent 

Contractor 

Provider 

Organization 





Not to exceed current published DMAP/Medicaid rates for type of 

service 

1 


Page 5 of 7



Category: SPECIALIZED DIET 






Vendor 

Average, customary and usual cost for market 

Category: ENVIRONMENTAL ADAPTATION 








Independent 

Contractor 

After 7/1/09 

Vendor 

Costs not above the average customary and usual cost for the area. 

Multiple bids required. Most cost effective that meets the individual’s 

needs 

Category: SPECIALIZED EQUIPMENT/SUPPLY 







Any type Vendor 

Average, customary and usual cost for the area. 

Generic items purchased in place of specialized equipment and supply 

should not cost more because they are being used as a specialized 

support. 

1 


Page 6 of 7



MAXIMUM MONTHLY PLAN AMOUNT 

SE 151 – Children’s Long Term Supports (OAR 411-308) 

Up to $1,012.50 per month. 

The total amount of support in a Child’s Long Term Support for Children 

Annual Plan may not exceed the minimum amount necessary to address needs 

that would otherwise result in out-of-home placement, up to a maximum of 

$1,012.50, in any plan month. This monthly amount is inclusive of all payroll 

expenses and Fiscal Intermediary costs. 

1 


Page 7 of 7

Support Services Benefit Levels 

Plan Start 

Date 

Basic Benefit Level 

Plan year 

starting 

benefit level 

Additional 

amount 

available 

4/1/13 

Basic Benefit with ADL 

Supplement 

Plan year 

starting 

benefit level 

Additional 

amount 

available 


With Mid-Range Basic 

Supplement** 

Plan year 

starting 

benefit level 

Additional 

amount 

available 


Mid-Range Basic 

Supplement with ADL 

Supplement 

Plan year 

starting 

benefit level 

Additional 

amount 

available 


With Full Basic 

Supplement** 

Plan year 

starting 

benefit level 

Additional 

amount 

available 


With Full Basic 

Supplement 

and ADL 

Supplement*** 

Plan year 

starting benefit 

level 

Apr-12 $ 11,386 $ - $ 14,311 $ - $ 17,078 $ - $ 20,004 $ - $ 21,562 $ - $ 24,488 

May-12 $ 11,386 $ 12 $ 14,311 $ 15 $ 17,078 $ 18 $ 20,004 $ 21 $ 21,562 $ 22 $ 24,488 

Jun-12 $ 11,386 $ 24 $ 14,311 $ 30 $ 17,078 $ 36 $ 20,004 $ 42 $ 21,562 $ 45 $ 24,488 

Jul-12 $ 11,386 $ 36 $ 14,311 $ 45 $ 17,078 $ 53 $ 20,004 $ 63 $ 21,562 $ 67 $ 24,488 

Aug-12 $ 11,386 $ 47 $ 14,311 $ 60 $ 17,078 $ 71 $ 20,004 $ 83 $ 21,562 $ 90 $ 24,488 

Sep-12 $ 11,386 $ 59 $ 14,311 $ 75 $ 17,078 $ 89 $ 20,004 $ 104 $ 21,562 $ 112 $ 24,488 

Oct-12 $ 11,386 $ 71 $ 14,311 $ 89 $ 17,078 $ 107 $ 20,004 $ 125 $ 21,562 $ 135 $ 24,488 

Nov-12 $ 11,386 $ 83 $ 14,311 $ 104 $ 17,078 $ 125 $ 20,004 $ 146 $ 21,562 $ 157 $ 24,488 

Dec-12 $ 11,386 $ 95 $ 14,311 $ 119 $ 17,078 $ 142 $ 20,004 $ 167 $ 21,562 $ 180 $ 24,488 

Jan-13 $ 11,386 $ 107 $ 14,311 $ 134 $ 17,078 $ 160 $ 20,004 $ 188 $ 21,562 $ 202 $ 24,488 

Feb-13 $ 11,386 $ 119 $ 14,311 $ 149 $ 17,078 $ 178 $ 20,004 $ 208 $ 21,562 $ 225 $ 24,488 

Mar-13 $ 11,386 $ 130 $ 14,311 $ 164 $ 17,078 $ 196 $ 20,004 $ 229 $ 21,562 $ 247 $ 24,488 

Apr-13 and on- 

going 

$ 11,528 

$ 14,490 

$ 17,291 

$ 20,254 

$ 21,832 

$ 24,488 

*Eligibility for the ADL 

Supplement is 

described in OAR 411- 

340-0130(4)(f). 

** Access to a Basic Supplement is determined 

by the outcome of the application of the Basic 

Supplement Criteria Inventory (DHS Form 2030), 

in accordance with OAR 411-340-0130(4)(a). 

*** Per OAR 411-340- 

0130(4)(f)(G) Only 

brokerage customers 

eligible for both the full 

basic supplement and the 

ADL supplement as of June 

30, 2005 may be eligible for 

both.

Department of Human Services 

Office of Developmental Disability Services 

500 Summer Street NE, E-09 

Salem, Oregon 97301-1073 

Voice (503) 945-5811 

FAX (503) 373-7274 

TTY 1-800-282-8096 

In-Home Services Plan Revision Exemption 

As part of the collective bargaining agreement between the Oregon 

Home Care Commission and the Service Employees International 

Union signed August 15 th , 2012, all providers who meet the 

HB3618 definition as a Personal Support Workers were given a 

wage increase of 1.25% for all services delivered after 4/1/2013. 

The legislatively sanctioned nature of this wage increase exempts 

the attached Individual Support Plan from the requirements of the 

applicable Oregon Administrative Rule relating to the application 

of this specific change, for the client service indicated below: 

[ ] Adult Support Services - OAR 411-340-0120(8)(a)(H) - Requires 

written changes to the authorized ISP; and 411-340-0130(10)(c) - Requires 

verbal agreement to the change from the individual or individual’s legal 

guardian. 

[ ] Comprehensive In-Home Supports for Adults – OAR 411-330- 

0050(3) - Written Plan Required; and 411-330-0050 (5) - Review of Plan and 

Resources. 

[ ] Long Term Supports for Children – OAR 411-308-0080(6) – Plan 

requires signature of parent or guardian. 

[ ] Family Support Services for Children – OAR 411-305-0020(1) Annual 

plan process. 

“Safety, health and independence for all Oregonians” 

An Equal Opportunity Employer

Department of Human Services 

Office of Developmental Disability Services 

500 Summer Street NE, E-09 

Salem, Oregon 97301-1073 

Voice (503) 945-5811 

FAX (503) 373-7274 

TTY 1-800-282-8096 

In-Home Services Plan Revision Exemption 

As part of the collective bargaining agreement between the Oregon 

Home Care Commission and the Service Employees International 

Union signed August 15 th , 2012, all providers who meet the 

HB3618 definition as a Personal Support Workers were given a 

wage increase of 1.25% for all services delivered after 4/1/2013. 

The legislatively sanctioned nature of this wage increase exempts 

the attached Individual Support Plan from the requirements of the 

applicable Oregon Administrative Rule relating to the application 

of this specific change, for the client service indicated below: 

[ ] CIIS – Medically Involved Program - 411-355-0030 ((4) – Parent 

must review the service plan; 411-355-0030 (5) – Parent must sign the 

service plan. 

[ ] CIIS – Medically Fragile Program – 411-350-0040 (4) – Parent must 

review the service plan; 411-350-0040 (5) – Parent must sign the service 

plan. 

[ ] CIIS – Behavior Supports Program - 411-300-0130 (4) – Parent must 

review and sign the service plan. 

“Safety, health and independence for all Oregonians” 

An Equal Opportunity Employer

SPD-AR-13-013 - DHS home

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