SPD-AR-13-013 - DHS home

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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 4/1/13 With Mid-Range Basic Supplement** Plan year starting benefit level Additional amount available 4/1/13 Mid-Range Basic Supplement with ADL Supplement Plan year starting benefit level Additional amount available 4/1/13 With Full Basic Supplement** Plan year starting benefit level Additional amount available 4/1/13 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
Page 1 and 2: Seniors and People with Disabilitie
Page 3 and 4: The 1.25% increase to the benefit l
Page 5 and 6: Guidance to assist in defining PSW
Page 7 and 8: Guidance to assist in defining PSW
Page 9 and 10: Adult Support Services Rate Ranges
Page 17 and 18: COMPREHENSIVE IN-HOME SUPPORT SERVI
Page 19 and 20: COMPREHENSIVE IN-HOME SUPPORT SERVI
Page 21 and 22: ODDS Children’s In-Home Programs
Page 27: ODDS Children’s In-Home Programs

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