OAR 410-138-0420
Targeted Case Management Asthma/Healthy Home — Risk Criteria

(1)

This administrative rule will be implemented contingent on CMS approval for the TCM Asthma/Healthy Home Program. This rule is to be used in conjunction with the Division’s General Rules (chapter 410, division 120) and other Targeted Case Management Program rules OAR 410-138-0000 (Targeted Case Management Definitions) through 410-138-0009 (Targeted Case Management — Services Not Covered).

(2)

The target group is Medicaid eligible children with poorly controlled asthma or a history of environmentally induced respiratory distress, which can result in a life threatening asthma exacerbation or exacerbation of respiratory distress.

(3)

Risk factors for the target group could include, but are not limited to:

(a)

Unscheduled visits for emergency or urgent care;

(b)

One or more in-patient stays;

(c)

History of intubation or Intensive Care Unit care;

(d)

A medication ratio of control medications to rescue medications of less than or equal to .33 indicating less than desirable control of asthma;

(e)

Environmental or psychosocial concerns raised by medical home;

(f)

School day loss greater than two school days per year;

(g)

Inability to participate in sports or other activities due to asthma;

(h)

Homelessness;

(i)

Inadequate housing, heating, or sanitation.

Source: Rule 410-138-0420 — Targeted Case Management Asthma/Healthy Home — Risk Criteria, https://secure.­sos.­state.­or.­us/oard/view.­action?ruleNumber=410-138-0420.

Last Updated

Jun. 8, 2021

Rule 410-138-0420’s source at or​.us