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


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).


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.


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


Unscheduled visits for emergency or urgent care;


One or more in-patient stays;


History of intubation or Intensive Care Unit care;


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


Environmental or psychosocial concerns raised by medical home;


School day loss greater than two school days per year;


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




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