OAR 411-340-0110
Standards for Entry and Exit
(1)
ENTRY.(a)
To enter a Brokerage:(A)
An individual must be determined eligible for brokerage and support services as described in OAR 411-340-0100 (Eligibility for Brokerage and Support Services); and(B)
The individual must choose to receive services from a Brokerage operating in the geographic service area of the county of origin.(b)
The Department may implement guidelines that govern entries when the Department has determined that such guidelines are prudent and necessary for the continued development and implementation of brokerage and support services.(c)
The Brokerage may not accept individuals for entry beyond the total number of individuals specified in the current contract between the Brokerage and the Department.(2)
The Brokerage must make accurate, up-to-date, information about the Brokerage available to individuals referred for services and the legal or designated representatives of individuals. This information must include:(a)
A declaration of Brokerage philosophy;(b)
A declaration of Brokerage employees’ responsibilities as mandatory abuse reporters;(c)
Indication that additional information about the Brokerage is available on request. The additional information must include, but not be limited to:(A)
A description of the organizational structure of the Brokerage;(B)
A description of any contractual relationships the Brokerage has in place, or may establish, to accomplish the functions required by rule; and(C)
A description of the relationship between the Brokerage and the Policy Oversight Group of the brokerage.(3)
The Brokerage must ensure that all individuals eligible for and receiving developmental disabilities services are enrolled in the Department payment and reporting systems.(4)
Individuals are not eligible for services by more than one Brokerage at any one time.(5)
EXIT.(a)
An individual must exit a Brokerage:(A)
When the individual is exited from case management services as described in OAR 411-415-0030 (Eligibility for Case Management Services - Entry, Exit, Transfers); or(B)
Before the individual enrolls in a residential program.(b)
In the event an individual exits a Brokerage, a written Notification of Planned Action must be provided as described in OAR 411-340-0060 (Complaints, Notification of Planned Action, and Hearings) and OAR chapter 411, division 318.(c)
Each Brokerage must have policies and procedures for notifying the CDDP of the county of origin of an individual when the individual plans to exit, or exits, brokerage or support services. Notification method, timelines, and content must be based on agreements between the Brokerage and the CDDP of each county in which the Brokerage provides services.(d)
The Brokerage must terminate an individual in the Department payment and reporting systems when an individual exits all developmental disabilities services.(6)
When an individual may have long-term support needs that require enrollment into a residential program:(a)
The Brokerage must provide timely notification to the CDDP of the county of origin of the individual;(b)
The Brokerage must coordinate with the CDDP to facilitate a timely exit from the Brokerage and entry into appropriate, alternative services; and(c)
The Brokerage must assure that information required for a potential operator of a residential program is available as needed for a referral to be made.
Source:
Rule 411-340-0110 — Standards for Entry and Exit, https://secure.sos.state.or.us/oard/view.action?ruleNumber=411-340-0110.