Be receiving a Medicaid Title XIX benefit package through OSIPM or the HSD Medical Program. Individuals receiving Medicaid Title XIX under the HSD Medical Program for services in a nonstandard living arrangement as defined in OAR 461-001-0000 (Definitions for Chapter 461) are subject to the requirements in the same manner as if the individual requested these services under OSIPM, including the rules regarding:
The hours for direct nursing services for individuals accessing other attendant care services at an employment setting or in the community, are prorated based on the acuity level of the individual between the employment setting and the home of the individual.
Direct nursing services are excluded for the following:
An individual while in a medical or psychiatric hospital.
An individual residing in a school, nursing facility, assisted living facility, or residential care facility.
Direct nursing services may not substitute for, or duplicate, other direct or private duty nursing services provided by State Plan or third party resources.