ORS 410.555
Submission of changes to Medicaid reimbursement system to council

advisory recommendation
approval
report
budget review
rules

Text
Annotations

(1)

The Department of Human Services shall submit to the Medicaid Long Term Care Quality and Reimbursement Advisory Council, for the council’s review and recommendation, any proposed change or modification to the Oregon Medicaid reimbursement system for long term care services and community-based care services.

(2)

Upon review of any proposed change or modification under subsection (1) of this section, the council shall issue a written advisory recommendation to the department. The recommendation shall state whether the council supports or opposes the proposed change or modification and whether the council believes the proposed change or modification will have an adverse or positive effect on the quality of long term care services and community-based care services provided under the Oregon Medicaid program.

(3)

Prior to implementing any change or modification to the reimbursement system for long term care services and community-based care services, the Department of Human Services shall submit the council’s written recommendation to the Legislative Assembly or to the Emergency Board if the Legislative Assembly is not in session. Before instituting the proposed change or modification, the department shall obtain the approval of the Legislative Assembly or the Emergency Board if the Legislative Assembly is not in session. A proposed change or modification with an estimated fiscal impact of $100,000 or less shall be exempt from the provisions of this subsection.

(4)

At the beginning of each legislative session, the Medicaid Long Term Care Quality and Reimbursement Advisory Council shall review the Governor’s budget for the Department of Human Services.

(5)

The Department of Human Services shall adopt such rules as are reasonably necessary for the enforcement of this section. The department shall submit to the council any proposed rule that directly or indirectly affects payment rates prior to proceeding with the notice requirements provided for in ORS 183.335 (Notice). The department shall consider the comments of the council that pertain to the proposed rule. [1995 c.667 §2; 2016 c.117 §65]

Source: Section 410.555 — Submission of changes to Medicaid reimbursement system to council; advisory recommendation; approval; report; budget review; rules, https://www.oregonlegislature.gov/bills_laws/ors/ors410.html.

410.010
State policy for seniors and people with disabilities 410.020
Implementation of state policy 410.030
Legislative findings on long term care options 410.040
Definitions for ORS 410.040 to 410.300, 410.320 and 410.619 410.050
General policy 410.060
Policy for persons with disabilities served by department 410.065
Comprehensive plan for long term care system 410.070
Duties of Department of Human Services 410.072
Determination of annual budget levels for type B area agencies 410.074
Consultation with representatives of type B area agencies on rules establishing methodology 410.075
Authority of department and Oregon Health Authority to hold title to property 410.080
Department as single state agency for specified federal programs 410.090
Department to implement supportive social services for persons age 60 and older 410.100
When department to administer area agency programs 410.120
Senior and Disabled Services Account 410.140
Records 410.150
Use of files 410.160
Limitation on estate claims 410.180
Long term care reimbursement audit manual 410.190
Representation of entities in contested case proceedings before department 410.210
Area agency advisory councils 410.220
Use of state and local resources 410.230
Expenditure of local funds not required 410.240
Operation of type A agencies 410.250
Duties of type A agencies 410.270
Operation of type B agencies 410.280
Duties of type B agencies 410.290
Conditions for designation as type B agency 410.295
Authority of type B agency to regulate adult foster homes 410.300
Transfer of state employees to type B agency 410.320
Governor’s Commission on Senior Services 410.330
Legislator members 410.340
Appointments to fill vacancies 410.410
Definitions for ORS 410.410 to 410.480 410.420
Use of funds for specified services 410.422
Oregon Project Independence Fund 410.425
Separate accounts for persons age 60 and over and for persons with Alzheimer’s disease or related disorders 410.430
Eligibility for authorized services 410.435
Expansion of Oregon Project Independence 410.440
Priorities for services 410.450
Determinations of eligibility 410.460
Computation of allowable costs 410.470
Fees 410.480
Required record keeping 410.485
Legislative findings 410.490
Duties of department 410.495
Registry for adult day care programs in state 410.505
Definitions for ORS 410.505 to 410.545 410.510
Establishment of procedure for assessment 410.515
Notice of availability of admission assessment services 410.520
When assessment to occur 410.525
Disclosure of fees 410.530
Department authority 410.535
Rules 410.540
Compliance as condition for licensure 410.545
Implementation of ORS 410.505 to 410.545 requires federal funding 410.550
Medicaid Long Term Care Quality and Reimbursement Advisory Council 410.555
Submission of changes to Medicaid reimbursement system to council 410.595
Legislative intent and findings 410.596
Statewide plan to expand access to skilled home care and personal support workforce 410.598
Training and testing for home care workers and personal support workers 410.600
Definitions for ORS 410.595 to 410.625 410.602
Home Care Commission 410.603
Developmental Disabilities and Mental Health Committee 410.604
Duties of commission 410.605
Private pay home care worker program 410.606
Referral of qualified individuals on home care registry 410.607
Home care and personal support worker classifications and payment rates 410.608
Selection of home care or personal support worker 410.612
Collective bargaining 410.614
Rights of home care and personal support workers 410.619
Home care and personal support workers not state employees 410.625
Authority of commission 410.631
Noncompetition agreements voidable by home care worker and personal support worker 410.632
Certain covenants between employer and home care worker or personal support worker voidable by worker 410.710
State policy on persons with disabilities 410.715
Person suffering brain injury to be considered person with disability 410.720
Mental health and addiction services for senior citizens and persons with disabilities 410.730
Self-Sufficiency Trust Fund 410.732
Disabilities Trust Fund 410.740
Oregon Deaf and Hard-of-Hearing Services Program 410.851
Policy on patient-based reimbursement system for long term care facilities 410.890
Civil penalty

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§ 410.555’s source at oregon.gov

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Location: https://oregon.public.law/statutes/ors_410.555

Original Source: Section 410.555 — Submission of changes to Medicaid reimbursement system to council; advisory recommendation; approval; report; budget review; rules, https://www.oregonlegislature.gov/bills_laws/ors/ors410.html (last accessed Aug. 25, 2023).