Common use of AFH-SPECIFIC NEEDS CONTRACT AND EXCEPTIONAL RATES Clause in Contracts

AFH-SPECIFIC NEEDS CONTRACT AND EXCEPTIONAL RATES. Specific Needs Contract and Exceptional Rates are outside of the standardized APD- AFH rate structure and have their own distinct rate schedule defined below. Some of the specific needs covered under these contracts include: Ventilator Dependent, Neurological/Neuro-gerontologic, Brain Injury, Behavioral Needs, Bariatric, Complex ADL, Enhanced Care Outreach Services, and Cognitive/Memory Care. Target Population Effective February 1, 2018 Effective January 1, 2019 ECOS (currently $2,435) $2,693 $2,814 Basic $6,009 $6,279 Advanced $6,867 $7,176 Ventilator $8,586 $8,972 Complex $8,819 $9,216 No later than April 1, 2016 the State agrees to convene a meeting with the Union and ventilator home providers to explore the possibility of establishing an “Advanced” ventilator home. The Specific Needs such as memory care, bariatric care, brain injuries, complex medical, complex ADL or neurological conditions may fall into the Basic, Advanced or Complex rate categories, depending on care and staffing needs of the Individuals served under that contract. AFHs receiving AFH Specific Needs Contracts must comply with the contracted Statement of Work. Rates will only be provided for Individuals living in the AFH who meet the service and eligibility criteria specified in the Statement of Work and approved by APD Central Office. Specific Needs Contracts will require additional staffing, services and ongoing documentation of compliance with the Statement of Work as defined by the State. Specific Needs Provider Compliance Process: By January 1, 2016 the State shall develop a checklist of items that will be reviewed during the routine Contract Compliance Process. Providers shall be notified thirty (30) days in advance of an upcoming compliance process. Providers shall have fifteen (15) business days from initial notification of the compliance process to provide requested documentation. By January 1, 2016 the State shall provide Specific Need Providers access to example forms for use in the SNP homes. If the requirements of the Specific Needs Contracts are not met, Specific Needs Contract may be terminated. Before Specific Needs Contracts are terminated, Providers will have the opportunity to come into compliance with the contract unless the contract violation possesses an imminent risk to the Individual/s in the AFH, as determined by the State. Providers will have no more than sixty (60) days to come into compliance before termination of the Specific Needs Contract. For multiple related occurrences of intentional non-compliance the State may terminate the contract as specified in the Specific Needs Contract. Appropriate transition plans including necessary funding through the exceptional rates process will be made if the assessed needs of the Individual continue to demonstrate the higher needs. The current Specific Needs Contract rate shall continue until Individuals are transferred out of the AFH or an exceptional rate has been established, if necessary. The Department retains sole discretion in determining Exceptional Rate and Specific Need Contract Providers. Department of Administrative Services Chief Human Resources Office Labor Relations Unit 000 Xxxxxxx Xxxxxx XX Xxxxx, XX 00000-0000 (000) 000-0000 XXX@xxxxxx.xxx The official version of this Agreement is held by the Department of Administrative Services Labor Relations Unit on its electronic files at the website below. The Department of Administrative Services does not recognize any other copies or publications of this Agreement. Electronic version of the Agreement located at:

AFH-SPECIFIC NEEDS CONTRACT AND EXCEPTIONAL RATES. Specific Needs Contract and Exceptional Rates are outside of the standardized APD- AFH rate structure and have their own distinct rate schedule defined below. Some of the specific needs covered under these contracts include: Ventilator Dependent, Neurological/Neuro-gerontologic, Brain Injury, Behavioral Needs, Bariatric, Complex ADL, Enhanced Care Outreach Services, and Cognitive/Memory Care. Rate Per Month Target Population Effective February December 1, 2018 2023 Effective January 1, 2019 2025 ECOS (currently $2,435) $2,693 $2,814 $ 3,665.00 $ 3,830.00 Basic $6,009 $6,279 $ 8,180.00 $ 8,548.00 Advanced $6,867 $7,176 $ 9,348.00 $ 9,769.00 Standard Ventilator $8,586 $8,972 $ 11,688.00 $ 12,214.00 Complex $8,819 $9,216 No later than April 1, 2016 the State agrees to convene a meeting with the Union and ventilator home providers to explore the possibility of establishing an “Advanced” ventilator home. $ 12,006.00 $ 12,546.00 The Specific Needs such as memory care, bariatric care, brain injuries, complex medical, complex ADL or neurological conditions may fall into the Basic, Advanced or Complex rate categories, depending on care and staffing needs of the Individuals served under that contract. AFHs receiving AFH Specific Needs Contracts must comply with the contracted Statement of Work. Rates will only be provided for Individuals living in the AFH who meet the service and eligibility criteria specified in the Statement of Work and approved by APD Central Office. Specific Needs Contracts will require additional staffing, services and ongoing documentation of compliance with the Statement of Work as defined by the State. Specific Needs Provider Compliance Process: By January July 1, 2016 2020 the State shall develop a checklist of items that will be reviewed during the routine Contract Compliance Process. Providers shall be notified thirty (30) days in advance of an upcoming compliance process. Providers shall have fifteen (15) business days from initial notification of the compliance process to provide requested documentation. By January July 1, 2016 2020 the State shall provide Specific Need Providers access to example forms for use in the SNP homes. If the requirements of the Specific Needs Contracts are not met, Specific Needs Contract may be terminated. Before Specific Needs Contracts are terminated, Providers will have the opportunity to come into compliance with the contract unless the contract violation possesses an imminent risk to the Individual/s in the AFH, as determined by the State. Providers will have no more than sixty (60) days to come into compliance before termination of the Specific Needs Contract. For multiple related occurrences of intentional non-compliance the State may terminate the contract as specified in the Specific Needs Contract. Appropriate transition plans including necessary funding through the exceptional rates process will be made if the assessed needs of the Individual continue to demonstrate the higher needs. The current Specific Needs Contract rate shall continue until Individuals are transferred out of the AFH or an exceptional rate has been established, if necessary. The Department retains sole discretion in determining Exceptional Rate and Specific Need Contract Providers. CONTACT PAGE‌ APD (000) 000-0000 ODDS (000) 000-0000, otherwise go through the local office OHA (000) 000-0000 MRC (000) 000-0000 *** Please note that there is not one number that addresses all situations. You may be referred to another number to address your specific issue. SIGNATURE PAGE – SEIU – ADULT XXXXXX HOME PROVIDERS‌ Signed this 22 day of February 2024, at Salem, Oregon. FOR THE STATE OF OREGON: Xxxxx Xxxxxx, Director Xxxxx Xxxxxx, State Labor Relations Manager Department of Administrative Services (DAS) DAS CHRO Labor Relations FOR THE SERVICE EMPLOYEES INTERNATIONAL UNION, LOCAL 503: Xxxxxxx Xxxxx, Executive Director Xxxxx Xxxxx, Collective Bargaining Coordinator SEIU Local 503 SEIU Local 503 Xxxxxx Xxxxxx, Care Provider Employer Relations Strategist SEIU Local 503, OPEU Xxxx Xxxxxxxxxxxx, Bargaining Team Xxxx Xxxxx, Bargaining Team Xxxxx Xxx, Bargaining Team Xxxxxxxxx Xxxxxxxxxx, Bargaining Team Xxx Xxxxxxx, Bargaining Team 2023-2025 SEIU Local 503 AFH Signature Page Department of Administrative Services Chief Human Resources Office Labor Relations Unit 000 Xxxxxxx Xxxxxx XX Xxxxx, XX 00000-0000 (000) 000-0000 XXX@xxxxxx.xxx 3971 XXX@xxx.xxxxxx.xxx The official version of this Agreement is held by the Department of Administrative Services Labor Relations Unit on its electronic files at the website below. The Department of Administrative Services does not recognize any other copies or publications of this Agreement. Electronic version of the Agreement located at:: xxxx://xxx.xxxxxx.xxx/das/HR/Pages/LRU.aspx

AFH-SPECIFIC NEEDS CONTRACT AND EXCEPTIONAL RATES. Specific Needs Contract and Exceptional Rates are outside of the standardized APD- AFH rate structure and have their own distinct rate schedule defined below. Some of the specific needs covered under these contracts include: Ventilator Dependent, Neurological/Neuro-gerontologic, Brain Injury, Behavioral Needs, Bariatric, Complex ADL, Enhanced Care Outreach Services, and Cognitive/Memory Care. Target Population Effective February 1, 2018 Effective January 1, 2019 2020 Effective July 1, 2020 ECOS (currently $2,435) $2,693 3,095 $2,814 3,250 Basic $6,009 6,907 $6,279 7,252 Advanced $6,867 7,894 $7,176 8,289 Ventilator $8,586 9,869 $8,972 10,362 Complex $8,819 10,138 $9,216 No later than April 1, 2016 the State agrees to convene a meeting with the Union and ventilator home providers to explore the possibility of establishing an “Advanced” ventilator home. 10,645 The Specific Needs such as memory care, bariatric care, brain injuries, complex medical, complex ADL or neurological conditions may fall into the Basic, Advanced or Complex rate categories, depending on care and staffing needs of the Individuals served under that contract. AFHs receiving AFH Specific Needs Contracts must comply with the contracted Statement of Work. Rates will only be provided for Individuals living in the AFH who meet the service and eligibility criteria specified in the Statement of Work and approved by APD Central Office. Specific Needs Contracts will require additional staffing, services and ongoing documentation of compliance with the Statement of Work as defined by the State. Specific Needs Provider Compliance Process: By January July 1, 2016 2020 the State shall develop a checklist of items that will be reviewed during the routine Contract Compliance Process. Providers shall be notified thirty (30) days in advance of an upcoming compliance process. Providers shall have fifteen (15) business days from initial notification of the compliance process to provide requested documentation. By January July 1, 2016 2020 the State shall provide Specific Need Providers access to example forms for use in the SNP homes. If the requirements of the Specific Needs Contracts are not met, Specific Needs Contract may be terminated. Before Specific Needs Contracts are terminated, Providers will have the opportunity to come into compliance with the contract unless the contract violation possesses an imminent risk to the Individual/s in the AFH, as determined by the State. Providers will have no more than sixty (60) days to come into compliance before termination of the Specific Needs Contract. For multiple related occurrences of intentional non-compliance the State may terminate the contract as specified in the Specific Needs Contract. Appropriate transition plans including necessary funding through the exceptional rates process will be made if the assessed needs of the Individual continue to demonstrate the higher needs. The current Specific Needs Contract rate shall continue until Individuals are transferred out of the AFH or an exceptional rate has been established, if necessary. The Department retains sole discretion in determining Exceptional Rate and Specific Need Contract Providers. CONTACT PAGE‌ APD (000) 000-0000 DD (000) 000-0000, otherwise go through the local office OHA (000) 000-0000 MRC (000) 000-0000 *** Please note that there is not one number that addresses all situations. You may be referred to another number to address your specific issue. Signed: 1st Day of September, 2019 in Salem, Oregon. FOR THE STATE OF OREGON: Xxxx Xxxx, Director Department of Administrative Services Chief Human Resources Office Labor Relations Unit 000 Officer(CHRO) FOR THE SERVICE EMPLOYEES INTERNATIONAL UNION, LOCAL 503, OPEU: Xxxx Xxxxx Xxxxxx¥nger (Nov 11. 2020 21:41PST) Xxxxxxx Xxxxxx XX Xxxxx, XX 00000-0000 Executive Director SEIU Local 503 OPEU Xxxx Xxxxx(Nov14, 202017: 24 PST) Xxxx Xxxxx Xxxx Xxxxxx 2009: 0PST sarahGrorQray(Nov12,202011:00 MST) Xxxxx Xxx xxxx xxxxxxxxxxxx Not Available at Time of Signing claystubblefield (000) 000-0000 XXX@xxxxxx.xxx The official version of this Agreement is held by the Department of Administrative Services Labor Relations Unit on its electronic files at the website below. The Department of Administrative Services does not recognize any other copies or publications of this Agreement. Electronic version of the Agreement located at:Nov13, 202015:19 PST)

AFH-SPECIFIC NEEDS CONTRACT AND EXCEPTIONAL RATES. Specific Needs Contract and Exceptional Rates are outside of the standardized APD- AFH rate structure and have their own distinct rate schedule defined below. Some of the specific needs covered under these contracts include: Ventilator Dependent, Neurological/Neuro-gerontologic, Brain Injury, Behavioral Needs, Bariatric, Complex ADL, Enhanced Care Outreach Services, and Cognitive/Memory Care. Rate Per Month Target Population Effective February December 1, 2018 2023 Effective January 1, 2019 2025 ECOS (currently $2,435) $2,693 $2,814 $ 3,665.00 $ 3,830.00 Basic $6,009 $6,279 $ 8,180.00 $ 8,548.00 Advanced $6,867 $7,176 $ 9,348.00 $ 9,769.00 Standard Ventilator $8,586 $8,972 $ 11,688.00 $ 12,214.00 Complex $8,819 $9,216 No later than April 1, 2016 the State agrees to convene a meeting with the Union and ventilator home providers to explore the possibility of establishing an “Advanced” ventilator home. $ 12,006.00 $ 12,546.00 The Specific Needs such as memory care, bariatric care, brain injuries, complex medical, complex ADL or neurological conditions may fall into the Basic, Advanced or Complex rate categories, depending on care and staffing needs of the Individuals served under that contract. AFHs receiving AFH Specific Needs Contracts must comply with the contracted Statement of Work. Rates will only be provided for Individuals living in the AFH who meet the service and eligibility criteria specified in the Statement of Work and approved by APD Central Office. Specific Needs Contracts will require additional staffing, services and ongoing documentation of compliance with the Statement of Work as defined by the State. Specific Needs Provider Compliance Process: By January July 1, 2016 2020 the State shall develop a checklist of items that will be reviewed during the routine Contract Compliance Process. Providers shall be notified thirty (30) days in advance of an upcoming compliance process. Providers shall have fifteen (15) business days from initial notification of the compliance process to provide requested documentation. By January July 1, 2016 2020 the State shall provide Specific Need Providers access to example forms for use in the SNP homes. If the requirements of the Specific Needs Contracts are not met, Specific Needs Contract may be terminated. Before Specific Needs Contracts are terminated, Providers will have the opportunity to come into compliance with the contract unless the contract violation possesses an imminent risk to the Individual/s in the AFH, as determined by the State. Providers will have no more than sixty (60) days to come into compliance before termination of the Specific Needs Contract. For multiple related occurrences of intentional non-compliance the State may terminate the contract as specified in the Specific Needs Contract. Appropriate transition plans including necessary funding through the exceptional rates process will be made if the assessed needs of the Individual continue to demonstrate the higher needs. The current Specific Needs Contract rate shall continue until Individuals are transferred out of the AFH or an exceptional rate has been established, if necessary. The Department retains sole discretion in determining Exceptional Rate and Specific Need Contract Providers. CONTACT PAGE‌ APD (000) 000-0000 ODDS (000) 000-0000, otherwise go through the local office OHA (000) 000-0000 MRC (000) 000-0000 *** Please note that there is not one number that addresses all situations. You may be referred to another number to address your specific issue. SIGNATURE PAGE – SEIU – ADULT XXXXXX HOME PROVIDERS‌ Signed this 22 day of February 2024, at Salem, Oregon. FOR THE STATE OF OREGON: Xxxxx Xxxxxx, Director Xxxxx Xxxxxx, State Labor Relations Manager Department of Administrative Services (DAS) DAS CHRO Labor Relations FOR THE SERVICE EMPLOYEES INTERNATIONAL UNION, LOCAL 503: Xxxxxxx Xxxxx, Executive Director Xxxxx Xxxxx, Collective Bargaining Coordinator SEIU Local 503 SEIU Local 503 Xxxxxx Xxxxxx, Care Provider Employer Relations Strategist SEIU Local 503, OPEU Xxxx Xxxxxxxxxxxx, Bargaining Team Xxxx Xxxxx, Bargaining Team Xxxxx Xxx, Bargaining Team Xxxxxxxxx Xxxxxxxxxx, Bargaining Team Xxx Xxxxxxx, Bargaining Team 2023-2025 SEIU Local 503 AFH Signature Page Department of Administrative Services Chief Human Resources Office Labor Relations Unit 000 Xxxxxxx Xxxxxx XX Xxxxx, XX 00000-0000 (000) 000-0000 XXX@xxxxxx.xxx 3971 XXX@xxx.xxxxxx.xxx The official version of this Agreement is held by the Department of Administrative Services Labor Relations Unit on its electronic files at the website below. The Department of Administrative Services does not recognize any other copies or publications of this Agreement. Electronic version of the Agreement located at:

AFH-SPECIFIC NEEDS CONTRACT AND EXCEPTIONAL RATES. Specific Needs Contract and Exceptional Rates are outside of the standardized APD- AFH rate structure and have their own distinct rate schedule defined below. Some of the specific needs covered under these contracts include: Ventilator Dependent, Neurological/Neuro-gerontologic, Brain Injury, Behavioral Needs, Bariatric, Complex ADL, Enhanced Care Outreach Services, and Cognitive/Memory Care. Target Population Effective February 1, 2018 Effective January 1, 2019 2020 Effective July 1, 2020 ECOS (currently $2,435) $2,693 3,095 $2,814 3,250 Basic $6,009 6,907 $6,279 7,252 Advanced $6,867 7,894 $7,176 8,289 Ventilator $8,586 9,869 $8,972 10,362 Complex $8,819 10,138 $9,216 No later than April 1, 2016 the State agrees to convene a meeting with the Union and ventilator home providers to explore the possibility of establishing an “Advanced” ventilator home. 10,645 The Specific Needs such as memory care, bariatric care, brain injuries, complex medical, complex ADL or neurological conditions may fall into the Basic, Advanced or Complex rate categories, depending on care and staffing needs of the Individuals served under that contract. AFHs receiving AFH Specific Needs Contracts must comply with the contracted Statement of Work. Rates will only be provided for Individuals living in the AFH who meet the service and eligibility criteria specified in the Statement of Work and approved by APD Central Office. Specific Needs Contracts will require additional staffing, services and ongoing documentation of compliance with the Statement of Work as defined by the State. Specific Needs Provider Compliance Process: By January July 1, 2016 2020 the State shall develop a checklist of items that will be reviewed during the routine Contract Compliance Process. Providers shall be notified thirty (30) days in advance of an upcoming compliance process. Providers shall have fifteen (15) business days from initial notification of the compliance process to provide requested documentation. By January July 1, 2016 2020 the State shall provide Specific Need Providers access to example forms for use in the SNP homes. If the requirements of the Specific Needs Contracts are not met, Specific Needs Contract may be terminated. Before Specific Needs Contracts are terminated, Providers will have the opportunity to come into compliance with the contract unless the contract violation possesses an imminent risk to the Individual/s in the AFH, as determined by the State. Providers will have no more than sixty (60) days to come into compliance before termination of the Specific Needs Contract. For multiple related occurrences of intentional non-compliance the State may terminate the contract as specified in the Specific Needs Contract. Appropriate transition plans including necessary funding through the exceptional rates process will be made if the assessed needs of the Individual continue to demonstrate the higher needs. The current Specific Needs Contract rate shall continue until Individuals are transferred out of the AFH or an exceptional rate has been established, if necessary. The Department retains sole discretion in determining Exceptional Rate and Specific Need Contract Providers. CONTACT PAGE‌ APD (000) 000-0000 DD (000) 000-0000, otherwise go through the local office OHA (000) 000-0000 MRC (000) 000-0000 *** Please note that there is not one number that addresses all situations. You may be referred to another number to address your specific issue. Signed: 1st Day of September, 2019 in Salem, Oregon. Xxxxxxx Xxxx, DAS FOR THE STATE OF OREGON: Xxxx Xxxx, Director Department of Administrative Services Chief Human Resources Office Labor Relations Unit 000 Officer(CHRO) FOR THE SERVICE EMPLOYEES INTERNATIONAL UNION, LOCAL 503, OPEU: Xxxx Xxxxx Xxxxxx¥nger (Nov 11. 2020 21:41PST) Xxxxxxx Xxxxxx XX Xxxxx, XX 00000-0000 Executive Director SEIU Local 5031 OPEU Xxxx Xxxxx(Nov14, 202017: 24 PST) Xxxx Xxxxx Xxxx Xxxxxx 2009:S0PST sarahGrorQray(Nov12,202011:00 MST) Xxxxx Xxx xxxx xxxxxxxxxxxx Not Available at Time of Signing claystubblefield (000) 000-0000 XXX@xxxxxx.xxx The official version of this Agreement is held by the Department of Administrative Services Labor Relations Unit on its electronic files at the website below. The Department of Administrative Services does not recognize any other copies or publications of this Agreement. Electronic version of the Agreement located at:Nov13, 202015:19 PST)

AFH-SPECIFIC NEEDS CONTRACT AND EXCEPTIONAL RATES. Specific Needs Contract and Exceptional Rates are outside of the standardized APD- AFH rate structure and have their own distinct rate schedule defined below. Some of the specific needs covered under these contracts include: Ventilator Dependent, Neurological/Neuro-gerontologic, Brain Injury, Behavioral Needs, Bariatric, Complex ADL, Enhanced Care Outreach Services, and Cognitive/Memory Care. Rate Per Month Target Population Effective February July 1, 2018 2021 Effective January 1, 2019 ECOS (currently $2,435) $2,693 $2,814 Basic $6,009 $6,279 Advanced $6,867 $7,176 Ventilator $8,586 $8,972 Complex $8,819 $9,216 No later than April 1, 2016 the State agrees to convene a meeting with the Union and ventilator home providers to explore the possibility of establishing an “Advanced” ventilator home. 2022 ECOS $3,413 $3,419 Basic $7,615 $7,790 Advanced $8,703 $8,904 Ventilator $10,880 $11,130 Complex $11,177 $11,434 The Specific Needs such as memory care, bariatric care, brain injuries, complex medical, complex ADL or neurological conditions may fall into the Basic, Advanced or Complex rate categories, depending on care and staffing needs of the Individuals served under that contract. AFHs receiving AFH Specific Needs Contracts must comply with the contracted Statement of Work. Rates will only be provided for Individuals living in the AFH who meet the service and eligibility criteria specified in the Statement of Work and approved by APD Central Office. Specific Needs Contracts will require additional staffing, services and ongoing documentation of compliance with the Statement of Work as defined by the State. Specific Needs Provider Compliance Process: By January July 1, 2016 2020 the State shall develop a checklist of items that will be reviewed during the routine Contract Compliance Process. Providers shall be notified thirty (30) days in advance of an upcoming compliance process. Providers shall have fifteen (15) business days from initial notification of the compliance process to provide requested documentation. By January July 1, 2016 2020 the State shall provide Specific Need Providers access to example forms for use in the SNP homes. If the requirements of the Specific Needs Contracts are not met, Specific Needs Contract may be terminated. Before Specific Needs Contracts are terminated, Providers will have the opportunity to come into compliance with the contract unless the contract violation possesses an imminent risk to the Individual/s in the AFH, as determined by the State. Providers will have no more than sixty (60) days to come into compliance before termination of the Specific Needs Contract. For multiple related occurrences of intentional non-compliance the State may terminate the contract as specified in the Specific Needs Contract. Appropriate transition plans including necessary funding through the exceptional rates process will be made if the assessed needs of the Individual continue to demonstrate the higher needs. The current Specific Needs Contract rate shall continue until Individuals are transferred out of the AFH or an exceptional rate has been established, if necessary. The Department retains sole discretion in determining Exceptional Rate and Specific Need Contract Providers. CONTACT PAGE APD (000) 000-0000 DD (000) 000-0000, otherwise go through the local office OHA (000) 000-0000 MRC (000) 000-0000 *** Please note that there is not one number that addresses all situations. You may be referred to another number to address your specific issue. Department of Administrative Services Chief Human Resources Office Labor Relations Unit 000 Xxxxxxx Xxxxxx XX Xxxxx, XX 00000-0000 (000) 000-0000 XXX@xxxxxx.xxx XXX@xxx.xxxxxx.xxx The official version of this Agreement is held by the Department of Administrative Services Labor Relations Unit on its electronic files at the website below. The Department of Administrative Services does not recognize any other copies or publications of this Agreement. Electronic version of the Agreement located at: