Referral and Admission Process a. ODHS has sole and final approval authority over all Contract admissions.
Referral and Admission Process a. Enhanced Care Coordinator has sole and final approval authority over all contract admissions.
Referral and Admission Process a. Contract Administrator has sole and final approval authority over all Contract admissions.
Referral and Admission Process a. ODHS has sole and final approval authority over all Contract admissions.
b. All Medicaid admissions under this Contract must be approved by ODHS prior to admission.
c. Contractor will reserve 15 beds for consumers eligible for Medicaid Long-Term Care Services pursuant to Oregon Administrative Rules Chapter 411 Division 015 rules. The Contract Administrator approve admission for individuals eligible for services under other programs or for private pay individuals. This decision is at the discretion of ODHS and the contract administrator and will not obligate ODHS to fund these admissions.
d. Contractor will screen all Individuals being considered for placement under this Contract and review screening results and all related service planning information with relevant Service Planning Team members, including the ODHS Designee, prior to establishing a targeted admission date.
e. admission, resulting in sound admission and transition development and coordination. Contractor shall ensure there is documentation supporting the completion of these activ subsequent Service Plans.
f. Contractor shall coordinate and participate in a minimum of one Transition Planning meeting prior to the targeted admission date with Individual and/or the
(1) around Transition Planning;
(2) Identify guardian, representative xxxxx, and designated representative assignments;
(3) Identify primary care physician and other health care provider(s);
(4) medications, transportation, supplies, ancillary services, etc;
(5) Review medical needs with a plan to ensure coordination of medical benefits and services; and
(6) Review existing Services or plans and identification of staffing needs.
Referral and Admission Process a. ODHS shall have no financial responsibility until Individual's eligibility has been approved, the placement and payment have been authorized by ODHS and the Transition Planning Meeting has occurred. The Service payment shall become effective on the date of placement pursuant to a fully executed Contract.
