State of Oregon CM Tools website
OPI Program Eligibility and Forms
- Understanding eligibility benefits in Oregon Access (227.07 KB)
- Service Eligibility for Alzheimer's Clients under 60 Years of Age (24.58 KB)
- Closing an OPI Case (119.63 KB)
- OPI Service Agreement Form 0287L (75.5 KB)
- Client Rights & Grievance Procedure 12.8.15 (15.22 KB)
Oregon Access and CA/PS tools
- Diagnoses and ICD-9 Codes: Numerical (43.42 KB)
- Diagnoses and ICD-9 Codes: Alpha (39.37 KB)
- ADRC Narration Standardsv9_16 (20.68 KB)
- OPI Narrative Template (23.53 KB)
OPI Fee Determination and Collection
- OPI Fee Determination Record Form 0287K (76.5 KB)
- OPI fee determination Schedule 2024 (Start 3/1/2024) (164.27 KB)
- How to Complete an Electronic OPI Fee Determination Form 0287K (44.2 KB)
- OPI Instructions for Determining Traditional OPI Fee (767.47 KB)
- OPI Fee Schedule In home Services 2024 (336.51 KB)
- OPI HCW Co-Pay Invoice (385.64 KB)
- OPI $25.00 Fee Invoice (112.07 KB)
- OPI $25.00 Fee Collection and Tracking Procedure (646.54 KB)
OPI Co-Pay Troubleshooting
- Sample Letter for NSF Copay (33.79 KB)
- Notice for Client of OPI Fees and Non-Payment Policy (16.59 KB)
- Guidelines for Client Non-Payment of OPI Fees (16.17 KB)
In-Home Services
- In-Home Care Agencies Provider Numbers and Rates 2021/22 (136.23 KB)
- What is Store to Door? (491.9 KB)
- Use of 546N and 546SF (484.58 KB)
- 546SF - short form (1.29 MB)
- HCW Incident Report - Fillable (64.74 KB)
- OPI Waiver Process - temp increase in service plan hours (277.63 KB)
- Request to waive ADVSD Service Guidelines.pdf (371.25 KB)
Adaptive Equipment Requests
- Request Form (41 KB)
- Verbal Disclosure Form (38.83 KB)
- Verbal Confirmation Goods Received Form (13.19 KB)
- Process for OPI Adaptive Equipment Funds Requests (15.44 KB)
Adult Protective Services
- APS & MDT - When To Make a Referral (108.01 KB)
- Multi Disciplinary Team (MDT) Contacts for DC and EE Case Managers (602.13 KB)
Quality Assurance
- OPI QA Tool (273.9 KB)
Training
- April 2019 COUNTY ADL, CAPS comments 4.5.19 (4).pptx (3.05 MB)
- Narration Standards.pptx (844.77 KB)
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