Oregon Administrative Rules
Chapter 411 - DEPARTMENT OF HUMAN SERVICES, AGING AND PEOPLE WITH DISABILITIES AND DEVELOPMENTAL DISABILITIES
Division 435 - DEVELOPMENTAL DISABILITIES ANCILLARY SERVICES
Section 411-435-0040 - Conditions of Purchase
Universal Citation: OR Admin Rules 411-435-0040
Current through Register Vol. 63, No. 3, March 1, 2024
(1) Ancillary services must meet all of the following requirements:
(a) Be of direct benefit to an
individual.
(b) Authorized in an
individual's ISP or Annual Plan consistent with OAR 411-415-0070 and tied to an
identified need.
(c)
Cost-effective. Items must be in new or certified refurbished in like-new
condition.
(d) Purchased in
accordance with the Expenditure Guidelines.
(2) Department funds may not be used for:
(a) A reimbursement to an individual, or the
legal or designated representative or family member of the individual, for
expenses related to ancillary services.
(b) An advance payment of funds to an
individual, or the legal or designated representative or family member of the
individual, to obtain ancillary services.
(c) Services, supports, materials, or
activities that are illegal or in support of illegal conduct, experimental, or
determined unsafe by the Department.
(d) Services or activities that are carried
out in a manner that constitutes abuse as defined in OAR
411-317-0000.
(e) The purchase of a
vehicle.
(f) Health and medical
costs that the general public normally must pay including, but not limited to:
(A) Medications.
(B) Health insurance co-payments.
(C) Mental health evaluation and
treatment.
(D) Dental treatments
and appliances.
(E) Medical
treatments.
(F) Dietary
supplements.
(G) Treatment supplies
not related to nutrition, incontinence, or infection control.
(g) Ambulance services.
(h) Legal fees.
(i) Services that do not meet:
(A) The description of ancillary services as
described in these rules; or
(B)
The definition of a social benefit in OAR 411-317-0000.
(j) Services or items available through
third-party payers or that supplant services or items available through
third-party payers.
(k) Services or
activities for which the legislative or executive branch of Oregon government
has prohibited use of public funds.
(l) Services provided in a nursing facility,
correctional institution, or hospital.
(m) Services when there is evidence to
believe that an individual, a legal or designated representative of an
individual (as applicable), or a provider, has engaged in fraud,
misrepresentation, failed to use resources as agreed upon in an ISP or Annual
Plan, refused to cooperate with documenting use of Department funds, or
otherwise knowingly misused public funds associated with ancillary
services.
(n) Items or services
provided to a child that are necessary for a child of the same age without a
disability or typical for a parent or guardian to provide.
(o) Services available through natural
supports.
(p) A toy or outdoor play
equipment that is not of direct benefit to an individual's identified support
needs and does not meet the criteria in OAR 411-435-0050 for assistive devices
or assistive technology.
(q) Items
or services of general utility and not directly related to an individual's
identified support needs.
Statutory/Other Authority: ORS 409.050, 427.104 & 430.662
Statutes/Other Implemented: ORS 409.010, 427.007, 427.104, 430.215, 430.610 & 430.662
Disclaimer: These regulations may not be the most recent version. Oregon may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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