Current through Register Vol. 63, No. 12, December 1, 2024
(1) Billable care
day:
(a) The BRS contractor is compensated
for billable care day services and placement-related activities rates on a
fee-for-service basis in accordance with OAR 410-170-0110.
(b) The BRS contractor may include overnight
home visits and transitional visits by the BRS client to a hosting placement in
its billable care days. The BRS contractor must:
(A) Receive prior approval for the home visit
or transitional visit to a hosting placement from the Department;
(B) Ensure that the home visit or
transitional visit is in support of the goals related to transition in the BRS
client's most current service plan; and
(C) Not exceed eight calendar days of any
combination of home visits or transitional visits in a month as billable care
days. Transitional visits have the same restrictions and requirements as home
visits as indicated in OAR 410-170-0110.
(c) The Department will reimburse the sending
placement or BRS provider at the BRS rate for the BRS type of care listed in
the contract. Hosting placement will be reimbursed at the absent rate for the
BRS level of care in the contract or the equivalent foster care rate.
(2) Absent day:
(a) The BRS contractor is compensated for an
absent day at the absent day rate in order to hold a BRS program placement for
a BRS client with the prior approval of the BRS client's caseworker and with
authorization from the contract administrator.
(b) The BRS contractor is compensated at an
absent day rate when the BRS contractor is a hosting placement for a
transitional visit, unless the hosting placement is a foster home.
(c) Notwithstanding OAR 410-170-0110(4), the
BRS contractor may request prior approval from the BRS client's caseworker and
contract administrator to be reimbursed for more than eight but no more than 14
calendar days of home visits and transitional visits in a month for a BRS
client. However, any additional days of home visits approved under this rule
will be paid at the absent day rate.
(d) To claim reimbursement for an absent day,
the BRS contractor is required to submit the DHS absent day authorization form
to the contract administrator within 30 days from the dates for which the BRS
contractor is requesting absent day payment.
(3) The BRS contractor may only be reimbursed
for the BRS type of care authorized in the contract with the
Department.
(4) Invoice form:
(a) The BRS contractor must submit to the
Department a monthly invoice in a format acceptable to the Department, on or
after the first day of the month following the month in which services and
placement-related activities were provided to the BRS client. The monthly
invoice must specify the number of billable care days and absent days for each
BRS client in that month.
(b) The
BRS contractor must provide upon request, in a format approved by the
Department, written documentation of each BRS client's location for each day
claimed as a billable care day and an absent day.
(5) Billable care day and absent day rates
for BRS services provided on or after July 1, 2023, are in the "BRS Rates
Table," dated July 1, 2023, which is adopted as Exhibit 1 and incorporated by
reference into this rule. A printed copy may be obtained from the Department.
To view attachments referenced in rule text,
click here to view
rule.
Statutory/Other Authority: ORS
409.050, ORS
411.060, ORS
411.070, ORS
411.116 & ORS
418.005
Statutes/Other Implemented: ORS
411.060, ORS
411.070, ORS
411.116, ORS
418.005, ORS
409.010, ORS
411.141, ORS
418.015, ORS
418.027, ORS
418.285, ORS
418.312, ORS
418.315, ORS
418.490 & ORS
418.495