Oregon Administrative Rules
Chapter 416 - OREGON YOUTH AUTHORITY
Division 335 - BEHAVIOR REHABILITATION SERVICES PROGRAM
Section 416-335-0090 - Billing and Payment for Services and Placement Related Activities
Universal Citation: OR Admin Rules 416-335-0090
Current through Register Vol. 63, No. 3, March 1, 2024
(1) Billable Care Days
(a) The BRS Contractor is compensated for a
Billable Care Day (Service and Placement Related Activities rates) on a
fee-for-service basis in accordance with OAR 410-170-0110 and this
rule.
(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 from OYA for a
Home Visit or Transitional Visit to a Hosting Placement; and
(B) Ensure that the Home Visit or
Transitional Visit is in support of the BRS Client's most current service plan
goals related to transition.
(c) The Agency will pay the Sending Placement
at the Billable Care Day rate.
(d)
If the Hosting Placement is an OYA Foster Home, the Agency will pay the foster
care rate specified by the foster care agreement for Transitional
Visits.
(2) Absent Days
(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 JPPO and 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 an
OYA Foster Home.
(c)
Notwithstanding OAR 410-170-0110(4), the BRS Contractor may request prior
approval from OYA to be reimbursed for more than a maximum of eight calendar
days total of any combination of Home Visits and Transitional Visits in a month
for a BRS Client. However, for any additional days of Home Visits and
Transitional Visits approved under this rule, Sending and Hosting Placements
will be paid at the Absent Day rate.
(3) The BRS Contractor may be reimbursed only for the BRS Type of Care authorized in the contract with OYA.
(4) Invoice Form
(a) The BRS Contractor must submit a monthly
billing form to OYA in a format acceptable to the Agency, on or after the first
day of the month following the month in which it provided Services and
Placement Related Activities to the BRS Client. The billing form 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 that meets OYA's approval, written
documentation of each BRS Client's location for each day claimed as a Billable
Care Day and an Absent Day.
(c) The
BRS Contractor may only submit a claim for a Billable Care Day and an Absent
Day consistent with the Agency's prior authorization or approval.
(5) Billable Care Day and Absent Day rates are provided 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 OYA.
To view attachments referenced in rule text, click here to view rule.
Statutory/Other Authority: ORS 420A.025
Statutes/Other Implemented: ORS 420A.010 & ORS 420A.014
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