Department of Human Services
Aging and People with Disabilities and Developmental Disabilities - Chapter 411
Division 450
COMMUNITY LIVING SUPPORTS
411-450-0020
Definitions and Acronyms
In addition to the following definitions, OAR 411-317-0000 includes general definitions for words and terms frequently used in OAR chapter 411, division 450. If a word or term is defined differently in OAR 411-317-0000, the definition in this rule applies.
(1) "ADL" means "Activities of Daily Living" as defined in OAR 411-317-0000.
(2) "Alternative Resources" is defined in OAR 411-317-0000.
(3) "ANA-C" means the "Adult In-Home Support Needs Assessment, Version C". The Department incorporates the ANA-C into these rules by this reference. The ANA-C is maintained by the Department at: http://www.dhs.state.or.us/spd/tools/dd/ANA%20-%20Adult%20In-home%20-%20v_C.106r.xlsm.
(4) “Adult and Children In-Home Assessment Manual” and "ANA/CNA Manual" means the document that describes how to administer an ANA and CNA. The Department incorporates the ANA/CNA Manual, Version 3 into these rules by this reference. The ANA/CNA Manual is maintained by the Department at: http://www.dhs.state.or.us/spd/tools/dd/bpa/ana-cna-manual.pdf.
(5) "Assessor" is defined in OAR 411-317-0000.
(6) "Attendant Care" is defined in OAR 411-317-0000.
(7) "Authorized ISP" means an ISP that meets the criteria set forth in OAR 411-415-0070(8)(e).
(8) "CDDP" means "Community Developmental Disabilities Program" as defined in OAR 411-317-0000.
(9) "Class" means group attendant care that is regularly occurring, organized, and structured around specific ADL/IADL supports intended to maintain or enhance an individual’s skill level in the ADL/IADL.
(10) "CNA-C" means the "Child In-Home Support Needs Assessment, Version C". The Department incorporates the CNA-C into these rules by this reference. The CNA-C is maintained by the Department at: http://www.dhs.state.or.us/spd/tools/dd/CNA%20-%20Child%20In-home%20-%20v_C.106r.xlsm.
(11) "Community Living Supports Agency" means a provider agency certified under OAR chapter 411, division 323 and endorsed to these rules, excluding OAR 411-450-0090, to deliver community living supports.
(12) "Day Support Activities" means attendant care supports, delivered by a provider agency, that happen during scheduled, intentional, structured activities in a non-residential setting. Day support activities focus on maintaining or enhancing the skills an individual needs to engage with the community.
(13) "DSA" means "Day Support Activities" as defined in this rule.
(14) "Exception" means an approval granted by the Department, or the Department's designee, to alter a limit or condition on a service based on an individual’s demonstrated need.
(15) "Facility-Based" means a service operated at a fixed site owned, operated, or controlled by a service provider where an individual has few or no opportunities to interact with people who do not have a disability except for paid staff.
(16) "Family":
(a) Means a unit of two or more people that includes at least one individual, found to be eligible for developmental disabilities services, where the primary caregiver is:
(A) A family member as defined in OAR 411-317-0000; or
(B) In a domestic relationship where partners share the following:
(i) A permanent residence.
(ii) Joint responsibility for the household in general, such as child-rearing, maintenance of the residence, and basic living expenses.
(iii) Joint responsibility for supporting the individual when the individual is related to one of the partners by blood, marriage, or legal adoption.
(b) The term "family" is defined as described above for purposes of determining the service eligibility of an individual for community living supports as a resident in the family home.
(17) "Group Activity" means an organized or impromptu DSA that involves more than one individual supported by the same provider agency.
(18) "Healthier Oregon" is defined in OAR 411-317-0000.
(19) "Hour Allocation" means the number of monthly hours authorized in an ISP for any combination of attendant care, day support activities, skills training services, private duty nursing as described in OAR 411-300-0150, direct nursing services as described in OAR chapter 411, division 380, and state plan personal care as described in OAR chapter 411, division 455.
(20) "HSD Medical Programs" is defined in OAR 411-317-0000.
(21) "IADL" means "Instrumental Activities of Daily Living" as defined in OAR 411-317-0000.
(22) "IDEA" means the Individuals with Disabilities Education Act, 20 U.S.C §1400.
(23) "Implementation Strategy" means a written description of the steps a provider agency will take to assist an individual to achieve the individual’s desired outcomes, increase independence, and build or maintain skills, as identified in the individual’s ISP or Service Agreement, and assigned to the provider agency to implement.
(24) "Informal Arrangement" means a paid or unpaid arrangement for shelter or utility costs that does not include the elements of a rental agreement.
(25) "ISP" means "Individual Support Plan" as defined in OAR 411-317-0000.
(26) "Natural Support" is defined in OAR 411-317-0000.
(27) "ODDS" means the Oregon Department of Human Services, Office of Developmental Disabilities Services.
(28) "ONA" means "Oregon Needs Assessment" as defined in OAR 411-317-0000 and described in OAR 411-425-0055.
(29) "OSIPM" means "Oregon Supplemental Income Program-Medical" as defined in OAR 411-317-0000.
(30) "Primary Caregiver" means the person identified in an ISP as providing the majority of services and support for an individual in the home of the individual.
(31) "Progress Report" means a written document that summarizes an individual’s progress, the evidence of the progress, and a provider agency’s activities undertaken towards achieving the individual's desired outcomes of increased independence and skill building or maintenance, as identified in the individual’s ISP or Service Agreement.
(32) "Provider-Owned Dwelling" means a dwelling that is owned by a provider or the provider's spouse, when the provider is proposing to be paid for delivering home and community-based services to an individual, and the provider or the provider’s spouse is not related to the individual by blood, marriage, or adoption. A provider-owned dwelling includes, but is not limited to:
(a) A house, apartment, and condominium.
(b) A portion of a house, such as a basement or a garage, even when remodeled to be used as a separate dwelling.
(c) A trailer and mobile home.
(d) A duplex unless the structure displays a separate address from the other residential unit and was originally built as a duplex.
(33) "Provider-Rented Dwelling" means a dwelling that is rented or leased by a provider or the provider's spouse, when the provider is proposing to be paid for delivering home and community-based services to an individual, and the provider or the provider’s spouse is not related to the individual by blood, marriage, or adoption.
(34) "PSW" means "Personal Support Worker" as defined in OAR 411-317-0000.
(35) "Rental Agreement" means a payment arrangement for shelter or utility costs with a property owner, property manager, or landlord that includes all of the following elements:
(a) The name and contact information for the property owner, property manager, or landlord.
(b) The period or term of the agreement and method for terminating the agreement.
(c) The number of tenants or occupants.
(d) The rental fee and any other charges, such as security deposits.
(e) The frequency of payments, such as monthly.
(f) What costs are covered by the amount of rent charged, such as shelter, utilities, or other expenses.
(g) The duties and responsibilities of the property owner, property manager, or landlord and the tenant, such as:
(A) The person responsible for maintenance;
(B) If the property is furnished or unfurnished; and
(C) Advance notice requirements prior to an increase in rent.
(36) "Scheduled Support" means an attendant care or skills training support that a representative of a provider agency and an individual agree to at least 48 hours ahead of the anticipated service delivery.
(37) "Service Level" means the maximum number of hours available to an individual in a month for any combination of attendant care, day support activities, skills training services, private duty nursing as described in OAR 411-300-0150, direct nursing services as described in OAR chapter 411, division 380 or state plan personal care as described in OAR chapter 411, division 455, based on an assessment required by the Department.
(38) "Skills Training" is defined in OAR 411-317-0000.
(39) "Staffing Ratio" means the number of paid providers to the number of individuals in their care at the same time.
(40) "Standard Model Agency" means a provider agency certified under OAR chapter 411, division 323 and endorsed to these rules, including OAR 411-450-0090, to deliver community living supports.
(41) "These Rules" mean the rules in OAR chapter 411, division 450.
Statutory/Other Authority: ORS 409.050, 427.104, 430.662 & SB 1548 (2022 OR Law, Ch. 91)
Statutes/Other Implemented: 427.104, 430.662, SB 1548 (2022 OR Law, Ch. 91), ORS 409.010, 427.007, 430.215 & 430.610
History:
APD 23-2023, amend filed 12/21/2023, effective 01/01/2024
APD 55-2022, amend filed 12/16/2022, effective 12/20/2022
APD 30-2022, temporary amend filed 06/25/2022, effective 07/01/2022 through 12/27/2022
APD 37-2019, amend filed 10/29/2019, effective 11/01/2019
APD 46-2018, amend filed 12/28/2018, effective 12/28/2018
APD 23-2018, temporary amend filed 07/02/2018, effective 07/02/2018 through 12/27/2018
APD 2-2017, f. 2-21-17, cert. ef. 2-28-17
APD 35-2016(Temp), f. 8-31-16, cert. ef. 9-1-16 thru 2-27-17
APD 27-2016, f. & cert. ef. 6-29-16