(Salem, Ore.) – The Department of Human Services Aging and People with Disabilities (APD) is seeking public comment on amendments to the 1915(b)(4) selective contracting waiver and the 1915(c) Medicaid Long-Term Services and Supports (LTSS) waiver.
APD is amending the 1915(b)(4) selective contracting waiver and the 1915(c) Medicaid Long-Term Services and Supports waiver to allow Waivered Case Management services to be provided by Oregon Tribes. These amendments are part of an ongoing effort to work more closely with Oregon’s Nine Federally Recognized Tribes and the Urban Indian Health Program to better serve their members.
APD intends to submit the waiver amendments on Dec. 1, 2018, with a proposed effective date of April 1, 2019. The Centers for Medicare and Medicaid Services (CMS) approval of these amendments will authorize Oregon tribes to provide case management services to tribal members receiving Medicaid LTSS and receive Medicaid reimbursement for providing these services to tribal members.
APD and Oregon Tribes continue to work collaboratively to develop and operationalize the provision of case management services, including identifying tribes that choose to participate, identifying tribal members that would be served, and developing qualifications, capacity and case management rates. APD is committed to ensuring that participating tribes have access to all technology, tools and training available to LTSS case managers currently being provided by the Area Agencies on Aging and Department of Human Services local offices. These amendments affect tribes that choose to participate and provide these services. APD staff and management and tribal members have been participating in workgroups since June 2018 to develop a plan to operationalize the provision of case management services and ensure a smooth transition of these services to participating tribes.
APD invites you to review the attached documents for further information:
Comments, suggestions and questions may be submitted directly to Chris Pascual, APD policy analyst, via email at chris.pascual@state.or.us; by phone at 503-779-6408. Interested parties may also send written comments addressed to Chris Pascual, Aging and People with Disabilities Policy Analyst, Department of Human Services, 500 Summer Street NE E-10, Salem, OR 97301. Print versions of the 1915(b)(4) selective contracting waiver and the 1915(c) Medicaid Long-Term Services and Supports waivers will be posted in APD district offices. Print versions may also be obtained from Chris Pascual.
The deadline for comments is Nov. 15, 2018. Mail responses must be received by this date to be considered.