1. Program Definition and Services
Assistive Technology (AT) Services in Oregon provide short-term support to children and adults with intellectual/developmental disabilities and chronic conditions. The program aims to help maintain individuals with disabilities in the community, averting the need for long-term services and supports. Services include:
- In-Home Personal Care: Individual support in the individual/family home or community (Device Selection and Procurement, Customization and Programming, Client and Caregiver Training, and Smart Home Device Integration)
- Residential Personal Care: Supervision and care in a licensed residential, community-based setting (Equipment Installation, Safety Setup, Device Repair and Maintenance, Environmental Accessibility Solutions, and Service Coordination)
2. Regulations
The program is governed by the following regulations:
- Oregon Administrative Rules (OAR) Chapter 411, Division 435 (Ancillary Services: Assistive Devices, Assistive Technology, and Specialized Medical Supplies)
- Oregon Administrative Rules (OAR) Chapter 411, Division 035 (K-State Plan Ancillary Services: Backup Systems and Assistive Technology)
- Oregon Administrative Rules (OAR) Chapter 411, Division 323 (ODDS Provider Certification and Endorsement Rules)
- Federal 1915(c) and 1915(k) Community First Choice (Oregon K Plan) Medicaid Authorities
3. Licensing or Certification
Providers must be certified by the Oregon Department of Human Services (ODHS) or registered as an approved Assistive Technology/DME vendor and follow all Home and Community-Based Services (HCBS) requirements.
4. Responsible State Agency
The Oregon Department of Human Services (ODHS) Office of Developmental Disabilities Services (ODDS) and Aging and People with Disabilities (APD) division are responsible for reviewing applications and certifying assistive technology services providers.
5. Application Process
The application process is conducted through the electronic Oregon Health Authority (OHA) Provider Portal. Providers must submit forms online to initiate the application process.
6. Required Documentation
While specific documentation requirements vary based on the target waiver, providers typically need to submit:
- Proof of compliance with state safety and operational rules
- Agency policies and procedures
- Staff qualifications and training records
- Proof of general and professional liability insurance
7. Timeline for Approval
The exact timeline for approval fluctuates based on agency capacity. Providers should contact their regional office for detailed information on current processing timeframes.
8. Pre-Application Process
Prospective providers must complete specific foundation tasks before applying. They must establish their business entity and secure necessary federal identification numbers.
9. Pre-Application Training
The state hosts mandatory administrative and compliance training sessions online. Access details are sent to qualified applicants once preliminary paperwork is reviewed.
10. Additional Notes
- Providers must ensure that intensive care settings meet all state accessibility and environmental safety guidelines
- In-Home Personal Care must be provided directly by the certified agency's employed personnel
- All direct care staff must conduct mandatory background clearances and fingerprinting screenings
- Providers must maintain detailed records of face-to-face services for Medicaid documentation and billing
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