OAR 410-133-0245: Cost-Based Rates and Payment

(1) The Authority shall determine cost-based rates based upon annual costs submitted by education agencies. (2) Cost-based rates for each education agency shall: (a) Be based upon the prior year's annual audited costs and the Oregon Department of Education’s (ODE) approved current year indirect rate. (b) Establish an hourly rate and a per-minute increment rate for the current calendar year for each covered service discipline (e.g., physical therapy and nursing, as separate disciplines, shall each have a separate rate). (3) An education agency shall not bill for more than the cost-based rate prescribed by the Authority. (4) Cost data shall be submitted in a format prescribed by the Authority and in accordance with Oregon's Medicaid State Plan approved by the Centers for Medicare and Medicaid Services (CMS). (5) Costs for telehealth technologies used to provide school-based health services are included in the cost for each service discipline and are not billed separately.