OAR 411-014-0030: Scope of OPI-M Eligibility Case Management

(1) Eligibility Case Managers are responsible for: (a) Eligibility related, consultation, and referral tasks including: (A) Service eligibility assessments and service eligibility determinations as described OAR 411-014-0040; (i) Initial eligibility determinations must be conducted within 45 days of the date of request; (ii) Redeterminations must be completed every two years. (B) Initial financial eligibility determinations and re-determinations as required by OAR 461-135-0010(3) including income and asset verifications and notice of eligibility. (C) Verifying all other eligibility requirements in OAR 411-014-0020 for OPI-M are met; (D) Program consultation, presenting options, resources, and alternatives to an individual to assist the individual in making informed choices about program selection; and (E) Referrals for program coordination and communication with the Services Case Manager when OPI-M is chosen by the individual. (b) Assisting individuals to make informed decisions by providing complete and unbiased information. (c) Person-centered planning processes and ensuring the processes: (A) Are driven by the individual; (B) Include people chosen by the individual; (C) Consider the program options that best meet the identified needs; (D) Reflect the cultural considerations of the individual; and (E) Use the language, format, and presentation methods appropriate for effective communication according to the needs and abilities of the individual and, as applicable, representative of the individual . (d) Informing individuals of grievance and hearing rights and follow grievance and hearing processes. (2) Type B transfer AAA staff serving as OPI-M Eligibility Case Managers may also serve as Services Case Managers. (3) ODHS Eligibility case managers must respond to OPI-M communication from AAAs within five business days. Responses to communication from eligible individuals and their representatives must also occur within five business days.