OAR 413-050-0610: Definitions

(1) "Caseworker" means a Child Welfare employee assigned primary responsibility for a child or young adult served by Child Welfare. (2) "Child " means a person under 18 years of age. (3) "Department" means the Oregon Department of Human Services. (4) “Eligible child or young adult” means an individual who is found eligible for Medicaid and the Children’s Health Insurance Program (CHIP) by the Oregon Health Authority and eligible for case management services (including TCM services) as defined in the Medicaid State Plan at the time the services are furnished. (5) "In-home setting" means the home of the child or young adult's parent or legal guardian. (6) "MMIS" means the Oregon Health Authority’s Health Systems Division (HSD) Medicaid Management Information System. (7) “OHA” means Oregon Health Authority, the agency that manages the Oregon Medicaid program. (8) "Targeted Case Management” or “TCM” means activities performed by the caseworker to assist children in the target population to obtain necessary medical, social, educational, counseling, or other services. (9) "TCM assessment" means the act of gathering information and reviewing historical and existing records of an eligible child or young adult in a target group to determine the need for medical, educational, social, or other services. To perform a complete assessment , the case manager must gather information from family members, medical providers, social workers and educators, if necessary. (10) "Young adult" means a person aged 18 through 20 years.