OAR 413-090-0133: Conducting a Personal Care Services Assessment

(1) When a child or young adult with a diagnosed physical or mental impairment appears to require personal care services and the caseworker becomes aware of the apparent need for personal care services, the caseworker must refer the child or young adult to the contract registered nurse or the Personal Care Nurse Coordinator for an assessment. (2) When a child or young adult with an approved personal care services assessment or an existing personal care services plan moves to a new foster parent or relative caregiver, the caseworker must refer the child or young adult to the contract registered nurse or the Personal Care Nurse Coordinator for an assessment. (3) Upon receipt of a referral, the contract registered nurse, program nurse consultant or manager must conduct a personal care services assessment. (4) To conduct the personal care services assessment, the contract registered nurse, program nurse consultant or manager must: (a) Review available medical records of the child or young adult; (b) Meet with the child or young adult and the foster parent or relative caregiver; (c) Gather information about the child or young adult's condition and functioning; (d) Assess the child or young adult's ability to perform functional activities necessary to meet his or her daily needs at a level appropriate for the child or young adult's chronological age; (e) Document the findings of the personal care services assessment using the Department’s Personal Care Services Assessment form that is applicable to the age of the child or young adult; and (f) Submit the completed personal care services assessment to the Personal Care Nurse Coordinator. (5) The Personal Care Nurse Coordinator must: (a) Review the findings of the personal care services assessment; (b) Apply the rating scale in Exhibit 4 to the personal care services assessment; (c) Determine whether the child or young adult meets the threshold for a level of personal care payment; (d) Determine the level of personal care payment; and (e) When the personal care services assessment scores a child or young adult's level of personal care needs at Level 4 based on the rating scale in Exhibit 4, determine the additional payment and the intensive personal care services required to meet the child or young adult's identified needs, which may involve consulting with the foster parent, relative caregiver, or others involved in the child or young adult's care. (6) The responsibilities set forth in section (5) of this rule may be conducted by another medical professional employed by or under contract with the Department when the Personal Care Nurse Coordinator is unavailable. [ED. NOTE: To view attachments referenced in rule text, click here to view rule.]