ORS 410.560: Eligibility determination dashboard.

The Department of Human Services and the Oregon Health Authority shall create a dashboard to measure the amount of time it takes the department, the authority and area agencies, as defined in ORS 410.040, to complete eligibility determinations for long term care services and supports provided through the medical assistance program. [2025 c.617 §1] (Temporary provisions relating to eligibility determinations for Medicaid-funded long term care services and supports) Sec. 2. (1) The Department of Human Services and the Oregon Health Authority shall conduct an operational review to streamline eligibility determinations for long term care services and supports provided through the medical assistance program. In conducting the operational review, the department and the authority shall: (a) Conduct a baseline analysis, using data from the dashboard described in section 1 of this 2025 Act [410.560], of average processing times for functional and financial assessments of individuals in acute and post-acute care settings; (b) Develop, in consultation with providers and stakeholders, benchmarks for improving processing times for functional and financial assessments of individuals in acute and post-acute care settings; (c) Identify a target date for the department and the authority to meet the benchmarks developed under this subsection; (d) Explore technologies, including the automation of agency and provider workflows, to meet the benchmarks developed under this subsection; (e) Explore potential changes to staff assignments and workflows, including the creation of dedicated teams for complex cases, to meet the benchmarks developed under this subsection; (f) Develop and publish protocols for communication and case management to be utilized when delays occur in conducting a functional or financial assessment of individuals in acute and post-acute care settings; (g) Develop a decision tree to help hospital staff navigate the processes used by the department and the authority in conducting eligibility determinations; and (h) Explore payment model options for providing short-term, temporary coverage while an eligibility determination is pending for individuals who are presumptively eligible for long term care services and supports provided through the medical assistance program. (2) The department and the authority shall submit a report in the manner provided by ORS 192.245, and may include recommendations for legislation, to the interim committees of the Legislative Assembly related to health no later than August 15, 2026. [2025 c.617 §2] Sec. 7. Sections 2 to 5 of this 2025 Act are repealed on January 2, 2027. [2025 c.617 §7] HOME CARE COMMISSION