Electronic Visit Verification is coming to Oregon, and it will change the way that 10,000 Personal Support Workers and as many Direct Support Professionals start and end their work shifts for attendant-care services in a person’s home. What Is EVV? The 21st Century CURES Act was adopted by the federal government in 2016 to reduce Medicaid fraud. Because this is a federal bill, every state is now working to meet the January 2019 deadline to implement Electronic Visit Verification (EVV) for in-home attendant care services. In order to meet the federal standards, Oregon’s EVV system will have to capture the following points of information for each and...
Read MoreOregon’s economy is healthy and growing, but so are its costs. In fact, the costs of current services and budgeted obligations have outpaced the amount of money coming into the state to pay for them. Our legislative leaders have been warning us for months now that, without new sources of revenue, there will be cuts. Now, for the first time, we are getting a clearer picture of what those cuts might look like, as the Joint Ways and Means Committee Co-Chairs, Senator Richard Devlin (D-Tualatin) and Representative Nancy Nathanson (D-Eugene) have released their 2017-19 Target Reduction Lists. For the IDD service system, the cuts are spread over several areas, as...
Read MoreYou may have seen headlines this month about the release of Governor Brown’s Recommended State Budget. As discussed in yesterday’s post, the Oregon state budget takes several months and three major steps from start to finish. We begin with data, reports, and recommendations from each governmental agency as to how services are currently operating, and what it would take to continue them (ARB). Next, the Governor synthesizes the disparate agency requests into a single budget, recommending it to the legislature, and to all Oregonians (GRB). The state legislature then takes those critical components, pairs them with months of gathered input and information from...
Read MoreFor the IDD system, the budgeting process is often a roller-coaster of emotion and advocacy. Service levels, program funding, and provider rates are all determined by the biennial state budget. On December 1st, Governor Kate Brown released her Governor’s Recommended Budget (GRB), which is a detailed budget plan for the 2017-2019 biennium. To get a handle on where the GRB falls in the full budget process, let’s take a closer look at it from start to finish. First stop: The Agency Request Budget (ARB) An Agency Request Budget is a formal report submitted by each state agency detailing their funding priorities. The report includes an outline of how they would...
Read MoreWe have talked a lot about the series of policy changes back in late 2013 that resulted in the statewide Community First Choice K Plan, in consolidating services and payment into the eXPRS Plan of Care, and the rise of the Adult Needs Assessment as a primary point of departure for service planning and funding. Today, we believe that more change is necessary if Oregon is to regain a functional, sustainable structure for IDD services. In our last post, we talked about the series of changes that reshaped the landscape for intellectual and developmental disability (IDD) services in Oregon. From the summer of 2013 until the close of 2015, we were taking on new processes, new...
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