Oregon Code § 410.560·Enacted ·Last updated March 01, 2026
Statute Text
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)
Note:
Sections 2 and 7, chapter 617,
Oregon Laws 2025, provide:
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]
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