Oregon Home and Community-Based Services (HCBS) Policy Manual
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The Oregon Home and Community-Based Services (HCBS) Policy Manual provides a structured and regulatory-aligned framework for delivering person-centered, community-based care to individuals with disabilities and complex needs across the state. This manual is grounded in the requirements set forth by the Home and Community-Based Services Settings Rule (42 CFR §441.301) and is fully compliant with the Oregon Administrative Rules (OAR) Chapter 410 and 411, ensuring that all services meet the expectations of the Oregon Health Authority (OHA) and the Department of Human Services (DHS).
The manual defines operational policies across eight essential domains: provider certification, financial management, service delivery, human resources, client-centered planning, safety management, quality assurance, and specialized supports. It includes clear protocols for Enhanced HCBS provider enrollment, Electronic Visit Verification (EVV) compliance, staff competency standards, individualized service planning (ISP), incident management, and person-centered outcomes.
It also supports cross-system integration by detailing procedures for conflict-free case management, coordination with Medicaid CCOs, and access to community resources. Emphasis is placed on inclusion, autonomy, safety, and measurable quality outcomes, supporting both waiver and State Plan services through a continuous improvement lens.
The HCBS Policy Manual serves as a foundational resource for agency administrators, case managers, direct support professionals, and interdisciplinary teams. It ensures that services are delivered in the least restrictive environment, guided by principles of equity, informed choice, cultural competence, and individual dignity.