Oregon Statutes - Chapter 410 - Senior and Disability Services - Section 410.851 - Policy on patient-based reimbursement system for long term care facilities; rules.

(1) The Legislative Assembly finds and declares that patients admitted to and cared for by long term care facilities in Oregon are more impaired than in the past. In keeping with the traditional commitment of the State of Oregon to the care and protection of its citizens who are frail or elderly or who have disabilities, as expressed in ORS 410.020 (1) to (6), the Legislative Assembly declares that a patient-based reimbursement system emphasizing quality incentives is appropriate for long term care facilities. Such a system would reward long term care facilities for outcomes, such as maintaining or improving a patient’s condition, and meet the legitimate costs of caring for patients.

(2) “Patient-based reimbursement” means reimbursement for direct patient care according to the needs of the patient, based on multiple levels of patient health, functioning and impairment. Notwithstanding the above, patient-based reimbursement does not require the Department of Human Services to assess each patient and reimburse long term care facilities according to the constantly changing conditions of the patients except for changes between skilled and intermediate levels of care which shall result in prompt readjustment of rates.

(3) The Department of Human Services shall establish by rule definitions of levels of care and the payment rates for the patient-based reimbursement system. [1987 c.523 §2 (enacted in lieu of 410.850); 2007 c.70 §186]

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Last modified: August 7, 2008