| Barrier topic | Date submitted | Status | Proposed solution | Response | SOC strategic plan alignment | Resolution date | Region | Regional SOC Coordinator | Original barrier form | Assigned agency | Manager | Owner | Consulted | Single or Multi System | ||||
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| 10/01/24 | In process - Working with agency on solution | Identify best practices for serving children under age 12 with multiple diagnoses Expand number of providers who serve children under age 12 by adjusting reimbursement rates and expanding loan forgiveness programs. Assess and expand the options for ‘step down’ support for youth and families when they leave hospitals or other structured environments. Assess current work of DD programs and subacute services which are currently filing this role. Determine which OARs, across systems, restrict access to services or are not being followed in the manner intended. Identify the most common reasons for service denial by providers and find solutions to those barriers. Develop and fund community residential hubs to serve youth regardless of diagnosis. Investigate disparities for residential program completion, particularly for youth of color. | 11/21/24 Barrier was introduced to SAS on 11/20. OHA has been assigned as lead agency. | Pillar 3: Culturally responsive Pillar 4: Community based | Tri-County SOC | Selby Stebbins | https://www.oregon.gov/oha/HSD/BH-Child-Family/SOCReports/TriCountySOC_Gaps%20in%20Care%20for%20Younger%20Children_SOCAC_Final.docx | Oregon Health Authority | Chelsea Holcomb | Jessie Eagan | Sara Fox | |||||
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| 07/01/24 | In process - Working with agency on solution | Establish levels of care for youth who post a risk to themselves or others but who do not meet current criteria for high levels of care. Reduce administrative burden for programs, such a requirement for a both a Certificate of Approval and accreditation from Commission on Accreditation of Rehabilitation Facilities Increase and retain providers certified by the Sexual Offender Treatment Board. Allow access to higher level programs (e.g. those provided by OYA or programs that only accepts referrals through county mental health. | 10/30/24 10/30/24 HB 4086 committee work began - brings together people with lived experience, people working with youth, people in juvenile justice and sherrif's departments, and multiple agencies. The committee is scheduled to meet through July 2025.The committee kick-off was very well received and incorporated a sound bath and tribal practices - several people described it as the best gathering they have ever attended. | Pillar 2: Integrated and collaborative Pillar 4: Community based | Tri-County SOC | Selby Stebbins | https://www.oregon.gov/oha/HSD/BH-Child-Family/SOCReports/TriCountySOC_Gaps%20in%20care_youth%20with%20unsafe%20sexual%20behaviors.pdf | Oregon Health Authority (OHA) | Chelsea Holcomb | Jessie Eagan | Multi system barrier | |||||
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| 04/19/24 | In process - Working with agency on solution | Our region needs a day treatment center that can accommodate younger kids, particularly those that are 3-5 years of age. | 10/30/24 OHA staff in the CFBH unit held multiple meetings with the CCO, provider, and other community partners, coordinating with ODHS. Discussed community needs and existing funding; agreed that day treatment is not generally recommended for early childhood, but that a relief nursery is functioning well already and several therapists are interested in PCIT training. Two therapists will be funded through OHA to attend the next PCIT training, and the PCIT room and setup will be funded through the CCO | Pillar 4: Community based | Central Oregon SOC | Dani McCallister | https://www.oregon.gov/oha/HSD/BH-Child-Family/SOCReports/Central%20Oregon.EC%20day%20treatment%2004.04.24.docx | Oregon Health Authority (OHA) | Chelsea Holcomb | Jessie Eagan | Multi system barrier | |||||
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| 02/02/23 | In process - Working with agency on solution | Develop and fund a secure, dual diagnosis (Substance Abuse and Mental Health) residential facility for youth that can serve ages 12 – 19, including youth who may have an Intellectual and/or Developmental Disabilities. | 10/30/24 The POP for additional funding is being moved forward through the Governor's proposed budget. Several residential providers have begun to accept additional youth into their programs due to stabilizing staffing levels. | Pillar 2: Integrated and collaborative Pillar 4: Community based | Tri-County SOC | Selby Stebbins | https://www.oregon.gov/oha/HSD/BH-Child-Family/SOCReports/Tri%20County%20SOCAC%20Submission%20Secure%20Residential.docx | Oregon Health Authority (OHA) | Chelsea Holcomb | Jessie Eagan | Multi system barrier | |||||
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| 01/25/23 | In process - Working with agency on solution | Beds available in our region for youth in need of subacute care that allows treatment for more than 23 hrs. and less than 90 days . Success would look like children in crisis that do not need long term residential care being placed in an appropriate level of care quickly, and not having to wait in an Emergency Department where their symptoms are likely to get worse. It could be an addition to an existing entity such as a hospital or treatment center, or a new one designated for this purpose alone. A successful outcome would be making this possible in the next year to prevent more youth from suffering under the current conditions created by this imperative lack of services in our region | 10/30/24 POP for residential expansion funds is included in the Governor's proposed budget for 2025. Several residential programs have begun to accept additional youth into their services due to stabilized workforce. | Pillar 4: Community based | Central Oregon SOC | Dani McCallister | https://www.oregon.gov/oha/HSD/BH-Child-Family/SOCReports/Deschutes%20Barrier%20to%20SAS%2001.23%20-%20v3.docx | Oregon Health Authority (OHA) | Chelsea Holcomb | Jessie Eagan | Single system barrier | |||||
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| 12/07/20 | Agency responded with intention for further action | Fund BRS Foster Care in region, expand access for justice involved youth, edit service names to reduce confusion, continue eligibility based on behavioral needs, local control and management of services | 9/26/24 OAR 410-170 is still being reviewed by DOJ and OHA is exploring system changes required to implement updates that will be reflected in future rules. Next steps over the next several months will include a review of DOJ feedback, updates to track changes of BRS rules, and future community engagement. Currently there are no engagement meetings scheduled. 6/17/24 Per standard rule making processes, OHA is having current and draft BRS rules (Oregon Administrative Rule chapter 410, division 170) reviewed by Department of Justice (DOJ). Next steps will include a review of DOJ feedback and future community engagement. 4/15/24 OHA, in collaboration with ODHS and OYA, has started the process of updating rules for Behavior Rehabilitation Service (BRS) and held several community listening sessions. To stay up to date on these efforts please refer to OHA's BRS webpage https://www.oregon.gov/oha/HSD/OHP/Pages/Policy-BRS.aspx or OHP's Notice of Rulemaking webpage: https://www.oregon.gov/oha/hsd/ohp/pages/rule-notices.aspx amily/SOCReports/Linn%20Benton%20Lincoln%20BRS%20Barrier%20summary.sf.pdf | Pillar 4: Community based | Linn, Benton, Lincoln SOC | Jennifer Schwartz | https://www.oregon.gov/oha/HSD/BH-Child-Family/SOCReports/IHN-120720a.pdf | ODHS | Donny Jardine | Amy Gordin | Single system barrier | |||||
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| 01/13/20 | Agency responded with intention for further action | Need for targeted funding | 10/30/24 POP for residential expansion funds is included in the Governor's proposed budget for 2025. Several residential programs have begun to accept additional youth into their services due to stabilized workforce. | Pillar 4: Community based | Eastern Oregon SOC | Chris Barnes | https://www.oregon.gov/oha/HSD/BH-Child-Family/SOCReports/EOCCO-011320.pdf | OHA | Chelsea Holcomb | Jessie Eagan | Single system barrier | |||||
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| 12/11/19 | Agency responded with intention for further action | Revise OARs regarding residential providers, infrastructure investments, increase reimbursement rates, | 10/30/24 POP for residential expansion funds is included in the Governor's proposed budget for 2025. Several residential programs have begun to accept additional youth into their services due to stabilized workforce. | Pillar 4: Community based | Linn, Benton, Lincoln SOC | Jennifer Schwartz | https://www.oregon.gov/oha/HSD/BH-Child-Family/SOCReports/IHN-121119a.pdf | OHA | Chelsea Holcomb | Jessie Eagan | Single system barrier | |||||
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| 11/14/22 | In process - Working with agency on solution | This Process should compete with the onboarding time and wage of the many Oregon DSP providers. -A statewide work committee with ODDS staff that can help smooth these hitches and glitches within this process to make it viable and a true choice. -ODDS oversight and technical assistance that is timely and relative. -Coordinate all paperwork and proof so families have one ‘live’ person to help them navigate this process and agencies. Need a coordinator with all entities where none of the four entities work together. We need real people in real time to work through small ‘hitches’; too many agencies with small glitches equates to many days, weeks, months... -Get support to fix micro-breakdowns so a PSW position is a viable option, again. Now we must rely on provider agencies from outside our area as we bring them recruitment PSW prospects to in turn become DSPs. -Provide, accommodate, and financially support a safe meeting space where these and other issues can be discussed and worked out without bias. | 9/26/24 RFA is out for new OHCC Provider Navigator Program which will help enroll and retain qualified providers. Aiming to have contractor on board by May, 2025. Contract nearly finalized for new Enhanced Employer Supports which will assist employers with various aspects of hiring and managing PSWs, such as filling out necessary paperwork and understanding employer responsibilities. Finally, improvements with Public Partnerships LLC is underway, including allowing for in-office printing of fiscal intermediary packets and making certain fields required to improve welcome call process for new providers. Provider Enrollment Management System on track for 2025 roll-out - will be a significant system wide improvement. | Pillar 2: Integrated and collaborative Pillar 4: Community based | North Coast SOC | Qurynn Hale | https://www.oregon.gov/oha/HSD/BH-Child-Family/SOCReports/DD%20Leadership%20Vetting%20Quesitons%2011.1.22.pdf | ODHS- Office of Developmental Disability Services | Dana Hittle | Vanessa Richkind | Single system barrier | |||||
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| 09/09/22 | In process - Working with agency on solution | Remove the restriction in Oregon law against parents being paid caregivers to their minor disabled children. Direct the Office of Developmental Disabilities Services to satisfy centers for Medicare and Medicaid Services requirements to allow child Medicaid recipients with in-home provider hours to select their biological or adoptive parents to fill those jobs. | 7/24/2024 Waiver was approved by CMS and went into effect July 1. 1500 eligible children were contacted via postal mail informing them they were selected or placed on the waitlist. 155 families were offered enrollment into the program. Website provides more information: https://www.oregon.gov/odhs/idd/pages/childrens-extraordinary-needs.aspx. RAC is taking place in July to create permanent rule set. 2/20/24 "SB 1565 is currently being considered in the 2024 Legislative Session. The bill is an update to the paid parent caregiver work at ODHS-ODDS. Specific details of what it will do are best understood by reviewing the base bill and proposed amendments found at the link below: https://olis.oregonlegislature.gov/liz/2024R1/Measures/Overview/SB1565 The Centers for Medicare & Medicaid Services (CMS) will likely review ODDS' application. ODDS expects federal approval of the waiver in the first half of 2024. This is not guaranteed. Rulemaking begins at this time. Rules will be temporary or permanent depending on time constraints. If temporary, the permanent rulemaking process will follow immediately. If approval follows this estimated timeline, the program will launch mid 2024. Further timeline updates will be added to this webpage: https://www.oregon.gov/odhs/idd/pages/sb-91-implementation.aspx#:~:text=Senate%20Bill%2091%20(SB%2091,to%20pay%20parents%20as%20caregivers" | Pillar 1: Youth and family engagement | Douglas County SOC | Cady Lyon | https://www.oregon.gov/oha/HSD/BH-Child-Family/SOCReports/Douglas%20SOC%20Barrier%20Submission-Revised%209.9.22.pdf | Oregon Legislature | Dana Hittle | Caitlin Shockley | Single system barrier | |||||
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| 07/21/22 | In process - Working with agency on solution | 10/30/24 SOCAC reached out to Jon Mcelfresh from OHA's Oralhealth workforce program to raise awareness about this barrier. Advanced Health also noted recent change in sedation practices have restricted practice. SOCAC also reached out to ODDS to see if they have work with any speciality dental providers. Jon McElfresh is going to reach out to OHA Oral Health Director and other staff within OHA. Will share out at next SAS meeting. | Pillar 3: Culturally responsive | Coos County SOC | Kera Hood | https://www.oregon.gov/oha/HSD/BH-Child-Family/SOCReports/SOC%20Barrier%20Form%20Dental.pdf | OHA | Dana Hittle | Multi system barrier | |||||||
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| 07/03/19 | Agency responded with intention for further action | Increase psychiatric reimbursement rates, coverage for alternative treatments, loan forgiveness programs for providers, promotion of Opal-K and Project Echo, fellowships. | 9/26/24 Funding has been secured for Samaritan Health and OHSU for additional child psychiatrist spots. Given the timeline of the legislative process, it was not possible to add these spots for the 2024 class, but both health systems are prepared to expand their child psychiatry programs beginning in 2025 2/20/24 OHA was funded in the 2023 budget and is building contracts to expand the number of developmental pediatricians and child psychiatrists. 10/5/23 Additional funds were approved in the 2023 legislative session for an increase in psychiatric providers. These funds were given to the BH Workforce team, and they are coordinating with providers at OHSU and Samaritan health to expand training for child psychiatrists and developmental pediatricians within Oregon Child Psychiatry "slots" are determined at the national level; Oregon has to apply for additional educational placements. 8/2/23: $3.1 million allocated in the 2023-25 biennium to provide incentives to recruit and increase the number of child psychiatrists and developmental pediatricians to serve children, youth and their families trained in Oregon by providing incentives and funding to attract child psychiatry and developmental pediatrics fellows with priority given to residents with diverse backgrounds, to work in various settings related to child and family behavioral health. | Pillar 4: Community based | Tri-County SOC | Selby Stebbins | https://www.oregon.gov/oha/HSD/BH-Child-Family/SOCReports/HSO-070319.pdf | OHA | Jessie Eagan | Single system barrier | ||||||
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| 06/01/23 | In process - Agency actively working on solution | Ensure access to care and timely coverage when transitioning child in CW custody is being moved to a different CCO or FFS, Consider use of wraparound coordinators to negotiate roles and responsibilities within overlapping CCOs, Ensure front line workers know rules and expectations in care transition and when to follow up when these aren't met. | 7/31/24 New Lead Assignment. OHA is doing a deep dive into a cohort of children & youth in Child Welfare foster care that experienced temporary lodging in 2023. The intent is to form a data driven picture of the system failures that led to decompensation and disruption from foster placements. A significant element of this work is looking at the transition of care, or lack of, as children & youth move placements. This research will narrow in on exactly what is not working in the “Transition of Care” OAR & processes. 6/14/23 - Communication materials being developed for Child Welfare workers on rules and expectations to share with impacted families. Alex S. looking at Child Welfare data to understand how many youth are impacted by these transitions. | Pillar 2: Integrated and collaborative Pillar 4: Community based | Statewide | SOCAC identified barrier related to problems accessing care for youth who move to coverage under a new CCO or into FFS. This often leads to interruptions in care (providers, medications, etc.) and delays in access care (like dental and vision, etc). Challenges related to accountability for "transition to care" rules and contract obligations. EHRs and payment mechanisms also pose barriers. | OHA/ODHS | Katie Beck | Multi system barrier | |||||||
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| 10/13/21 | Agency responded with intention for further action | Improve insurance enrollment process to reduce delays, produce timely enrollment reports, implement IDENTITY, improved outreach to providers, | 10/30/24 OHA is monitoring the change request, allowing 3-5 day enrollments and everything is working as designed. OHA is designing another MMIS Change Request (CR) to improve enrollment information delivery to CCOs; this will allow us to enroll members within 2-4 days. However, this will require another 9-12 months of CR work. 7/31/24 Programming changes to MMIS are underway which will allow earlier enrollment into CCOs. OHA implemented an MMIS system change as of 7/28/24 to allow those who are auto-assigned a CCO to be enrolled within 3-5 days (previously it was 5-11 days). OARs/Rules were changed to allow for 3 business day enrollments.OHA also added a parameter to this change to allow MMIS to assign the enrollment date rather than the ONE system - this will prevent unintended retro-enrollments. | Pillar 2: Integrated and collaborative | Linn, Benton, Lincoln SOC | Jennifer Schwartz | https://www.oregon.gov/oha/HSD/BH-Child-Family/SOCReports/IHN-101321.pdf | OHA/ODHS | Amanda Braxton | Multi system barrier | ||||||
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| 12/11/19 | Agency responded with intention for further action | Amend FFS to fund full range of services, minimize enrollment disruptions related to eligibility, ensure adequate coverage from private insurers | 7/31/24 OHA Medcaid Division is working to ensure equity with FF program. 1/12/2023: SOCAC staff revisiting barrier with FFS program at OHA. FFS undergoing transformational improvement project 12/13/22 OHA is addressing FFS expansion. Wraparound FFS will be implemented Jan 2023. MODA is currently offering adequate coverage for privately insured. | Pillar 2: Integrated and collaborative | Linn, Benton, Lincoln SOC | Jennifer Schwartz | https://www.oregon.gov/oha/HSD/BH-Child-Family/SOCReports/IHN-121119b.pdf | OHA | Holly Heiberg | Single system barrier | ||||||
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| 01/04/23 | In process - Working with agency on solution | 1. Need for hourly code for MH respite. Currently, only per diem code. 2. Need for hourly MH respite; need for more varied schedule: 4 hours, 6 hours, 8 hours, etc. Families need flexibility. 3. Need for education from the state on 1915j: How to access this service (20 hour personal care attendant program) for youth with behavioral health needs; 1915i education – what can 1915i cover? How are other counties utilizing funding for respite/relief care? 4. Can DHS use prevention first funding to fund local respite programs? Professional and/or drop in model? 5. How do we build a robust respite provider network (GOBHI model)? Increase payment to providers? How do we increase providers? How do we financially sustain intermittent care? 6. Develop foster homes for mental health so MH foster families can double as respite providers to provide this intermittent service in a more cost-effective manner. Or is there a way to leverage existing DHS and DD homes and providers to serve kids with MH needs? 7. Is it possible to use MH dollars to fund DD provider agencies for MH respite services? 8. Fund a full-time respite home or group home with a staff (Rainbow House in Yamhill County is an example). 9. Despite having some limited respite available as a diversion from hospitalization and youth in MRSS and Wraparound, there continues to be a need for a professional mental health model of respite that serves high acuity and older kids with complex emotional and mental health issues and challenging behaviors. What recommendations are there for developing and funding a respite model for high acuity youth? 10. There is a need for a “Resource Parent's Night Out” model for all families in each county; once a week or once a month for 3-4 hours. Are there examples of flexible funding models to financial sustain this type of program as well as other community based services using Medicaid dollars? 11. In summary, we need to develop a diversity of respite options and broaden the ability of Medicaid to pay for different types of respite (the mental health crisis respite is just part of the solution). | 10/30/24 Fact sheets have been sent to publications and SOCAC is working with OHA video production team to produce a short video about respite. Securing interviews with formal and informal respite providers, youth and families.OHA staff will present details of the respite POP at the November meeting.Local SOC partners recently highlighted opportunities to expand respite at the CCO Oregon Conference and the North Coast SOC summit. | Pillar 2: Integrated and collaborative Pillar 3: Culturally responsive Pillar 4: Community based | Linn, Benton, Lincoln SOC | Jennifer Schwartz | https://www.oregon.gov/oha/HSD/BH-Child-Family/SOCReports/Barrier-Submission-Form%20SAS%20RESPITE%20IHN-CCO.docx | Chelsea Holcomb | Christy Hudson | Multi system barrier | ||||||
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| 07/11/23 | In process - Working with agency on solution | Explore and/or develop capacity for respite options in Douglas County to support youth between the ages of 8 and 12 years of age | 10/30/24 Fact sheets have been sent to publications and SOCAC is working with OHA video production team to produce a short video about respite. Securing interviews with formal and informal respite providers, youth and families.OHA staff will present details of the respite POP at the November meeting.Local SOC partners recently highlighted opportunities to expand respite at the CCO Oregon Conference and the North Coast SOC summit. | Pillar 4: Community based | Douglas | Cady Lyon | https://www.oregon.gov/oha/HSD/BH-Child-Family/SOCReports/Respite%20(2).docx | SOCAC | Chelsea Holcomb | Christy Hudson | Single system barrier | |||||
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| 03/15/23 | In process - Agency actively working on solution | Creation of a respite program or availability of respite providers in our area that are trained to handle high acuity youth and children. This would be a resource that is not specific only to foster care, but to all youth in need of respite services. | 10/30/24 Fact sheets have been sent to publications and SOCAC is working with OHA video production team to produce a short video about respite. Securing interviews with formal and informal respite providers, youth and families.OHA staff will present details of the respite POP at the November meeting.Local SOC partners recently highlighted opportunities to expand respite at the CCO Oregon Conference and the North Coast SOC summit. | Pillar 4: Community based | Central Oregon | Dani McCallister | https://www.oregon.gov/oha/HSD/BH-Child-Family/SOCReports/Pacific%20Source%20-%20Central%20Oregon.Respite03.15.22.docx | SOCAC | Chelsea Holcomb | Christy Hudson | Multi system barrier | |||||
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| 06/11/20 | In process - Working with agency on solution | Develop and resource infrastructure for respite care. | 10/30/24 Fact sheets have been sent to publications and SOCAC is working with OHA video production team to produce a short video about respite. Securing interviews with formal and informal respite providers, youth and families.OHA staff will present details of the respite POP at the November meeting.Local SOC partners recently highlighted opportunities to expand respite at the CCO Oregon Conference and the North Coast SOC summit. | Pillar 4: Community based | Lane | Hayley VanHorn | https://www.oregon.gov/oha/HSD/BH-Child-Family/SOCReports/Lane-061120.pdf AND https://www.oregon.gov/oha/HSD/BH-Child-Family/SOCReports/Lane-061120-Narrative.pdf | SOCAC | Chelsea Holcomb | Christy Hudson | Single system barrier | |||||
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| 01/25/24 | Assigned to agency | 1) Mobile crisis unit with immediate and short-term crisis assistance for youth experiencing IDD and youth experiencing other behavioral challenges 2) Map existing services for youth with co-occurring mental health, behavioral health, and I/DD diagnoses, noting gaps and thinking through connection between systems, including interdisciplinary training and blended funding. 3) Return of NEMT and/or some other support around safe transport of youth in crisis 4) Trauma informed training expansion/requirement/or addition to law enforcement training 5)Trained, skilled professionals to provide respite options as prevention and short-term intervention which does NOT lead to a youth being removed from the home | 6/17/24 SOCAC issued draft response to local System. Waiting feedback before finalization of response. | Pillar 2: Integrated and collaborative | Marion and Polk SOC | Heather Pascoe | https://www.oregon.gov/oha/HSD/BH-Child-Family/SOCReports/Marion%20Polk.MH_IDD_01252024.pdf | OHA | Chelsea Holcomb | Jessie Eagan | Chelas Kronenberg | Multi system barrier | ||||
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| 05/31/24 | In process - Working with agency on solution | Creation of a guardian database that is kept up to date by the courts and accessible to facilities and providers. Training and orientation for guardians, providers, discharge teams, and those under the care of a guardianship about the roles and responsibilities of these legal agreements. | 9/5/24 Christy and Michael Oyster connected on next steps. Michael is following up with the Oregon Public Guardianship Program and Christy will follow up with the Guardianship/Conservatorship of Oregon. Christy also researching functionality of the The Oregon Judicial Case Information Network which contains all Oregon court records: https://www.courts.oregon.gov/services/online/pages/ojcin.aspx 7/25/24 Barrier was discussed at SAS. Michael Oyster from OHA volunteered to take lead on resolution efforts. SOCAC will reach out to establish initial meeting and develop work plan to explore resolution ideas generated at the meeting. 6/17/24 Will bring to July 24th SAS meeting for review and discussion. | Pillar 2: Integrated and collaborative | Jackson Youth SOC | Tracey Howard | https://www.oregon.gov/oha/HSD/BH-Child-Family/SOCReports/Guardianship%20Barrier%20(Jackson%20County).docx | Richelle Murray | Michael Oyster | Multi system barrier | ||||||
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| 04/19/24 | In process - Working with agency on solution | Training (in the form of a webinar) for parents and providers about minor consent and confidentiality laws. | 10/30/24 An updated memo about minor consent is being developed and is almost ready for release, pending DOJ approval. OHA will be developing a legislative concept (LC) for 2025 to clarify minor consent laws.Recommendations for statutory changes have been provided for inclusion in LC language for the 2025 session 9/26/24 OHA received consultation from DOJ this month regarding minor consent rules, including review of state and federal laws and recommendations for clarity within Oregon's rules. OHA will propose updates to the OARs for divisions 018 (substance use residential programs), 019 (outpatient programs), and 022 (youth psychiatric residential treatment) to provide clarity. If these rule changes are made through RAC, OHA will provide webinars to review current rules and updates for families and providers. | Pillar 1: Youth and family engagement | Yamhill County SOC | Amanda Ray | https://www.oregon.gov/oha/HSD/BH-Child-Family/SOCReports/Yamhill.AgeOfConsentFINAL.docx | Chelsea Holcomb | Jessie Eagan | |||||||
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| 12/30/21 | Agency responded with intention for further action | Medicaid reimbursement rates for Open Card and CCO covered services need to be increased substantially (ideally, they should be doubled to support the needed services) to cover the costs of delivering pediatric developmental diagnostic assessments, to allow for increased funding of clinical staff at organizations that provide assessment services, including the Eugene CDRC. Also, additional billing codes that cover family services should be implemented for families with children who appear to have developmental delays. | 9/26/24 The RFP for EASY program expansion was released at the beginning of September with a long window to ensure that providers had time to apply – the RFP closes on October 1. OHA has been in contact with several providers who were planning to apply, and is optimistic that we will get proposals from across the state. The goal of the RFP is to fund 3 – 5 additional EASY teams across the state, with an expectation that each site service youth and families within 2 hours of their location. The RFP also allows for proposals for mobile teams to travel up to 5 hours from their location to support more rural and frontier communities. | Pillar 2: Integrated and collaborative Pillar 4: Community based | Lane | Hayley VanHorn | https://www.oregon.gov/oha/HSD/BH-Child-Family/SOCReports/Lane%20SOC%20barrier-12.30.21.docx | OHA | Chelsea Holcomb | Jessie Eagan | Single system barrier | |||||
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| 11/09/23 | In process - Working with agency on solution | Additional funding is needed to support the needs of students impacted by SB819 (2023) which has resulted in escalated behaviors among some students who struggle to stay in school for a full day. Schools are ill equipped to meet needs of students, and lack of support is resulting in referrals to higher levels of care. | 9/30/24 ODE provide the following guidance, which states: "SB 819 prohibits school districts from providing an abbreviated school day program to a student with a disability unless the student’s IEP or 504 team recommends that the student should be placed on an abbreviated school day program based on the student’s individual needs. School districts always have significant academic, social emotional, and behavioral data related to students but, in many cases where an abbreviated school day program placement is being considered, there may be additional important data and recommendations provided by medical and psychiatric providers, through doctor’s orders, in mental health treatment plans, and in chronic disease management plans." More information can be found here: https://www.oregon.gov/ode/students-and-family/SpecialEducation/Documents/abbreviatedday/Implementing%20SB%20819%20-%20Guidance%20for%20School%20Districts%20and%20Programs.pdf 12/22/23 Staff from ODE Office of Enhancing Student Opportunities made contact with the district to discuss their concerns, and will be providing technical assistance to them. Although SB819 was identified as the precipitating factor, this situation points to the need for integrated systems of care across youth serving agencies. OESO staff will continue to provide TA as requested by the district and ODE has scheduled a follow up with meeting with the regional SOC January 3rd. | Pillar 2: Integrated and collaborative Pillar 3: Culturally responsive | Central Oregon SOC | Dani McCallister | https://www.oregon.gov/oha/HSD/BH-Child-Family/SOCReports/COSOC.SB819.%2011.10.23.docx | ODE | Grace Bullock | Single system barrier | ||||||
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