Agreement between theLetter of Agreement • October 11th, 2011
ContractLetter of Agreement • March 8th, 2018
IRREVOCABLE LIVING TRUST AGREEMENTLiving Trust Agreement • April 3rd, 2007 • Oregon
The purpose of this Trust is to provide for the administration and disposition of the trust estate during and after the lifetime of the beneficiary, in accordance with the terms and conditions of the Trust. This Trust is created pursuant to Section 1917 (d) (4) (B) of the Social Security Act [42 USC 1396p]. This trust document is created in order to enable the beneficiary to qualify for Medicaid, and any provisions of this trust which are deemed to be inconsistent or contrary to the intent of the above-referenced federal law shall be deemed to be void and of no further force or effect. All interpretations and actions taken by the trustee pursuant to this Trust shall be done for and with the purpose of creating, establishing, and maintaining the beneficiary’s eligibility for Medicaid benefits.
COLLECTIVE BARGAINING AGREEMENTLetter of Agreement • September 25th, 2013
ContractCollective Bargaining Agreement • October 10th, 2016
COLLECTIVE BARGAINING AGREEMENT Between HOME CARE COMMISSION AndLetter of Agreement • March 6th, 2014
SEIUComplete Agreement • October 20th, 2016
STATE OF OREGON PERSONAL/PROFESSIONAL SERVICES CONTRACTProfessional Services Contract • June 14th, 2023
This Contract is between the State of Oregon, acting by and through its Oregon Department of Human Services, hereinafter referred to as “ODHS,” and
Provider Enrollment Application and AgreementEnrollment Application and Agreement • July 11th, 2013
This Provider Enrollment Application and Agreement “Agreement,” sets forth the conditions and agreements for being enrolled as a provider with the State of Oregon Department of Human Services (DHS), Office of Developmental Disabilities Services (ODDS) and to receive a provider number in order to receive payment for services furnished by the provider to approved service recipients in Oregon. Payments for services are made using federal Medicaid and state funds.
STATE OF OREGON PERSONAL/PROFESSIONAL SERVICES CONTRACTProfessional Services Contract • March 30th, 2023
This Contract is between the State of Oregon, acting by and through its Oregon Department of Human Services, hereinafter referred to as “ODHS,” and
STATE OF OREGON PERSONAL/PROFESSIONAL SERVICES CONTRACTProfessional Services Contract • June 6th, 2023
This document is available in other languages, large print, braille, or any preferred format free of charge. Contact the Contract Administrator at the contact information below. Relay calls accepted.
STATE OF OREGON PERSONAL/PROFESSIONAL SERVICES CONTRACTProfessional Services Contract • January 11th, 2024
This Contract is between the State of Oregon, acting by and through its Oregon Department of Human Services, hereinafter referred to as “ODHS,” and
STATE OF OREGON PERSONAL/PROFESSIONAL SERVICES CONTRACTProfessional Services Contract • November 30th, 2021
This Contract is between the State of Oregon, acting by and through its Oregon Department of Human Services, hereinafter referred to as “ODHS,” and
STATE OF OREGON PERSONAL/PROFESSIONAL SERVICES CONTRACTProfessional Services Contract • December 29th, 2022
This Contract is between the State of Oregon, acting by and through its Oregon Department of Human Services, hereinafter referred to as “ODHS,” and
PACE Program AgreementProgram Agreement • June 1st, 2020
The Secretary of the Department of Health and Human Services, who has delegated authority to the Administrator of the Centers for Medicare & Medicaid Services, hereinafter referred to as CMS, and State of Oregon, the State Administering Agency, hereinafter referred to as SAA, and AllCare PACE LLC hereinafter referred to as the PACE Organization.
STATE OF OREGON PERSONAL/PROFESSIONAL SERVICES CONTRACTProfessional Services Contract • November 1st, 2021
This Contract is between the State of Oregon, acting by and through its Oregon Department of Human Services, hereinafter referred to as “ODHS,” and
STATE OF OREGON PERSONAL/PROFESSIONAL SERVICES CONTRACTProfessional Services Contract • November 7th, 2021
This Contract is between the State of Oregon, acting by and through its Oregon Department of Human Services, hereinafter referred to as “ODHS,” and
Aging and People with Disabilities Centrally Approved State Plan Medicaid Provider Enrollment AgreementNovember 7th, 2020
Disclosure of Social Security numbers is required pursuant to 42 USC 405(c)(2)(C)(i) for the purpose of establishing identification, 42 CFR 455.104 for the purpose of exclusion verification, and 26 CFR 301.6109-1 for the purpose of reporting tax information.
ContractJuly 22nd, 2021
DHS Co-Case Management Between the SPD-DD System and Department of Human Services (DHS)/Child WelfareJune 25th, 2007
When children are in the custody of DHS/Child Welfare through a juvenile court dependency order, DHS/Child Welfare is almost always the legal guardian. Some children in DHS/Child Welfare custody may, by court order, be placed in Permanent Foster Care or may be awaiting adoption. Achieving guardianship may also be a permanency plan for the child. For Permanent Foster Care, the foster provider has additional rights and responsibilities approved by court order. Some rights and responsibilities are those of a guardian but guardianship is not transferred by this agreement. Sometimes children/youth are also involved with the juvenile court due to law violations. Some law violations may result in youth (over age 12) being committed to OYA. OYA then becomes legal guardian. Ask the child welfare caseworker or the OYA staff for a copy of the court order, the Permanent Foster Care order, and/or any visit restrictions or rules of probation. These documents must be filed in the child’s CDDP record
Homecare Worker (HCW) Provider Enrollment Application and AgreementNovember 16th, 2022
Homecare Worker (HCW) Provider Enrollment Application and Agreement 居家照護工作者 (HCW) 服務提供者註冊申請與協議書 This Homecare Worker (HCW) Medicaid Provider Enrollment Application and Agreement explains how to do the following 此份居家照護工作者 (HCW) Medicaid 服務提供者註冊申請與協議書說明了如何完成下列事項 • Enroll as a provider with the Oregon Department of Human Services (ODHS) Aging and People with Disabilities (APD) Program and set out HCW compliance obligations 註冊成為俄勒岡州公眾服務部 (ODHS) 老年人與殘障人士 (APD) 計劃的服務提供者並說明 HCW 的合規義務 • Update enrollment information, and 更新註冊資訊；以及 • Receive a provider number. 獲得服務提供者編號。 Note: Providers must have a provider number to be paid for providing services to Medicaid- eligible individuals in Oregon. Federal Medicaid and state funds pay for these services. 註：服務提供者必須擁有服務提供者編號才能在為俄勒岡州符合 Medicaid 資格的人士提供服務時獲得給付。聯邦 Medicaid 與州政府資金負責給付這些服務。 You can get this document in other languages, large print, braille or a format you prefer.Contact APD Provider Relations Unit at 800- 241-3013 or email HCW.Enroll
The DHS Domestic Violence Assistance Agreement (DHS 1543)Assistance Agreement • December 16th, 2004
The DHS Domestic Violence Assistance Agreement (DVAA) is a tool to record domestic violence case plans. The process is required. The form is required unless the client you are working with is an on-going TANF client and you are completing a Personal Development Plan (PDP) with that client that includes all the elements of the domestic violence assistance agreement. Pieces of the agreement that are not listed on the PDP should be included in the TRACS narrative. (If it’s not safe to enter information on-line use the paper DVAA)
ContractLetter of Agreement • August 4th, 2016
STATE OF OREGON PERSONAL/PROFESSIONAL SERVICES CONTRACTProfessional Services Contract • December 19th, 2022
This Contract is between the State of Oregon, acting by and through its Oregon Department of Human Services, hereinafter referred to as “ODHS,” and
STATE OF OREGON PERSONAL/PROFESSIONAL SERVICES CONTRACTProfessional Services Contract • April 28th, 2021
This Contract is between the State of Oregon, acting by and through its Oregon Department of Human Services, hereinafter referred to as “ODHS,” and
STATE OF OREGON PERSONAL/PROFESSIONAL SERVICES CONTRACTProfessional Services Contract • December 21st, 2021
This Contract is between the State of Oregon, acting by and through its Oregon Department of Human Services, hereinafter referred to as “ODHS,” and
MAIDS Statement of Work (This is not the Hospice Contract)February 22nd, 2021
STATE OF OREGON PERSONAL/PROFESSIONAL SERVICES CONTRACTProfessional Services Contract • December 30th, 2020
This Contract is between the State of Oregon, acting by and through its Department of Human Services, hereinafter referred to as “ODHS,” and
STATE OF OREGON PERSONAL/PROFESSIONAL SERVICES CONTRACTProfessional Services Contract • May 10th, 2021
This Contract is between the State of Oregon, acting by and through its Oregon Department of Human Services, hereinafter referred to as “ODHS,” and
P ersonal Support Worker Provider Enrollment Application and AgreementMay 22nd, 2013
This Provider Enrollment Application and Agreement “Agreement,” sets forth the conditions and agreements for being enrolled as a provider with the State of Oregon Department of Human Services (DHS), Office of Developmental Disabilities Services (ODDS) and to receive a provider number in order to receive payment for services furnished by the provider to approved service recipients in Oregon. Payments for services are made using federal Medicaid and state funds.
PERSONAL/PROFESSIONAL SERVICES CONTRACTProfessional Services Contract • February 3rd, 2023
This is amendment number 1 to Contract Number 176342 between the State of Oregon, acting by and through its Oregon Department of Human Services, hereinafter referred to as “ODHS,” and
PACE Oregon Member Handbook and Enrollment AgreementOregon • October 12th, 2021
Welcome to Providence ElderPlace/PACE, the only Program of All-inclusive Care for the Elderly (PACE) in Oregon. PACE is a widely recognized, successful approach to care that is known for enhancing quality of life for seniors.
ContractJuly 13th, 2007
PolicyOctober 27th, 2005
Policy/Rule Title: HCW bargaining agreement - increase in minimum hours required for live-in 24 hour availability. Policy/Rule Number(s): 461-160-0610, 461-185-0050,461-160-0620 and 411-030-0070 Release No: Effective Date: 09-23-05 Expiration: NA References: 2005 – 2007 Home Care Commissions Collective Bargaining Agreement with SEIU Local 503 OPEU Web Address: http://www.dhs.state.or.us/spd/tools/homecare/0507_contract.pdf
STATE OF OREGON PERSONAL/PROFESSIONAL SERVICES CONTRACTNumber 155872 • May 29th, 2018 • Oregon
This Contract is between the State of Oregon, acting by and through its Department of Human Services, hereinafter referred to as “DHS,” and
