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Billing tips
Eligibility verification
Enroll as an OHP provider
Fee-for-service fee schedule
Keys to Success
Policies, rules and guidelines
Prioritized List
Provider Web Portal resources
What materials do you need?
Your remittance advice
Sign up to get OHP Provider Announcements by text or email
Use the Search field to find the tool you need. For example, enter "guide" to view all provider guides, "claim" or "billing" to view tools related to claims or billing, or "APC" to view all ambulatory payment classification (APC) tools.
View OHP Billing Tips or the provider guidelines for your program for more information about provider forms. Find forms for enrolling as an OHP provider on our Provider Enrollment page.
To view all recent OHP announcements, visit our Announcements page.
Use the drop-down boxes below to search by category or question for the answer you are seeking.
You can also use the Search field to search all columns (for example, enter "glasses" to view questions related to glasses coverage, or "prior auth" for information about prior authorizations).
OHA will apply the FFS federal primary care rates based on the dates qualified providers submit their attestations. Only services rendered in calendar years 2013 and 2014 qualify for the new rates:
Physicians with a specialty designation of family medicine, general internal medicine, or pediatric medicine; or
Nurse practitioners and physician assistants billed through, and working under the supervision of, a qualified physician.
OHP plans approve services for their members. They are not obligated to pay providers for care that has not been approved by the plan (unless it is an emergency). This is true even if the provider collected a copayment.
The provider should always ask members for their Oregon Health ID (formerly Medical Care ID) before serving them, then verify eligibility, benefit package and plan enrollment to determine who authorizes services (OHA or the plan).
Providers of direct medical services may contract with OHA to help enroll patients in OHP Plus.
Patients who receive an application and get help filling out the application are more likely to get coverage.
The main benefit packages are:
OHP Plus (BMH) is the most comprehensive benefit. It covers most health care services. Services to improve vision (e.g., glasses) are covered for children under age 19 and pregnant adults; for non-pregnant adults, vision services are covered only for specific medical conditions.
This chart lists the benefits covered for each OHP benefit package.
OHP Plus Supplemental covers the following services for pregnant women age 21 and over:
This chart lists the benefits covered for each OHP benefit package.
For non-pregnant adults age 21 or older, OHP Plus (BMM, BMH and BMD) covers medical eye exams for any eye condition except for "disorders of refraction and accommodation" (e.g., nearsightedness, farsightedness, astigmatism). Diagnostic services are still covered. Eye exams for "disorders of refraction and accommodation" are covered for OHP members under age 21 with BMM, BMH and BMD benefit coverage, and for pregnant OHP members with BMP or CWX benefit coverage.
For non-pregnant adults age 21 or older, OHP Plus (BMM, BMH and BMD) only covers glasses or contact lenses to treat the following medical diagnoses:
For OHP members under age 21 with BMM, BMH and BMD benefit coverage, and for pregnant OHP members with BMP or CWX benefit coverage, only glasses (not contact lenses) are covered for "disorders of refraction and accommodation."
Yes. Urgent/emergent treatment is a covered service for all benefit packages.
Yes. The OHP Plus, CAWEM Plus, and OHP with Limited Drug benefit packages cover preventive services, which include immunizations, check-ups, and screening tests (such as mammograms and PAP tests).
Use Automated Voice Response, the Provider Web Portal, or the 270/271 eligibility inquiry and response. Learn more on the Eligibility Verification page.
If an OHP member wants a service that is not covered by their benefit package or is not covered for the condition being treated, the member must sign an Agreement to Pay form that contains all the elements of the OHP 3165 form, as required by OAR 410-120-1280. This form shows that the OHP member understands the service is not covered and agrees to pay for the service.Without this form, providers may be responsible for costs related to providing excluded and limited services.
OHP health plans are required to send out a Notice of Action to their members, as defined in OAR 410-141-0260 and 410-141-3263, which includes the denial of payment for services.All providers should let their patients know whether or not the service is covered before delivering the service, including when services will exceed benefit limits (e.g., more frequent dental care).
Most dental services, including hygiene and restorative services, are covered for all OHP Plus clients. OHP Plus children, CAWEM Prenatal (CWX) adults, and OHP Plus adults with the OHP Plus - Supplemental Benefits plan (BMP) get additional dental services. Refer to the Covered/Non-Covered Services table for a list of services affected.
Remember that medical vision services are covered for all OHP Plus clients. Only OHP Plus children, and adults with CAWEM Prenatal (CWX) or OHP Plus - Supplemental Benefits (BMP) are eligible for services to improve visual acuity (e.g., glasses or exams to prescribe glasses). Refer to the Visual Services administrative rules for the services affected.
It ranks pairs of health conditions and treatments according to effectiveness. The higher a condition and treatment pair is ranked, the more likely OHP will cover it. To learn more visit our Prioritized List page.
Yes; enrolled providers can do individual claim submissions using the Provider Web Portal. Go to our Provider Web Portal page to learn more.Providers can also submit batches of claims using electronic data interchange. Go to our EDI page to learn more.
Make sure you bill any other payers first. Then verify eligibility and enrollment to determine if your patient is a current OHP member, and to determine whom to bill—OHA or an OHP health plan. You can bill using the Provider Web Portal, electronic data interchange, or commercially available paper claims. Visit our OHP billing tips page for more information.
The Provider Web Portal will tell you whether OHA will pay or deny your claim as soon as you submit it; however, you will need to wait for your paper remittance advice (mailed the week after OHA processes your claim) to find out the exact amount paid.
All OHP members can file a request for hearing if they disagree with a payment decision. Members of OHP health or dental plans who disagree with the plan's denial of payment can also appeal the decision with their plan.
The OHP member must complete the Request for Administrative Hearing (MSC 443) or Appeal and Hearing Request for Medical Service Denials (OHP 3302) within 45 calendar days of date on the Notice of Action.
Yes. A provider can appeal the decision through the coordinated care organization or managed care plan and then, if not resolved through this process, may ask OHA for a provider appeal in accordance with OAR 410-120-1560 through 410-120-1720.
The OHP member can designate anyone as his or her representative in an appeal or hearing. The member must provide written consent.
Yes. The Code of Federal Regulations (CFR) governs hearing rights. 42 CFR 431.220(b) says we need not grant a hearing when the only issue is a federal or state law that requires an automatic change that adversely affects some or all recipients.
You can request a provider appeal. The General Rules outline your options and how to use them.
For services provided before January 1, 2017, copayments only apply to adults (age 19 and over) who receive OHP Plus (BMH) or OHP with Limited Drug (BMM/BMD) benefits who are not exempt from copayments.
Members with both Medicare and Medicaid coverage have copayments for the applicable Medicaid services. Providers cannot charge the member for their TPL copayments, coinsurance or deductibles if they are billing OHP for what TPL did not pay. For services provided before January 1, 2017, providers should only collect the OHP copayment when the amount TPL paid for the service, plus the OHP copayment amount, is less than the amount OHP would normally pay for the service. This means the amount collected may be less than OHP's normal copayment, depending on how much TPL paid.
For services provided before January 1, 2017, OHP charges a $3 copayment for certain types of outpatient services, and a $1 or $3 copayment for certain prescription drugs. The copayment amount depends on the type of prescription filled:
Table 120-1230-1 in the General Rules administrative rulebook lists the provider types and services subject to OHP Plus copayments. If provided before January 1, 2017, these include:
Starting January 1, 2017, there are no OHP Plus copayments.
For services provided before January 1, 2017, copayments are not charged for:
The Provider Web Portal eligibility verification request and Automated Voice Response (AVR) Recipient Eligibility response provide copayment amounts for OHP Plus (BMM, BMD, BMH, BMP) services.
For services provided before January 1, 2017, the Provider Web Portal eligibility verification request and Automated Voice Response (AVR) Recipient Eligibility inquiry provide copayment amounts for OHP Plus (BMM, BMD, BMH, BMP) services.If a service requires copayment, the service will list the amount to pay ($1, or $3). Services that do not require copayment will list $0. Table 120-1230-1 in the General Rules also lists the services that require copayment and the amounts that apply.
For services provided before January 1, 2017, providers may charge the applicable copayment per visit per day. Pharmacies may charge for each fill.
The health care provider or pharmacy collects the copayment. They may collect it at the time of service or during the regular billing cycle.
The member will still be able to receive the health care service or drug; however, the provider can choose whether to collect it at a later time. OHP members who do not pay the copayment should see the provider's billing clerk to discuss the situation and options. Only the provider can waive the copayment. However, the provider may also turn the debt over to a collection agency.
No. This does not relieve the member of the responsibility to pay and it does not stop the provider from attempting to collect the copayments. The copayment is a legal debt, and is due and payable to the provider.
For services provided before January 1, 2017, we compute the total OHP copayment due for services billed. We pay the total allowable amount, minus the correct copayments and any third-party payments. Our explanation of benefits (EOB) identifies copayment deductions.
Yes, for services provided before January 1, 2017. See OAR 410 Division 147 for useful information on this topic.
Keys to Success - Contains links to all the resources you need to get started.
What provider materials do you need? - Lists recommended material by provider type.
Submit updates within 30 days of the change on the Provider Information Update form. Also send us a copy of your licensure renewal when you receive it from your licensing board.
Each component of a compound prescription, as defined in OAR 410-121-0146 (7) and 410-121-0160 (3) must be billed separately and is paid as above, but with a single dispensing fee.
Any reimbursement received from a third party for compounded prescriptions must be split and applied equally to each component.
Certain drugs are part of the facility capitation payments and not reimbursed via drug claim. See DHS/OHA's list of Drugs included in the bundled rate for long-term care nursing facilities.
Pharmacies can bill OHA for oral nutritional supplements using the pharmacy claim format (Point of Sale or UCF 5.1) only when the supplement has a valid NDC.
OHP does not cover drugs on the DESI List, and does not cover drugs that are used exclusively for not covered diagnoses (e.g., acne drugs).
You will need to contact the plan. Some plans have their formularies available through Epocrates, where you can also find the Preferred Drug List (listed as "Oregon Medicaid -- open card").
Visit the DHS Medicare Modernization Act website. This site provides a quick reference for clients, the general public, department staff, policymakers, stakeholders and providers looking for information on the Medicare prescription drug program.
OHA updates the price files from First DataBank weekly. The file is downloaded from FDB every Thursday.
NDCs must be added to the First DataBank drug file and then loaded to the PBM claim processing system. Upon market release, there may be a one week delay to add new NDCs to First DataBank and another week for loading them to the PBM.
Be sure to change passwords before they expire. Passwords for the Oregon Medicaid SFTP server expire every 45 days. Also make sure that any software you use has "retries" set to zero.
Claims files should be limited to 30,000 claims. It is recommended that large transmissions be sent before noon Thursday to ensure processing before our Friday financial cycle begins.
Around 10 minutes.
No. Please contact EDI Support (firstname.lastname@example.com) if you have not received a 999, TA1, or NCPDP Response file within an hour. Resending the file, before the issue is researched, may result in duplicate claims.
We do not use addresses that come in with the claim; instead, we send payment to the Mail-to address in our system (provided when you enrolled with Oregon Medicaid).
Yes. We accept, and process, properly formatted claims that have had prior payers.
X12 requires the "Implementation Acknowledgement for Health Care Insurance" (999) when an Acknowledgement is returned for 5010 version HIPAA transactions.
No. Oregon Medicaid does not provide, or recommend, EDI software. Your current billing/practice management software may already be set up for EDI.
We recommend contacting your business software team, your local professional association, or review the resources on our main EDI page.
No. We require a hardcopy with an original signature before completing the TPA process. As with any legal document, do not use correction fluid.
The TPA should be signed by a person in your company that is authorized to enter into contracts.The authorized signer is the person of authority in the provider's office. This does not include a billing service. The authorized signer can delegate another person to have signing authority such as an office manager to make changes to the TPA. If you choose to have a deleted signer in addition to the authorized signer, make sure to clearly identify the delegate on the TPA.
Yes. Also please be sure to contact our Provider Enrollment staff (800-422-5047) to update your records.
Yes. Complete a new TPA that correctly lists the transactions you want to submit.
Yes. Please identify if it in test or production. You should also include the mailbox (MB######) number, transaction type (837P, 873I, 270, etc.) date submitted, file name, NPI, and your OHA "EDI Registration Number".
You should submit claims that mirror what you will be submitting in production. For example, if you only plan to submit claims for "office visits" you should submit 837 Professional claims. Batch test files should contain between 25 to 50 records. Oregon Medicaid expects you to use real, live claims for testing purposes. Test data must not have dates more than 365 days from the original date of service.
You should be able to submit records and have them successfully process in our MMIS system. Oregon Medicaid strongly encourages providers to test the coordination of benefit segments. Oregon Medicaid will run the file through Edifecs and Claredi edits before setting the file up to process in our test environment. If the file passes the structural and data requirements of Edifecs and Claredi, Oregon Medicaid will process the file in our test environment and generate an error report.
If the file has not exceeded the threshold of any more than 10% error rate, Oregon Medicaid will notify you of a provisional pass status for production. If the file exceeds the 10% error rate, review the error report for possible modifications.
This allows OHA to scan all documents sent under the coversheet into our system and have the documents automatically link to the provider ID or Application Tracking Number listed on the coversheet.
If you do not use the EDMS Coversheet when submitting prior authorization or enrollment requests to OHA, they will not be processed or returned to you.
Use Provider Web Portal, the electronic data interchange (EDI) 270/271 transaction, or Automated Voice Response.
It provides general information on the Healthcare Common Procedure Coding System (HCPCS) Level II codes, such as:
The following information is not covered in the medical-dental FFS fee schedule, but is covered in the rules for your program:
The FFS fee schedule must be used in conjunction with all applicable OARs.
The FFS fee schedule is normally updated quarterly.
Review OHP Billing Tips or the provider guidelines for your program for more information.
If you cannot find the form you need on our Forms page, go to the DHS/OHA Forms Search Page for other DHS/OHA forms, and to find versions of DHS/OHA forms in Spanish and other languages.
Entities who receive or pay at least $5 million in Medicaid funds annually are required to educate their employees, and maintain written policies and protocols about fraud and abuse and the federal False Claims Act. Read the Employee Education guide to learn more.
Use the DHS online reporting database or call 1-888-FRAUD01. Go to the DHS Fraud Reporting website to learn more.
The purpose of LEMLA is to provide a means for reimbursing medical providers for medical expenses incurred from injuries sustained by an individual as a result of law enforcement activity. Claims are only paid out of the account when recovery from the injured person and/or their insurance carrier fails. Liability for payment by LEMLA ends when the individual is released from actual physical custody.
LEMLA is established separate and distinct from the General Fund. The account is fully funded from amounts collected in state courts as monetary obligations in criminal actions. It is not a Medicaid program; however, health care providers who want to submit LEMLA claims must enroll with OHA as a Medicaid provider so that we are able to pay the provider.
It means injuries sustained prior to booking, citation in lieu of arrest or release instead of booking that occur during, and as a result of, efforts by a law enforcement officer to restrain or detain, or to take or retain custody of, the individual.
It does not include treatment for injuries that are not related to efforts by the law enforcement officer to restrain or detain, or to take the individual into custody. The law enforcement agency will make the decision as to whether the injuries are related to law enforcement activity.
To be eligible for payments from the account the medical provider must have a Medicaid provider number. If you don't have a Medicaid provider number or you're not sure of your number, contact LEMLA for assistance.
Medical providers must make every reasonable effort to collect from the individual, the individual's insurer, or health care contractor.
Medical providers may file a claim with LEMLA if they have not been paid within 45 days after billing the patient or the patient's health care contractor. Claims, however, must be received by LEMLA within one year after the date of injury.
Hospitals and other medical providers must submit a copy of a detailed billing along with documentation that a reasonable effort has been made to collect from the patient or the patient's insurer or health care contractor. Providers must also provide the claim amount, the amount collected prior to billing LEMLA, the date of the injury, patient's name, address of patient, cause/nature of injury, the provider's Medicaid number, and the provider's name.In addition to the above requirements, the authorized representative of the law enforcement agency must certify that the claim is for injuries related to law enforcement activity. The law enforcement agency must also provide the date the LEMLA patient was released from actual physical custody. If the LEMLA patient remained in actual physical custody throughout the period covered by the claim, the law enforcement agency should report this on the claim form.
After attaching the required documentation, medical providers should forward the LEMLA claim and all attachments to the law enforcement agency involved in the injury. Contact LEMLA if you need assistance in determining where to forward the claim.
The authorized representative of the law enforcement agency will determine whether the injuries are related to law enforcement activity and the date the LEMLA patient was released from actual physical custody. After this information is added, the claim will be sent by the law enforcement agency to LEMLA for processing.
All providers will bill the usual amount billed to the general public.
Claims are reviewed and processed by LEMLA as soon as they are received. Payments for approved claims are mailed to providers at the end of each month. LEMLA will make every effort to process and pay claims in the same month they are received.
The FMAP is the federal government's share of expenditures for the Medicaid and Children's Health Insurance Program (CHIP) programs. These programs are jointly funded by the federal, state or local government.The FMAP determines the local match rate.
· Public Law 111-226, enacted in August 2010, provided a two-quarter phased-down extension of the increased FMAP included in ARRA, from January 1, 2011-June 30, 2011.
The Medicaid Drug Rebate Program was created by the Omnibus Budget Reconciliation Act of 1990 (OBRA '90) and became effective 1/1/1991. The law requires that drug manufacturers enter into an agreement with CMS to provide rebates for their drug products that Medicaid pays for.
Outpatient Medicaid pharmacy providers have billed with NDC's and submitted for rebates since 1991. The DRA has expanded the rebate requirement to physician-administered drugs.
Any medical practitioner whose licensed scope of practice includes administration of drugs.
Yes, for outpatient services only. Inpatient services are not included in the DRA and do not require NDC reporting.
No. OHA does not include vaccines in the rebate requirements. However, other payers may have different requirements. This quick reference includes examples of the codes and descriptors used for billing vaccines.
Yes. Because the state may pay a portion of the Medicare crossover claim (e.g., Medicare coinsurance/deductibles and drug procedure codes not covered by Medicare), physician-administered drug claims for Medicare-Medicaid recipients also require NDCs with the HCPCS codes.
When you need to report NDCs for outpatient physician-administered drug services, you must use the 11-digit NDC listed on the drug packaging. To find out if the NDC is rebateable, search for the NDC in the CMS drug rebate file (click on "Drug Product Data File"). If the NDC is on file, it is rebateable.
Refer to Oregon Administrative Rule 410-130-0180 (Drugs) in the Medical-Surgical Program administrative rulebook.
Revenue Codes 251-259 and 634-636 will require a CPT/HCPCS code and NDC reporting.
Yes. Provider reimbursement is based on the HCPCS description and units of service. The state's mandated rebate submission is based on the NDC and those units.
Please note: NDCs listed above have hyphens between the segments for easier visualization. When submitting NDCs on claims, submit as an eleven digit number with no hyphens or spaces between segments.
See quick tips about reporting NDC on professional and institutional claims in paper and electronic formats. You can also refer to the provider guidelines for your program.
Only the detail line that required NDC reporting will deny. Other services billed on the claim will process as usual.
No. The NDC submitted to Medicaid must be the actual NDC number on the package or container from which the medication was administered. It is considered a fraudulent billing practice to bill using an NDC other than the one administered.
No. If you do bill without a CPT/HCPCS, services billed under those Revenue Codes will deny.
Follow the directions on the National Plan and Provider Enumeration System (NPPES) website. Enrolled Oregon Medicaid providers should notify Provider Enrollment, (800-422-5047), when they have changes or additions to their NPI and taxonomy information. Include your Oregon Medicaid provider number, NPI and the taxonomy code(s) you selected.
Contact Provider Enrollment, (800-422-5047). Provide your Oregon Medicaid provider number.
Call the NPI Enumerator at 800-465-3203, or look it up in the online NPI Registry.
Visit the Patient-Centered Primary Care Home program website.
Complete the DHS 189 form and return to DHS/OHA Financial Services as indicated on the form. Include a copy of a voided check or letter from the bank verifying account ownership, routing number and bank account number.
Local doctors, pharmacists, nurse practitioners and consumers recommended drugs from selected classes for the PDL.
The Health Resources Commission (HRC) worked with the Oregon Health and Science University's Center for Evidence-Based Policy to gather clinical data, as well as information from pharmaceutical manufacturers and public testimony. They evaluated all information according to established evidence methods and in a public forum.
The HRC submitted recommendations to the division for pricing and the division made cost-effective selections, creating the PDL.
The PDL identifies the most effective and safe drugs for the majority of patients, based on the information available. Oregon researchers and experts have carefully considered the comparative safety and effectiveness of the drugs recommended for inclusion on this list. Of the drugs recommended, only those representing the best value to the OHP are included.
The PDL is a tool to identify the most cost-effective drugs for open-card OHP patients. OHA asks that when practitioners start a new drug, to consider the drugs on the PDL first.
You can view the current PDL (PDF) or use the Searchable PDL. The Searchable PDL is an interactive database that includes preferred/non-preferred status, copayment information and prior authorization criteria, if applicable, for all active rebateable drugs.
The list is updated periodically. Drug manufacturers who want to propose drugs for PDL consideration can register on the Sovereign States Drug Consortium (SSDC) website to submit offers (see OAR 410-121-0030).
See Pharmacy & Therapeutics Committee meeting notices. The OHP public meetings calendar also lists monthly meeting dates.
Effective Jan. 1, 2017, OHP covers Prioritized List lines 1 through 475.
The PIN letters will go to the mailing address on file for each provider. If you have multiple locations or providers to bill for and want to know which location your PIN letters will go to, contact Provider Enrollment (800-422-5047).
You will need to contact Provider Services (800-336-6016) with your Oregon Medicaid provider number so that they can send a new PIN letter to you by U.S. mail. It will take 3-5 business days to arrive.
No. To obtain information about the member's PCP, you would continue to contact the member's OHP managed care plan.
To avoid password resets, you need to make sure that employees know to not do more than two (2) failed login attempts.
After the second failed login, don't try a third time. Instead, click the reset password button to go straight to the reset password screen of the Web portal. Reset your password by answering one of your secret questions (answers are case-sensitive).
The Provider Web Portal supports Mozilla Firefox 2 on PCs, but at this time, we do not know whether the Provider Web Portal supports Mozilla Firefox 2 on Macs. Ensuring Web portal support of Macs is planned as a future enhancement.
They expire every 90 days.
The availability of historical claims data on the Web portal does not replace your office's recordkeeping requirements, or any existing state and federal rules for keeping necessary claims documentation on file.
The search links return results that start with the search criteria you entered.
Yes, it is secure. The Provider Web Portal is available only to enrolled providers authorized to use the portal. Users must have a secure username and password to access the portal.
OHA will send authorized providers an initial logon ID and PIN via U.S. ground mail. Providers will then need to login and select a unique username and password in order to start using the Provider Web Portal.
All claims on file in the MMIS will be available to providers. Initially, this will include six years of converted historical claims (plus all lifetime procedure claims), and will eventually grow to include 10 years of historical claims.
Report the resource to the DHS|OHA Office of Payment Accuracy and Recovery at www.ReportTPL.org.
No. The paid amount must be greater than or equal to zero.
The Web portal allows you to view up to 13 months of historical eligibility data (through the date of inquiry). You can't request eligibility verification for future dates.
To serve OHP members enrolled in health or dental plans, contact the plan. To bill OHA for services not covered by a plan, enroll with OHA. Go to our Provider Enrollment page to learn more.
If you were denied participation in an OHP medical plan's provider network, read about the OHA Provider Discrimination Review process and form.
Try our online enrollment tracking. You can also call Provider Enrollment at 1-800-422-5047 or e-mail email@example.com.
View the fee-for-service fee schedule for an overview of OHP's maximum allowable rates.
The Medical Payment Recovery Unit works with insurance carriers, medical providers, clients and other state agencies to ensure appropriate payments are made by the primary payer.
No. Medicaid is a benefit the state provides for eligible clients under the Oregon Health Plan (OHP). If the client has private health insurance, and Medicaid has already paid the claims, the department then bills the third party insurance for reimbursement.
When a Medicaid client has third party insurance providers are required to bill the private insurance carrier before billing the state because Medicaid is always the payer of last resort.
A prior authorization needs to be in place before the carrier will pay the claim and frequently can be approved and used retroactively for recovery purposes.
Yes. Providers are required to comply with the request.
For any fee-for-service claims processing questions you can refer them to the Provider Services Unit (PSU) at 800-336-6016.
For information regarding claim adjustments you can contact the Provider Services Unit at 800-336-6016.
For more information call Medical Payment Recovery at 503-378-2005. Please tell us if you are calling about a medical claim or a prescription claim.
No. Oregon did not change its definition of Medicaid primary care provider. Instead, Oregon added the federal definition alongside Oregon's definition in order to identify primary care providers who qualify for the 2013-2014 rate increase.
In November 2013, the Centers for Medicare and Medicaid Services (CMS) announced that practitioners who meet their new definition of primary care provider would see an increased Medicaid reimbursement rate for two years under section 1202 of the federal Affordable Care Act (ACA).
The increase applies to evaluation and management (E/M) and vaccine administration services and the administration fee for Vaccines for Children serum, when delivered to Oregon Medicaid clients by eligible providers.
To view a copy of the model contracts, contact Kellie Skenandore.
You can view the OHP provider training videos on the OHA YouTube Channel, or view other provider training pages on Oregon.gov.
No. All medical ride requests must go through the brokerage.
Oregon's federal waiver and current federal law allow the state to limit a client's freedom of choice with NEMT. Freedom of choice, in this context, refers to the general right a Medicaid participant has to choose service providers.
The drivers are there to drive. If a client needs a care attendant, it is the facility's or the client's responsibility to provide one.
The brokerage contract does not allow drivers to enter clients' rooms or escort clients to their appointments. Clients will need to be ready at the front door of the pick-up address.
Yes, ride requests should identify their special needs, so the drivers will know to provide assistance boarding and de-boarding the vehicle.
No, the brokerage will not transport children less than 12 years old unescorted.
The exception is when a Department of Human Services (DHS) volunteer is available to drive the child, primarily because of protocols established by the DHS Child Welfare program and because of liability issues.
Brokerages have their own processes and protocols for after-hours transportation that allow for the transport to take place with authorization to follow.
Hospitals should follow the after hours procedure for the brokerage and contact the appropriate after hours providers. Ambulance providers should not be used unless an ambulance is the appropriate mode for the client.
the client has a medical need to have an attendant travel with them, or the
client is less than 12 years old, one attendant is allowed to accompany the
client on the transport.
whether or not an extra person can ride along on the transport depends on
whether the transportation provider agrees to allow the extra person at no
additional cost.
In addition, this must be negotiated with the brokerage call
center, and is subject to available space.
Providers take a risk when they accept this type of ride. They can ask to see the client's medical card or call the toll-free number for the Automated Voice Response (AVR) to see if the person is eligible for services.
If a client has a scheduled ride and is not at the pick-up location as arranged, the driver will report a "no-show" to the brokerage.
Clients cannot be billed, and the brokerage cannot pay providers for these trips.
If a client needs to cancel a ride, the client should call the brokerage.
Repeated "no-shows" may result in requiring the client to phone in to confirm rides before pick up, schedule no more than one ride at a time, travel with a specific provider, or travel with an escort.
The "no-show" policy holds clients accountable for using their ride benefits appropriately.
The broker will try to arrange for same-day rides; however, it will depend on whether there is a provider available and whether prior authorization can be completed.
Transportation providers may already be booked with other clients' appointments. Brokerages make urgent-care needs their highest priority. Clients should, whenever possible, schedule rides in advance.
The most direct way to process concerns and complaints is to share them with the brokerage.
After the complaint is researched, the brokerage may sanction or terminate a provider which is unable to provide on-time, safe services.
Oregon Medicaid's Payor ID is ORDHS.
For billing purposes, OHA uses Current Procedural Terminology (CPT), Level II National Codes (HCPCS) and Current Dental Terminology (CDT) procedure codes.
OHA does not cover all valid codes, and OHA may not allow covered codes in all settings.
OHA expects providers to bill their usual and customary charges unless otherwise specified in the rules for a specific provider program; for example, OHA pays for some services at acquisition costs only.
Generally, OHA pays the maximum allowed rate or fee, less the TPR payment but not to exceed the maximum allowable rate or fee. Visit the OHP fee schedule page to learn more about maximum allowed rates.
Yes. These systems use HIPAA-compliant Claim Adjustment Reason Codes and/or Remittance Advice Remark Codes to describe the status of a claim.
Contact Provider Enrollment (800-422-5047) and ask to stop receiving the paper RA. Please provide the Provider ID listed in the "Payee ID" or "NPI ID" field in the top right corner of the paper RA.
The brokerage sub-contracts with drivers and transportation providers to provide rides they have arranged.
Requests for NEMT must be prior authorized. This includes requests for rides or reimbursement of transportation expenses such as mileage, meals and lodging.
In this kind of situation (for example, when an emergency ambulance takes a child and parent to Doernbecher Children's Hospital, and the parent qualifies as a medically necessary attendant whose expenses are allowable under the NEMT program), only the ride is considered an emergency expense.
Any other allowable travel expenses would be considered NEMT expenses, and the client or their representative must contact the brokerage as soon as possible within 30 days of the transport for authorizing and reimbursement of these expenses.
No. Once a client is admitted as an inpatient, NEMT benefits can no longer pay for an attendant because the medical facility provides all of the client's care. There are some exceptions:
Brokerages now authorize and reimburse clients for medical-related lodging and meals in all counties.
Yes. The $10 threshold exists to avoid writing checks for very small amounts, but reimbursements can be processed for less than $10 if the brokerage allows.
No, rides are only covered to the providers in the client's local area, unless there is no provider available in the local area.
Brokerages will seek guidance from the client's primary care or referring provider.
Although clients may choose to go out of their local area to any provider that will accept Medicaid, the transportation may not be covered if there is an appropriate local area provider available.
Wait times on shared rides are reviewed individually and factor in client needs.
NEMT can only cover moves to a new care facility for clients who have had a change in condition, noted in their DHS care plan, resulting in a need for a new service setting with a higher or lower level of care.
NEMT cannot cover shopping for another facility, moving to another facility of the same level of care or moving out of state.
DHS has some non-medical funds that may be available for some of these moves. Clients should talk with their local case workers to find out what may be available to them.
It should be billed as a non-emergent ambulance service if the ride was provided or as an aid call if the ambulance personnel do not transport the client. This is an exception to the guidance that brokerages authorize non-emergent ambulance trips.
Brokerages authorize non-emergent ambulance trips. The ambulance companies will bill OHA directly for reimbursement.
The brokerage may write "fee schedule" on the 405T. OHA will pay based on the fee schedule.
The authorized amount must not be completely blank. The brokerage must either write "fee schedule" or list an actual dollar amount based on a bid price for the ride if there are circumstances that prevent the ride from being reimbursed at the fee schedule amount.
NPI is required for all claims.
only takes a few minutes to set up; however, it could take a week or more to
become active depending on how quickly the bank responds with a confirmation.
Getting your payments deposited electronically into your checking or savings account is:
For more information about the benefits of direct deposit, visit www.electronicpayments.org.
OHA delivers paper checks with your paper remittance advice (RA).
Once the check is in the mail, it takes 2 to 4 days for delivery.
With direct deposit, the payment enters your bank account no later than the Wednesday after OHA processes your payment (excluding Federal Reserve Banking Holidays).
Your paper remittance advice (RA) will come the same way. The only change is that you will not receive a paper check with it.
To have your direct deposit payments go to a different bank account, complete a new DHS 189 form and return to DHS|OHA Financial Services.
Make sure to check the "Change" box in section A under "Type of Action". Include a copy of a voided check or letter from the bank verifying account ownership, routing number and bank account number.
Provider Web Portal (PWP) - To learn about how to use PWP, visit our Provider Web Portal page.
Automated Voice Response - 866-692-3864 (press 1 for Recipient Eligibility)
EDI 270/271 Transaction - Through your billing software or clearinghouse. To learn more, visit our EDI page.
The General Rules provider guidelines include the Oregon Administrative Rule (OAR) that requires providers to verify eligibility before providing service.
OHA will not pay for services rendered to clients who are not eligible on the date the service was rendered.
Coverage of a specific service depends on two things:
You will need to enter the client's 8-digit Oregon Medicaid client ID, plus the client's name or date of birth, as listed on the client's Oregon Health or DHS Medical Care ID.
Due to Oregon Administrative Simplification requirements, we no longer allow eligibility verification using Social Security number.
No. Only hospitals that have contacted the Oregon Health Authority (OHA), completed an application and signed an agreement with OHA to perform HPE determinations per OHA standards and rules may do so.
No. In order for a provider to be paid for a service rendered during the HPE period, the service must be a covered service under OHP.
Hospitals may make HPE determinations for a patient of the hospital or a community member, even if the individual has not used, and/or does not intend to use, hospital services.
Yes, if the hospital submits the decision to OHA within 5 calendar days following the date of service. The date of service becomes the "Date of notice" on the Approval Notice, or proof of coverage, given to the patient.
Yes, if the hospital submits the decision to OHA within 5 calendar days following the date of service. This date becomes the "Date of notice" on the Approval Notice, or proof of coverage, given to the patient.
Yes, within 5 days of the HPE determination.
A signature is highly preferable, but not absolutely required, for HPE.
Individuals are entered into the Medicaid Management Information System (MMIS) within a week of submitting the required forms. Hospitals and providers should check MMIS at that time to find out about the individual's coverage.
HPE determinations do not use the MAGI 5% disregard. They are based on straight household income.
HPE eligibility takes effect on the date the hospital makes the HPE eligibility decision. The HPM eligibility decision is an immediate determination so that the following all happens on the same date:
All applicants who are denied HPE must receive a Notice of Denial, and all denials must be reported to OHP Customer Service within 5 working days of the denial.
A denied applicant may re-apply at any time.
Hospitals are only required to give the applicant the OHA 7210 and information on getting assistance with completing and submitting it (e.g., contact information for local Application Assisters).
However, since hospitals will be evaluated on the number of full applications completed by the individuals they approved for HPE, it is to their advantage to ensure the application is completed and submitted.
When giving applicants the full 7210 application for ongoing coverage:
HPE covers all services covered under OHP, including dental, vision and mental health, with one exception.
Exception: Pregnant women are covered only for ambulatory care (all OHP-covered services) during the prenatal period. Labor and delivery are not covered.
No, these newborns are not deemed eligible. Only those born to mothers determined to be fully Medicaid-eligible are deemed AEN.
Retroactive coverage will only be available if the individual completes the full application and is determined eligible for Medicaid. Retroactive coverage will only be available for covered medical costs up to three months prior to the period of full eligibility.
Retroactive coverage does not apply to the HPE period.
Yes, HPE-eligible individuals will be fee-for-service (open card) and will not be enrolled into CCOs, or any managed care entity, until and unless determined fully eligible via a OHA 7210 application.
Yes, all services provided by any enrolled OHP provider
that are covered services under the person's benefit package will be
This is not preferable, but allowable if the individual is indisposed and unavailable to apply in person.
Submit orders to the DHS|OHA Distribution Center using the MSC 8100 form.
CCO providers can use the process described in the CCO Provider Change Request Guide. This process is only for CCO members to switch CCOs in order to keep their physical health Primary Care Provider.
For any other changes, members should contact their CCO/plan or OHP Customer Service.
Register as a non-payable Oregon Medicaid provider using the OHP 3113 form. OHA will issue you a PIN letter for Provider Web Portal access once you are enrolled.
It is best to contact the Outreach Team to find out about the person's application status. To do this, email firstname.lastname@example.com or call 1-800-699-9075 (select the "Community Partners" option).
410-200-0105 (Hospital Presumptive Eligibility) in the OHP Medical Eligibility Policy rules sets out when an individual
is presumptively eligible for MAGI Medicaid/CHIP, BCCTP, and Former Foster Care
Youth Medical based on the determination of a qualified hospital.
Nurse advice, and information about available providers, for members not in an OHP medical plan
OHP Care Coordination - 800-562-4620
Mailing addresses
Provider Contacts List
Becoming an OHP provider or updating your information
Provider Enrollment – 800-422-5047; also visit our Provider Enrollment page
Complex billing questions, appeals and requests for claim reconsideration
Provider Services – 800-336-6016
Determining OHP coverage for specific condition/ treatment pairs
OHP Code Pairing and Prioritized List Hotline - 800-393-9855 or 503-945-5939
Fee-for-service medical and dental prior authorization requests
PA Line - 800-642-8635 or 503-945-6821
Fee-for-service pharmacy prior authorization requests
Oregon Pharmacy Call Center - 888-202-2126
Direct deposit
DHS|OHA Electronic Funds Transfer (EFT) Coordinator - 503-945-6872
Report client or provider fraud over the phone or online.
DHS Fraud Hotline: 1-888-FRAUD01(1-888-372-8301)
Report third-party liability (TPL) to DHS/OHA
Provider Web Portal password resets
See our troubleshooting tips and other Provider Web Portal resources. If you still need help, contact Provider Services - 800-336-6016.
Behavioral health prior authorization requests
KEPRO Phone: 1-844-658-1729Fax: 1-844-673-8034Email: email@example.com
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text:
forum: Food & Drink
#401 Fri 09 Nov 12 9:28pm
- Member
- Member since Fri 09 Nov 12
Re: Ask me a cooking question
Not really a cooking question. But was wondering if you still get the oppertunity to cook at Fifteen. My daughter(8yrs) really wants to visit and eat at Fifteen because she has seen you on tv and wants to see you cook.
Thanks for taking the time.
Maryanne (from the Netherlands)
Last edited by donkeybell (Fri 09 Nov 12 9:28pm)
#402 Sat 10 Nov 12 2:54pm
- Member
- Member since Tue 06 Nov 12
Re: Ask me a cooking question
Bobby13 wrote:
Why am I unable to retrieve your 15 minute recipe for Sticky Kicky Chicken
& Chilli Con Carne Meatballs.
Best Regards
#403 Sat 10 Nov 12 3:56pm
- Member
- Member since Sat 10 Nov 12
Re: Ask me a cooking question
Not a question but I don't know where else to post this(?)
I have just bought 15 Minute Meals. I NEVER ordinarily buy cookery books. Last one purchased was about 30 years ago! I can cook Gujerati food but this is not practical for me and have been battling for years to put nutritious, tasty food on the table on a daily basis - this book is an answer to my lifelong prayers. Why did I buy 15MM - well, are you sitting comfortably?....
As to whether I can achieve the meal in 15 minutes or not - I don't give a monkeys. I like to cook slowly whilst sipping wine so I won't even attempt to do it in 15 minutes. What I have got though is:
1)Simple yet exquisite meals that you have made wholly do-able - no intimidating elements whatsoever. This means I can feel totally in control in my own kitchen - how liberating is that!
2) A way in to using ingredients that I am curious about but would ordinarily be far too scared to purchase
3) It is indeed a complete meal, so once cooked, I don't then have the challenge of "what should I serve it with" - you have done that for me - thank you.
4) I count my calories on a daily basis as a lifestyle choice. You've worked out the calories for me - thank you.
5) Cram packed with basic tips that are gems like using 2 spoons to stir.
In general I think this book is revolutionary. I have to use up stuff that I have in my fridge and freezer before I can make a start on it but I believe this will be my food bible.
This cannot be an accident, I believe you must have taken a lot of trouble to get into the mindset of a regular person, who does not cook for a living and used this as your starting point.
You are revolutionary - genius, creative, funny!
I am a gujarati, when I see white chefs making raitu and then they say put it together at the last minute - I am always screaming at the telly "squeeze the juice out the cucumber - it keeps for ages. Well, you are the first white chef I see doing just that
A Gift Tip from me to you!
You don't need to peel ginger - I never have. I mince up loads of it - peel 'n all and freeze it.
Thank You Sir Jamie!!!
#404 Sat 10 Nov 12 4:32pm
- Member
- Member since Sat 10 Nov 12
Re: Ask me a cooking question
Oh yeah! I do have a question:
Please could you consider making a CD of 15MM for the likes of me to purchase.
At the moment the 15MM book is very much alive because I will have just watched you doing it on tele. I would love to be able to refresh this aliveness years down the line.
Picture the scene on a typical day next year. I am putting together a menu and shopping list for the coming week. Mmmm! Think I will cook the Moroccan Bream dinner. With the food ordered on line, I put the CD on and go straight to Moroccan Bream and watch it to inspire and empower me ready for the week ahead! Mint!
#405 Sat 10 Nov 12 11:09pm
- Member
- Member since Sat 10 Nov 12
Re: Ask me a cooking question
Just cooked 15 min Chilli Con carne meatballs - they are AMAZING!!! Don't normally do the cooking in our house, but managed to pull these off in exactly 15 minutes!! Thanks so much Jamie. Maybe there is a cook in me yet. Hoping to get the book for Xmas!!
#406 Sat 10 Nov 12 11:36pm
- Forum super champ
- Member since Fri 04 Apr 08
Re: Ask me a cooking question
Bobby13 wrote:
Bobby13 wrote:
Why am I unable to retrieve your 15 minute recipe for Sticky Kicky Chicken
& Chilli Con Carne Meatballs.
Best Regards
Seems that you have to download the recipes, the link is here:
http://scrapbook.channel4.com/programme … episode-10
#407 Mon 12 Nov 12 6:20pm
- Member
- Member since Mon 12 Nov 12
Re: Ask me a cooking question
Hi, has anyone tried Jamie's piccalillii recipe yet? I have the book and the menu says to soak the veg in salt water for 1 to 2 hours. Every other recipes says to soak overnight so just wanted to check if it's ok to soak the beg in brine for this shorter time and what the results are! Looking forward to making it, but as the batch will be used as Christmas gifts, want to make sure I get it right!
#408 Tue 13 Nov 12 12:51am
- Member
- Member since Sun 24 Jun 12
Re: Ask me a cooking question
I watched your TV show In Australia for 15 minutes meals and you did a burger and a coleslaw through the food processor - I made it but my coleslaw tasted great but was too wet - I know you did a 1/4 cabbage, 2 carrots, half a red onion and 1 pear - was this done on the thin slicer or how did you do it in the food processor - I have a magi mix food processor and I did it on the grater and it was too wet unless you put the cabbage through the slicer and then change to the greater for the carrot not sure but I will cut the pear by hand as it made my coleslaw too wet so it probably depends what pear you use here in Australia but the taste was sensational but I need to have it dryer.
Thanks again for all your help!!
My mayonnaise worked out in the end as I found you can not use olive oil to make mayonnaise you need to use other oils that are not strong in taste and yes I was successful at long last and I just used my blender and it was very thick and creamy. I use canola oil but I noticed some people use grape seed oil and Bran oil and other ones that do not have that strong taste unless there is an olive oil that does not taste strong but the ones I get over here that are extra virgin olive oil and are made in Italy are very strong in taste.
Have a great day!!!
#409 Tue 13 Nov 12 2:01am
truthful person
- Member
- Member since Tue 13 Nov 12
Re: Ask me a cooking question
Hi, I watched your chicken pot pie on the 30 minute meal show, I cannot find the recipe on this site. Plus what is creme fresh. Please respond.
thank you.
#410 Tue 13 Nov 12 3:40am
- Forum champ Occupation Registered Nurse
- From Adelaide, OZ
- Member since Tue 03 Aug 04
Re: Ask me a cooking question
Truthful person, you will probably need to purchase the 30 minute meals book for the recipe, Jaime only puts a few of his recipes on the site. Creme fraiche is basically a soured cream http://en.wikipedia.org/wiki/Cr�me_fra�che
If you cannot find it in the supermarket, you can make it yourself by adding some fresh lemon juice to fresh cream and leaving it for awhile to sour.

subset: commoncrawl


text:
Solly's Satirical Sing-a-long: The Senate's a Battlefield
05 February 2013 , 10:48 AM by Jo Laverty
Thank you Zed Seselja for providing us with such a terrific theme for the first Satirical Sing-a-long for 2013!
This week the rumours that were circulating about the local Liberal leader's political ambitions were confirmed. Zed Seselja MLA will challenge Senator Gary Humphries for his seat in the Senate.
It has started off congenially enough; Humphries acknowledges that it is a democracy and having more choice for Senate representatives is a good thing, Seselja has stipulated that he doesn't want to criticise Gary Humphries while trying to convince voters that he's the one they should back.
How long can the niceties last though? This is a challenge and there is an undercurrent of tension. What does this mean for the electorate of Brindabella, which only voted Seselja in a few months ago? Who will lead the Liberal party now that Zed is otherwise occupied? And although Tony Abbott has given his support to Humphries, rumours suggest Seselja has the numbers on his side for preselection. It's safe to say that the Senate's a Battlefield.
Canberra duo The Cashews and the Satirical Sing-a-long lyricists are turning Pat Benatar's 'Love is a Battlefield' into 'Senate's a Battlefield'
If you'd like to contribute a line or two, please do! Otherwise, tune in on Friday morning at 7:10am to hear Solly's Satirical Sing-a-long.
(photo Alex E Proimos)
You can follow this conversation by subscribing to the comment feed for this post.
The comments to this entry are closed.


text:
What are the limitations when using The Bridge with the 64-bit version of Live?
- Live Versions: Live 8.4 - Live 9
- Operating System: All
When using the 64-bit version of Live, it is not possible to use Serato Scratch Live for real-time control of your Ableton Live Set. Sets cannot be loaded or synced to a deck in Scratch Live, and Live's clips and tracks will not appear in Scratch Live.
Serato mixes saved in .als (Ableton Live Set) format can still be opened in the 64-bit version of Live and will work as expected.
More information on the Serato Knowledge base.


text: ‹Previous Next› ITEM NO. 5618FPC DESCRIPTION 60" Brushed Nickel and Antique Copper Floor Lamp, push thru socket switch, 11' usable cord with polarized plug, 14x17x11 White Linen Hardback Shade. Recommend 32 watt CFL or 10 watt LED bulb. (Picture does not reflect actual finish) SHIPPING CODE: N - Normal This item is manufactured in Arkansas. We normally have parts available and can build the lamp within 4-6 weeks. MINIMUM ORDER: 1 Request Information for 5618FPC * = Required. *Name: Don't fill this out: *Email: Phone: (Used for contacting you instead of email, if entered.) How Can We Help You? How would you like to Modify this Lamp? DO NOT FILL OUT: Related Items 5799FPC 5799FHD 5651THD 5617TPC 5617EHD 5651EHD 5618FHD 5617THD 5616SHD 5616DHD Complementary Items 3425VPC 3421VPC 3583C 3551V 3549CPL 3523CPC


text:
Expand your repertoire of fashionable and functional techniques for binding, banding and hemming. Couture sewing expert Lynda Maynard will show you how!
Gain confidence and skills in finishing necklines, armholes, hems and more! Lynda Maynard will give you an array of professional finishing options for all your garment-sewing projects, from T-shirts to formal gowns. You'll learn to work with silky and sheer fabrics and be able to reinforce, bind or hem lightweight fabrics without adding bulk or using facings. Whether you're sewing with knits or wovens, Lynda will show you how to finish garments with a polished and professional look.
If you're not delighted with your Craftsy experience, we'll provide a full refund - no questions asked.


text:
Sir Ken Robinson: Revolutionizing You
Sir Ken Robinson, Speaker; Advisor on Education in the Arts; Author, The Element and Finding Your Element
Ninive Calegari, Co-founder, 826 Valencia; Co-author, Teachers Have it Easy: The Big Sacrifices and Small Salaries of America's Teachers; Producer, American Teacher
TED Talks rock star Robinson's 2006 talk about revolutionizing education by having it nurture rather than undermine creativity is the most viewed in TED's history. He is an internationally recognized leader in the development of creativity, innovation and human resources in education and in business. Robinson works with governments and educational systems in Europe, Asia and the United States, with international agencies, Fortune 500 companies and some of the world's leading cultural organizations. He was a professor of education at the University of Warwick in the UK and author of The Element and its new follow-up, Finding Your Element, a practical guide to self fulfillment by converging your natural talents and personal passions.
Location: Fairmont Hotel, Terrace Room, 950 Mason St., San Francisco
Time: 5:15 p.m. check-in, 6 p.m. program, 7 p.m. book signing
Cost: General admission: $25 non-members, $15 members, $7 students (with valid ID); Premium (priority seating with copy of Finding Your Element): $55 non-members, $40 members.
Also know: Photo by Cindy Gold


text:
Fatal design flaws can be found in many nonengineered buildings. Check with your structural engineer before proceeding with your next project.
by David Bohnhoff
The author is a registered professional engineer and professor in the Biological Systems Engineering Department, University of Wisconsin-Madison.
Every year, various pockets of the country experience a rash of agricultural building failures. More often than not, these failures occur as all nonagricultural buildings in the same area suffer no such problems. Agricultural buildings fail in large numbers simply because they are either not engineered or are only partially engineered. In other words, agricultural buildings fail because they are not engineered correctly.
A fully engineered building is developed by following three structural design steps:
Step 1: Calculate all loads and load combinations to which the building will be subjected.
Step 2: Determine how loads from Step 1 are distributed to building elements (this step is known as structural analysis).
Step 3: Select components and connections capable of handling the forces to which they will be subjected. In practice, selections made in Step 3 will influence structural analysis (Step 2), and this makes structural design a continual process.
A fully engineered building also accounts for the interaction of all structural components during analyses and sizes components based on those interactions. In contrast, a nonengineered building accounts for neither component loads nor actual component strengths. A partially engineered building lies somewhere between these two extremes.
Near-death experience
In mid-December 2010, a snow event caused a swath of agricultural building failures in southwest Wisconsin. I investigated six of these buildings. In each case, failure was triggered by drifting and sliding snow loads (unbalanced) that the structure should have easily withstood. In each case, it was obvious the building was not fully engineered.
One of the buildings I toured was owned by dairy farmer Cyril Myren. I met with Cyril four days after the collapse of a portion of his 2-year-old free stall barn. Cyril could barely move as we spoke. He suffered two cracked ribs and lots of bruising. Cyril's son, Todd, received a gash in the back of the head and other injuries in the same collapse.
Both were working to get cattle out of a portion of the building that had already collapsed when additional building bays came down. Todd was trapped until freed by police and fire department personnel. In Cyril's words, they were both lucky to be alive. Some of their cattle were not as fortunate.
I explained to Cyril that his building had several major weaknesses due to a lack of engineering. Cyril's response was one of frustration and anger. He truly believed he had purchased a properly engineered building. A properly engineered building in Cyril's mind is what I refer to as a fully engineered building.
While I applaud the entrepreneurial spirit of anyone starting their own building company, it is scary when individuals erect nonengineered buildings. Realize that participating previously in the erection of engineered buildings does not provide a person with the skills necessary to engineer a structure.
Companies that erect nonengineered buildings typically emulate designs they have seen elsewhere. This causes myriad problems.
Simply copying, altering, and/or scaling up an existing design completely ignores the fact that loads like wind and snow are highly dependent on the size, shape, orientation, and location of a building as well as characteristics of the local topography and the size, shape, and orientation of attached and surrounding structures.
Snow, wind, and other structural loads act in a variety of combinations. A building must be designed to handle all load combinations to which it could be subjected. Total ignorance of applicable loads and load combinations is a hallmark of nonengineered building design.
Extremely weak connections between components is another common theme of nonengineered structures. The stresses that surround mechanical fasteners (bolts, screws, and nails) are complex. The stresses determine fastener size, spacing, and placement relative to the ends and edges of the components they connect. These conditions are seldom realized by builders attempting to mirror the design of another building. Improperly assembled connections trigger and/or contribute to many building failures.
During my years of investigation into agricultural building failures, it has become quite apparent that a vast majority of farmers are under the impression they purchased a properly engineered building when, in fact, they did not. In some cases, farmers are intentionally misled which is highly unethical, if not criminal.
Frequently, builders quote a "balanced design snow load" (generally in pounds of force per square foot) that was used as an input to a truss design program by an employee of the local lumberyard. Given this number, the farmer assumes they are getting a fully engineered building. This could not be further from the truth.
Trusses designed separate of other components seldom account for all loads to which they are subjected, nor the exact manner in which they will be connected to other components, receive loads from other components, and/or be braced by other components. Furthermore, a truss is only one element in an extensive building system, and each element must be properly engineered with special attention given to unique interactions between elements.
Codes exempt agricultural buildings
The International Building Code (IBC) is the primary nonresidential model building code in the United States. Although the IBC covers agricultural buildings and has been adopted to varying degrees in all 50 states, most agricultural buildings are not designed in accordance with its provisions. This is because most state and local governments that adopt the IBC exempt "buildings used exclusively for farming purposes" from all building code provisions.
Because of this special agricultural exemption, many builders are quick to tell farmers they do not need their agricultural buildings engineered. While this is absolutely true, it is something you would be foolish to do, especially when building a free stall barn, a storage building for expensive equipment, or a facility in which you or your employees will be spending measurable time.
Telling a consumer they do not need to have their building engineered if it is exempt from the building code is no different than telling a person they do not need to wear a seat belt or a bike helmet if the law doesn't require it.
Many agricultural builders will tell you it costs more to construct a fully engineered building. While this may be true for smaller buildings, it generally is not true for larger buildings. Builders who sell you a large nonengineered building for less than the price of a fully engineered building are selling you a relatively dangerous building.
Nonengineered structures generally contain components that are either not needed or larger than needed. This unnecessarily drives up building cost. Nonengineered structures also are frequently missing critical components and/or have numerous underdesigned components. This places building occupants in grave danger.
This article appears on page 365 of the May 25, 2012 issue of Hoard's Dairyman.


text:
The past quarter-century has reveled in the increasing detail of the tell-all biography — from Christina Crawford's 1978 gold standard, Mommie Dearest to In Touch Weekly's "Britney's Gay Secret: Shocking Revelations About Her Lesbian Flings" — so it's tempting to see two new biographies of Leni Riefenstahl and assume they'll push the envelope, and expose the dirt about her personal life. Of course, we already know she was a Nazi sympathizer who supported the Third Reich with the brilliant propaganda films Triumph des Willens ("Triumph of the Will") and Olympia. We know she was rumored to be Hitler's girlfriend. We know she was accused of removing adult and child Gypsies from Maxglan, a concentration camp for those who would die in Auschwitz, to use as extras in Tiefland ("Lowlands"), only to send them to their deaths when filming was finished.
So is there any shocking, new information in these biographies from Stephen Bach and Jürgen Trimborn? Well, there is a great episode, generally unnoted in the Riefenstahl mythology, that in 1938, when Riefenstahl arrived in Hollywood expecting to be lauded as a genius but instead was shunned as a Nazi, one of the few people to be at all supportive of her was Walt Disney. But even this isn't a real surprise, since we already know that Disney, who was obsessed with the negative "Jewish influence" on Hollywood, regularly attended American Nazi Party meetings before the United States entered the war.
Her Disney friendship aside, Riefenstahl has occupied a central, or at least peripheral, position in 20th-century cinema. No question she's an authoritative director: Triumph des Willens and Olympia are mesmerizing and powerful films. But her National Socialist politics — which she vehemently denied from after the war until her death in 2003, at age 101 — have been a stumbling block, to say the least. Germany has always treated her with the utmost caution; she could not deny her close association with the Third Reich, and her de-Nazification hearings were thought by many to be a sham. In the United States, however, she's been less-severely critiqued. Indeed, a flurry of Riefenstahl admiration — the 1973 publication of her The Last of the Nuba, a book-length photographic essay on the "primitive" African people; an invitation to the 1974 Telluride Film Festival; her well-publicized connections to Mick Jagger and David Bowie — prompted Susan Sontag to write her 1974 essay "Fascinating Fascism," a forceful analysis and denunciation of Riefenstahl and her "fascist aesthetics," which Sontag describes as, in part, the idolization of masculine power and the glorification of the perfected virile body.
In content and even analysis, these new biographies — Trimborn's was actually published five years ago in Germany and has just now become available in English — are similar. Both document Riefenstahl's life and career; both grapple with her post-war attempts to distance herself from Hitler and Goebbels and rehabilitate her reputation.
Table of Contents
Cover Archive
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Phoenix Literary Supplement
Best buildings: Traveling with architecture. By David Eisen.
Rhyme schemes: Some 'Poetry Month' bon-bons. By William Corbett.
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text:
Stumped by the Code?
All questions and answers are based on the 2005 NEC. Q. Where are hospital-grade receptacles required? A. Receptacles for inpatient sleeping beds or procedure table beds used in a critical patient care area (patient bed location) must be listed as hospital grade [517.18(B)]. They aren't required in treatment rooms of clinics, medical and dental offices, or outpatient facilities because these facilities


text:
Search & rescue teams look for missing kayaker
KALISPELL, Mont. - Flathead County Sheriff's Office Deputies and members of search and rescue crews are looking for a 65-year-old Kalispell man whose kayak was found overturned on the Flathead River.
The subject had reportedly gone duck hunting Monday morning. His kayak was found that afternoon near the Sportsman's Bridge on Highway 82 and his car was parked at the Sportsman's fishing access.
A search and rescue operation is multi-faceted, just like the search for the Kalispell man Monday and Tuesday.
"We have people searching the shores, we have people in the water, boats," said Michelle McMillan. "We all work together as one team."
After attempts to locate the man fell short Monday morning, water teams started their search early Tuesday morning. NBC Montana was on a canine boat with McMillan and her dog, Quinn, who tried to pick up on the scent of the hunter.
"If there's a vehicle, a boat, whatever it is that was the last known spot, I will have my dog go ahead and do a brief check of it," said McMillan.
Quinn's nose is sensitive, and can pick up what we can't see or smell.
"Their sense of smell can locate objects underneath the water hundreds of feet down," McMillan explained.
Another search aspect is sonar capability -- the sheriff's boat scanned the river bottom for anything that looked unusual. Around 2:15 p.m., a dive team went out with that boat to check on those unusual spots.
Crews continued their efforts with sonar until dusk. Search efforts will continue Wednesday morning.


text:
Labour leader David Shearer will summon his caucus for a confidence vote on his leadership possibly as soon as this week as he seeks to nip David Cunliffe's leadership ambition in the bud and open the way to discipline him for disloyalty.
Should Mr Shearer get the necessary endorsement from at least 21 of his caucus colleagues, he will move to discipline Mr Cunliffe for disloyalty over his repeated refusal to rule out a challenge to Mr Shearer.
Mr Shearer could still have to face a formal confidence vote in February - but securing a strong endorsement from the caucus now would effectively end speculation he will be rolled and give him the authority to discipline Mr Cunliffe.
Mr Cunliffe joined in the standing ovation for Mr Shearer's speech at the annual conference yesterday and later described it as "excellent".
But for the third day running, he refused to pledge to endorse Mr Shearer or rule out a challenge, saying he had not made any decision.
Mr Cunliffe said he would welcome an early confidence vote on the leadership, "because it would be to the party's advantage to deal with these issues earlier rather than later."
He would not discuss his own ambitions, but said he would expect that vote to be held under new rules decided at the conference which would require Mr Shearer to get support from more than 60 per cent of his colleagues - at least 21 MPs.
Speaking to Firstline this morning, Mr Shearer would not confirm an early leadership vote would be held.
"The bottom line is there have been issues come up as a part of the conference ... they've been magnified but they need to be put to bed. That's what I'm going to do.
"I will be the leader in 2014 going to the election and I am going will win."
Mr Shearer said he has not spoken to Mr Cunliffe since the conference.
At least 17 MPs publicly said they were backing Mr Shearer. Several others - many allies of Mr Cunliffe - refused to commit to endorsing Mr Shearer although none publicly backed Mr Cunliffe either. Charles Chauvel, Lianne Dalziel, Moana Mackey, Nanaia Mahuta and Louisa Wall all refused to give a position.
Mr Shearer delivered a powerful speech at the party's conference yesterday, earning a rapturous response from the gathered delegates which some said should put to rest any belief he did not have wide support of members.
Speculation about a challenge by Mr Cunliffe began after the conference passed changes to the leadership election rules, including allowing 40 per cent of the caucus to trigger a leadership contest.
Yesterday, several MPs backed steps to force the issue to a head early. Some openly stated their support for Mr Shearer and expressed frustration at Mr Cunliffe.
Former leader Phil Goff said it would be "silly" for anybody to challenge Mr Shearer, and Mr Cunliffe should support him. "He's been there 10 months, he's showed his potential, we've got every chance of winning government so why would you bother changing your leader?"
Damien O'Connor said Mr Cunliffe needed to provide some clarity about his ambitions "otherwise we will do that for him". Mr O'Connor said he backed Mr Shearer: "He's our leader and people who don't back him should get out of the way."
Front-bencher Jacinda Ardern said she backed Mr Shearer, and Mr Cunliffe's prevarication about Mr Shearer "distracts us from our singular goal of removing National from government".
How it stacks up: Will you support David Shearer in an endorsement vote?
Trevor Mallard, Grant Robertson, David Parker, Andrew Little, Clare Curran, Darien Fenton, Chris Hipkins, Kris Faafoi, Ross Robertson, Clayton Cosgrove, Iain Lees-Galloway, Megan Woods, Jacinda Ardern, Phil Goff, Annette King, Maryan Street, Damien O'Connor, Phil Twyford.
Refused to say
Charles Chauvel, Moana Mackey, Nanaia Mahuta, Parekura Horomia, Lianne Dalziel, Louisa Wall, Sue Moroney, Ruth Dyson.
Unknown, could not be contacted
Su'a William Sio, Rajen Prasad, Shane Jones, Rino Tirakatene, Raymond Huo, David Clark.


text:
Change of Heart (episode)
this wiki
(written from a Production point of view)
On a mission to recover a Federation informant on the Dominion world of Soukara, Dax is injured and Worf must choose between completing the mission or saving his wife. Meanwhile, O'Brien enlists Bashir's help to defeat Quark in a game of tongo.
Summary Edit
On Deep Space 9, tongo has recently been going well for Quark. He has won two hundred and six straight games in the last month. Even Dax can't keep up with him and she causes Worf to lose a bet against Miles O'Brien, although the Klingon claims that he would rather lose betting on his wife than win betting on someone else.
In the middle of the following night, Kira calls for Worf and Dax regarding an emergency transmission from a Cardassian Starfleet operative. Since most of the runabouts and the USS Defiant are off on exercises with the Ninth Fleet, the couple must embark on a trip into the Badlands (where they will be able to contact the Cardassian) aboard the USS Shenandoah.
On their way to the Badlands, the two discuss plans about their honeymoon. Worf suggests Vulcan's Forge as a suitable location, however Dax shoots it down instantly as she doesn't want to spend her honeymoon in the Forge during Vulcan's summer. She instead demands a relaxing vacation on Casperia Prime, arguing that Worf got to plan the wedding so she should get to choose the honeymoon... and is surprised when Worf accepts her argument and instantly agrees. After that, the conversation orients itself around a discussion about Worf's sense of humor and various habits and tolerance to change of the two of them – nothing very deep, but there's a sense of the bond that has developed between the two of them.
Back on the station, Julian Bashir arrives at O'Brien's quarters in a tuxedo for another of their holosuite adventures, but the chief has set his mind to a new challenge: to end Quark's tongo streak. When he realizes that he won't be able to change O'Brien's mind, the doctor accepts helping his friend. After a while practicing, Bashir tries to persuade O'Brien that he has no aptitude for tongo, however O'Brien decides to change his plan; instead Bashir, with his genetically-enhanced brain, should be able to easily beat Quark.
Soon after they arrive at the coordinates in the Badlands, Worf and Dax receive a transmission from the Cardassian operative, Lasaran. The spy informs them that he is not secure any more and wants out immediately and that he has information on every single Founder in the Alpha Quadrant. He sends them a rendezvous point near a Dominion base on Soukara. Worf and Dax will need to land in Soukara's jungle, due to the Dominion's transporter scramblers, to recover the informant.
Back on the station, the doctor and O'Brien are finally ready to challenge Quark. Even though the Ferengis are reluctant to admit Humans to their table at first, they eventually accept. Eventually, there is only Bashir and Quark left at the tongo table, the bartender congratulating the doctor on his fast learning. Nevertheless, Quark has another card in his sleeve and soon begins a conversation about Bashir's past feelings for Dax and is able to distract the doctor long enough to drag him into a ruining confrontation against what finally reveals to be a total monopoly.
On Soukara, Dax and Worf slowly progress, but a patrol of three Jem'Hadar takes them by surprise. They kill all three, but Jadzia is hurt by a disruptor burst which leaves an anti-coagulant in her system. The two of them push onward but it becomes increasingly clear that Dax will not be able to make the rendezvous with the Cardassian agent. Worf leaves Dax behind in order to continue the mission. However, knowing that she urgently needs surgical care, Worf pulls back and aborts the mission.
Back on Deep Space 9, Dax gets the health care she needs. However, things do not go as well for her husband: his actions have led to Lasaran's death. Captain Sisko demands an explanation, and Worf tells him that as he went further and further into the jungle, he knew that he there was no way he could leave his wife behind, even though the intelligence that Starfleet has lost could have saved millions of lives. Sisko tells Worf that the secrecy of the operation and Starfleet's desire to keep their intelligence activities under wraps will save him a court martial, but there will be a permanent note in his service record. As a result, Worf will almost certainly never be offered a command of his own after the incident. Sisko also issues orders that Worf and Dax are to be never sent on a mission alone again. However, off the record the captain tells Worf that as a man who once had a wife, that if it had been Jennifer lying there in the clearing, he would have made the same choice.
Worf visits the recovering Dax in her hospital bed and tells her that he didn't complete the mission. Dax is sorry that he hurt his career because of her, but Worf tells his wife that he isn't sorry as she is what matters, above his career and everything else and that if the situation arose again he would do exactly the same again. The two then reaffirm their love for each other.
Memorable quotes Edit
"Esh'ta par'Mach'kai!!"
- - Worf, cheering Jadzia's tongo hand
"I didn't expect you to surrender so quickly."
"Bad word."
"Very bad."
- - Dax and Worf
"Worf, you're practically easygoing. What's next? A sense of humor?"
"I have a sense of humor! On the Enterprise I was considered to be quite amusing."
"That must have been one dull ship."
"That is a joke. I get it... it is not funny, but I get it."
- - Dax and Worf
"A Klingon. Why do they have to send a Klingon?"
"I'm a Trill, does that make you feel any better?"
"Are you trying to be funny?"
"Not at all, he's the funny one."
- - Lasaran and Dax
"Think of it as a challenge."
"That's your obsession, Miles, not mine."
"Do it for the latinum."
"Nice try."
"Do it for the satisfaction of the look on Quark's face when he's beaten at a game of tongo by a lowly hew-mon."
"Deal the cards."
- - O'Brien and Bashir
"How are you enjoying your honeymoon? Are you suffering enough?"
"Anything I can get for you?"
"More pain, less cold."
- - Dax and Worf
"Genetically enhanced or not, you're only hew-mon."
- - O'Brien, to Bashir after his loss to Quark
"You were at my wedding. You heard the story of the first two Klingon hearts and how nothing could stand against them, and how they even destroyed the gods that created them. I have heard that story since I was a boy, but I never understood it, I mean really understood it, until I was standing in the jungle with my heart pounding in my chest and I found that even I could not stand against my own heart. I had to go back... and it did not matter what Starfleet thought or what the consequences were. She was my wife and I could not leave her."
"As your captain, it is my duty to inform you that you made the wrong choice. I don't think Starfleet will file any formal charges. Even a secret court-martial would run the risk of revealing too much about their intelligence operations. But this will go in to your service record... and to be completely honest, you probably won't be offered a command on your own after this."
"I understand."
"I have also issued new orders. You and Jadzia are not to be assigned to a mission on your own ever again. And one last thing. As a man who had a wife, if Jennifer had been lying in that clearing, I wouldn't have left her either."
- - Worf and Benjamin Sisko
Background information Edit
Story and scriptEdit
- The basic story of this episode, the idea of two officers journeying into a jungle behind enemy lines, was inspired by the 1968 John Wayne and Ray Kellogg movie The Green Berets, which also starred George Takei. (Star Trek: Deep Space Nine Companion)
- The B-story for this episode originally involved Rom, Nog, and Prinadora. The plot involved Prinadora arriving on the station and claiming that she has come to reconcile with Rom and get to know Nog, but it turns out she's actually there to hood-wink Rom all over again. (Star Trek: Deep Space Nine Companion)
- Max Grodénchik, Aron Eisenberg, Chase Masterson, and Lolita Fatjo have performed the unfilmed B-plot at conventions. [1]
- This episode's narrative structure is unique in Deep Space Nine insofar as the B-story (Bashir and O'Brien attempting to defeat Quark at tongo) ends just after the halfway point of the episode, and then the A-story takes over completely. Usually, A and B stories run concurrently for an entire episode. The reason writer Ronald D. Moore wrote the show this way was because he had been deeply unsatisfied with the results the last time he mixed a dark and serious A-story with a light-weight and inconsequential B-story; in the third season episode "Life Support". According to Moore, "After Jadzia gets hurt, it gets so intense that we didn't want to break out and be cutting back." In "Life Support", Moore had mixed an A-story involving the slow death of Vedek Bareil, with a B-story involving Jake and Nog on a disastrous double-date, and after the episode was completed, he came to feel that the farcical B-story really hurt the serious A-story. As such, he was determined not to make the same mistake again, so he purposely kept the B-story short and non-intrusive. (Star Trek: Deep Space Nine Companion)
- After reading the script for this episode, Terry Farrell requested that Dax be killed now if she was going to be killed at all. At the time of production, she had already decided to leave the show following the end of season 6, as contract talks had failed to bring about a new contract for season 7, and she felt that having Worf complete the mission and leave Dax to die would create a very interesting character arc for him in the final season. According to Farrell, "I knew I wasn't coming back for the seventh season, so it was really written well, and it was the controversy of whether Worf should come back and save my life and not complete the mission, or complete the mission. But he decides to save his wife's life, and I remember thinking, 'Ah, this would be the perfect one to just end it'. I had asked not to be killed, but if you need to kill me because that's what you need to do, that would have been the perfect episode to do it because it would have been so much more for Worf's character to play in the long run, because he would have let his wife die, but completed the mission. Oh my God, what an awful thing to live with." (Crew Dossier: Jadzia Dax, DS9 Season 2 DVD special features) Jadzia was ultimately killed in the sixth season finale "Tears of the Prophets" by a Pah-wraith-possessed Gul Dukat.
- As with such incidents as Worf's decision to kill Kurn in "Sons of Mogh", Kira's refusal to apologize to Silaran Prin in "The Darkness and the Light" and Odo's decision to allow an entire society disappear in "Children of Time", the writers saw this as another chance to take a character on an unexpectedly dark journey which would surprise the viewers. According to Ronald D. Moore, "I felt very strongly that we shouldn't let Worf off the hook when he's faced with a tough choice. So often in a story like this a character will get to have it both ways – his wife lives and he accomplishes the mission. They always cheat it somehow. But Worf was just not going to let Jadzia die out there in the jungle, so we decided to let him fail, to let that guy die and to let Worf take that hit. It represented a more interesting choice, and an unexpected decision on the part of the character." (Star Trek: Deep Space Nine Companion)
- The jungle of Soukara was created by the Greens Department on Stage 5 on the Paramount lot. Because there were so many walking shots, the jungle was built as a large circle so that the actors and crew didn't have to keep stopping and switching sides every time they reached the 'end'. However, during shooting, the general consensus was that the Greens people did too good a job in constructing the oppressive jungle. According to art director Randy McIlvain, "We had designed small platforms to put all these trees on, so that the filmmakers could move the platforms out and get into the jungle area to shoot. But they added more and more plants, until we couldn't move the platforms! The plants and vines were all intertwined." As Steve Oster points out, "It got so difficult that we might as well have been on location." (Star Trek: Deep Space Nine Companion)
- Ira Steven Behr says of this episode, "This was the episode that was going to show that the love Worf has for Dax goes beyond his Klingon upbringing, and even beyond his Starfleet training. That was a bold step to take with a character who had previously been defined by these very two elements." (Star Trek: Deep Space Nine Companion)
- This was the 500th episode of Star Trek to air.
- This episode reintroduces the notion that Bashir is still madly in love with Dax, something which has its origins in the very first episode of the series, "Emissary". Bashir's realization here that he still loves her however would finally pay off in the series finale, "What You Leave Behind", albeit with Ezri Dax as opposed to Jadzia Dax.
- This episode marks the first appearance of Deep Space 9's newest Danube-class runabout, the USS Shenandoah, and the Dominion-held planet of Soukara, which is later referred to in "In the Pale Moonlight".
- This episode contains the only reference to Worf's adopted brother Nikolai Rozhenko since his appearance in TNG: "Homeward".
- When they are in their quarters getting ready for bed, Dax tells Worf that the USS Sutherland will be docking at the station. This is the same ship that was at the station during the episode "You Are Cordially Invited" and aboard which Manuele Atoa serves as a lieutenant. This is also the same ship that was in the fleet led by the USS Enterprise-D during the Klingon Civil War mentioned in TNG: "Redemption II".
- Casperia Prime is mentioned for the first time in this episode as Dax's intended honeymoon destination.
- Rene Auberjonois (Odo) and Cirroc Lofton (Jake Sisko) do not appear in this episode.
Apocrypha Edit
- The events of this episode are an important part of the novel Resistance, when Worf rejects Captain Picard's decision to make him the new first officer of the USS Enterprise-E – following Commander Riker's promotion and Data's death – because he feels that he does not deserve the command after his actions here. However, when Picard is briefly re-assimilated by the Borg, Worf nevertheless takes command, successfully destroying the Borg drones on the enemy cube and rescuing Picard, Doctor Crusher simultaneously managing to "infect" the Borg Queen with a "virus" that will prevent the Collective from creating a new one.
- The events of this episode are referenced when Worf meets Ezri Dax – Jadzia's "successor" as the Dax host – during the Star Trek: Destiny trilogy; with Ezri now a captain and Worf a first officer, she expresses concern that Worf's lower rank is the result of him saving Jadzia, but Worf assures her that she does great honor to Jadzia's memory with her career and that he has nothing but respect for her.
Video and DVD releases Edit
- UK VHS release (two-episode tapes, CIC Video): Volume 6.8, 10 August 1998
- As part of the DS9 Season 6 DVD collection
Links and references Edit
Starring Edit
- Avery Brooks as Captain Sisko
Also starring Edit
- Rene Auberjonois as Odo
- Michael Dorn as Lieutenant Commander Worf
- Terry Farrell as Lieutenant Commander Dax
- Colm Meaney as Chief O'Brien
- Armin Shimerman as Quark
- Alexander Siddig as Doctor Bashir
- Nana Visitor as Major Kira
Guest star Edit
Uncredited co-starEdit
- Chester E. Tripp III (stunt actor)
References Edit
advisor; Alpha Quadrant; Americans; Andor; anti-coagulant; asteroid; bandage; bedside manner; bloodwine; calf; Cardassia Prime; Cardassians; chiffon; coach; darts; disruptor burst; Enterprise-D, USS; evasive maneuvers; Ferengi; Founders; Horvian Cluster; Istanbul; Jem'Hadar; joule; kayaking; latinum; mating call; mek'leth; medical tricorder; medkit; meter; MI5; Ninth Fleet; O'Brien, Keiko; kilometer; par'Mach'kai; plasma; Quark's; Queen of England; rhinestone; Risa; Romulan; room service; Rozhenko, Helena; Rozhenko, Sergey; runabout; Scotch whiskey; Shenandoah, USS; Sisko, Jennifer; Soukara system; Starfleet Bureau of Information; Starfleet Intelligence; stasis chamber; starbase; Sutherland, USS; Union of Soviet Socialist Republics; tongo; tricorder; Ural Mountains; vital organs; Vorta; Vulcan's Forge; West Berlin; Yeager-type starship
External links Edit
- "Change of Heart" at Memory Beta, the wiki for licensed Star Trek works
- "Change of Heart" at Wikipedia
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"Honor Among Thieves"
| Star Trek: Deep Space Nine
Season 6
| Next episode:
"Wrongs Darker Than Death or Night"


text:
Town Square
San Jose man flees approaching Pleasanton police at Shadow Cliffs, arrested on weapons charge
Original post made on Jul 3, 2013
Read the full story here Web Link posted Wednesday, July 3, 2013, 8:10 AM
a resident of Del Prado
on Jul 3, 2013 at 8:57 am
Did I read that right? Possession of nun chunks and blackjacks is a felony while possession of a concealed firearm is a misdemeanor? What in the world is wrong with our legislators? Can't we elect people with half a brain into office here in California?
a resident of Del Prado
on Jul 3, 2013 at 10:26 am
Called that one right, most of our legislators only have 1/2 a brain, that's the problem, and a bad case of sticky fingers!! How did Kaki Sushi have 4 IPads laying around?? Reading these police reports always seems like the victims do a little padding ?? No wonder everybody's insurance is so high.
a resident of Another Pleasanton neighborhood
on Jul 3, 2013 at 11:14 am
Possession of a firearm CAN be a felony if the serial number is altered, if its near a school zone or if the person is a convicted felon. I am guessing the officers are well trained in weapon laws and likely determined none of those applied therefore he was arrested for a misdemeanor.
a resident of Another Pleasanton neighborhood
on Jul 3, 2013 at 8:49 pm
There is more to the stolen gun story than posted...more will follow I am sure.
a resident of Another Pleasanton neighborhood
on Jul 4, 2013 at 6:57 pm
The fact that my tax dollars are wasted on arresting a kid selling weed-and cops who could be stopping a drunk driver from killing somebody are instead wasting our time and money on pot is a freakin' joke.
a resident of Another Pleasanton neighborhood
on Jul 5, 2013 at 5:42 am
So Susan, the police are supposed to let drug dealers go simply to make you happy and look for a DUI driver? There are many laws they must enforce, DUI is only a small fraction of them. Me personally, if I lived in The Preserve, I would be THANKING the police for taking a drug dealer (likely attracting his customers to the same neighborhood) off the street. Although its only marijuana, it is still a felony in CA to sell it. I would guess Pleasanton PD specifically has 5-9 cops working a night on night shift. So 1 cop makes this arrest, I am pretty sure the remaining cops are still on the street to keep us safe (DUI arrests included). Also, in case you did not know, Pleasanton PD makes hundreds of DUI arrests annually and has many officers skilled in the detection of those drivers.
a resident of Another Pleasanton neighborhood
on Jul 5, 2013 at 10:12 am
It's amazing how Shadow Cliffs and Lake Del Valle have become such scum magnets. We gave going to either place years ago. Also, I am very much in favor of the cops busting anybody selling weed. The drug dealers are at the top of the scum list.
a resident of Ridgeview Commons
on Apr 24, 2017 at 6:38 pm
Due to repeated violations of our Terms of Use, comments from this poster are automatically removed. Why?


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The professional baseball player for the Boston Red Sox is perhaps best known by his nickname, "Big Papi." Ortiz is an all-star first baseman and designated hitter. In 2013, he was a crucial player as he helped his team clinch the World Series.
The victory was a bright note after a very difficult year for Boston. The city was still healing from the tragic bombing in April. Two bombs shook Boston during the marathon, which was held on Patriots' Day, a Massachusetts state holiday. Three people were killed and more than 260 people were injured in the attack. In the months after, Ortiz emerged as a leader and beacon of hope. He supported the city and helped lead the Red Sox from worst to first. When they were losing in the championship game, Ortiz gave his teammates a pep talk. After that, the team never trailed. Ortiz was named the 2013 World Series Most Valuable Player.
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