Or. Admin. R. 461-135-0750 - Individuals Applying for or Receiving Long-Term Care or Home and Community-Based Care

Current through Register Vol. 61, No. 4, April 1, 2022

In the OSIPM program, an individual who does not meet the income requirements for OSIPM under sections (3) or (5) of OAR 461-155-0250 and who meets the following requirements is subject to the OSIPM income limit specified in OAR 461-155-0250(2):

(1) The individual meets at least one of the following eligibility standards:
(a) The criteria in OAR 411-015-0100 (except subsection (1)(b)) regarding eligibility for nursing facility care or home and community-based care (see OAR 461-001-0030).
(b) The level-of-need criteria for an ICF-ID.
(c) The service eligibility standards for the CIIS (Children's Intensive In-Home Services) programs in OAR 411-300-0100 to 411-300-0220.
(2) The individual resides in or will reside in one of the following locations for a continuous period of care (see OAR 461-001-0030) and is applying for or receiving long-term care services authorized by the Department:
(a) A Medicaid-certified nursing facility.
(b) An intermediate care facility for individuals with intellectual disabilities (ICF-ID).
(c) A home and community-based care setting.
(3) For an individual who resides or will reside in a home and community-based care setting, the individual receives Title 1915(c) waivered services.

Notes

Or. Admin. R. 461-135-0750
AFS 80-1989, f. 12-21-89, cert. ef. 2-1-90; AFS 13-1991, f. & cert. ef. 7-1-91; AFS 1-1999(Temp), f. & cert. ef. 2-1-99 thru 7-31-99; AFS 7-1999, f. 4-27-99, cert. ef. 5-1-99; AFS 11-2001, f. 6-29-01, cert. ef. 7-1-01; SSP 17-2004, f. & cert. ef. 7-1-04; SSP 19-2005, f. 12-30-05, cert. ef. 1-1-06; SSP 15-2006, f. 12-29-06, cert. ef. 1-1-07; SSP 4-2007, f. 3-30-07, cert. ef. 4-1-07; SSP 10-2007, f. & cert. ef. 10-1-07; SSP 10-2008(Temp), f. & cert. ef. 4-7-08 thru 9-30-08; SSP 17-2008, f. & cert. ef. 7-1-08; SSP 17-2013(Temp), f. & cert. ef. 7-1-13 thru 12-28-13; SSP 26-2013, f. & cert. ef. 10-1-13; SSP 9-2014, f. & cert. ef. 4-1-14; SSP 13-2016, f. 3-21-16, cert. ef. 4/1/2016; SSP 23-2017, f. 9-11-17, cert. ef. 10/1/2017; SSP 15-2019, amend filed 06/11/2019, effective 7/1/2019

Statutory/Other Authority: ORS 409.050, 411.060, 411.070, 411.404, 413.085 & 414.685

Statutes/Other Implemented: ORS 409.010, 411.060, 411.070 & 411.404

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