Or. Admin. Code § 413-100-0435 - Title XIX Medicaid Eligibility for a Child or Young Adult Receiving Adoption Assistance or Guardianship Assistance
(1) The Child Welfare Post Adoption Program
will determine and maintain Child Welfare Title XIX Medicaid eligibility for
the following children and young adults:
(a)
A child or young adult who has exited Department custody as the result of a
finalized adoption, and the child or young adult is the subject of an effective
adoption assistance agreement administered by the Department. Prior to the
adoption finalization the child or young adult receives medical coverage as
described in OAR 413-100-0430.
(b) A child or young adult who is determined
eligible for guardianship assistance and is the subject of an effective
guardianship assistance agreement administered by the Department.
(c) A child or young adult who is the subject
of an adoption that does not require the Department's consent and is the
subject of an effective adoption assistance agreement administered by the
Department.
(2) Before
a child or young adult described in section (1) of this rule may receive a
medical card providing Child Welfare Title XIX Medicaid services, the Child
Welfare Post Adoption Program must determine the eligibility of the child or
young adult for Child Welfare Title XIX Medicaid.
(3) The requirements listed in OAR
413-100-0430(3)
also apply to children and young adults described in section (1) of this rule.
(4) A child or young adult
described in section (1) of this rule who is the subject of a guardianship
assistance agreement where Title IV-E funded payments are being made to the
guardian is eligible for Child Welfare Title XIX Medicaid.
(5) A child or young adult described in
section (1) of this rule who is the subject of an adoption assistance agreement
where the pre-adoptive parent or adoptive parent is eligible to receive a Title
IV-E funded payment is eligible for Child Welfare Title XIX Medicaid.
(6) A child or young adult
described in section (1) of this rule who is the subject of an adoption
assistance agreement or guardianship assistance agreement, where the child or
young adult was eligible for Child Welfare Title XIX Medicaid while in
substitute care but ineligible for Title IV-E foster care, will be determined
eligible and provided Child Welfare Title XIX Medicaid.
(7) A child or young adult described in
section (1) of this rule determined ineligible to receive Child Welfare Title
XIX Medicaid will be provided General Assistance medical when:
(a) The child or young adult resides in
Oregon; or
(b) The child or young
adult resides outside of Oregon but in the United States or a territory or
possession thereof and is not able to receive medical assistance through the
state of residence.
(8)
Annual redeterminations are not required for children and young adults under a
finalized adoption assistance agreement or guardianship assistance
agreement.
Notes
Stat. Auth.: ORS 418.005
Stats. Implemented: ORS 418.005
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.