Or. Admin. Code § 414-175-0024 - Verification Requirements

(1) Methods of verifying information include the following:

(a) Electronic: Information available and provided o the Department by worker-initiated verification through system access. Electronic verification is the preferred method when information is available.

(b) Self-attestation: Information provided orally or in writing by or on behalf of an individual. Self-attestation is only accepted where indicated below and no other method is required.

(c) Documentation: Documentary evidence provided by or on behalf of an individual or obtained by the Department from a third party. Documentation is required whenever electronic verification is not available and self-attestation is not allowed. Medical documentation must be written and must contain all the following:

(A) A diagnosis in medical terminology, including an explanation of whether the impairment limits the individual's ability to perform normal functions and, if so, how.

(B) A prognosis, including an expected recovery time frame.

(C) Clinical findings from physical examination, psychiatric evaluation, X rays, or a laboratory procedure, including specific data supporting diagnosis of a condition that causes disability, either on a medical or psychiatric basis.

(2) Acceptable forms of medical documentation include:

(a) Evaluations from the following medical sources: medical evaluations only from licensed physicians, including psychiatrists, osteopaths, and ophthalmologists; mental evaluations only from psychiatrists and licensed or certified psychologists; and measurement of visual acuity and visual fields only from ophthalmologists and licensed optometrists.

(b) Supplemental medical and vocational information to augment evaluations from acceptable medical sources, from a licensed social worker, licensed physical or occupational therapist, or licensed nurse practitioner.

(c) Medical evaluations from licensed nurse practitioners and physician assistants; and mental evaluations from psychiatric mental health nurse practitioners.

(3) The following information must be verified at initial application, recertification, and whenever eligibility for benefits becomes questionable, except as outlined in section 4.

(a) Countable income

(b) Special Needs Rate

(c) Identity of the caretaker(s)

(d) Resources: self-attestation is allowable

(e) Child care need

(f) Second caretaker unable to provide adequate care

(g) Need for care of child(ren) age 13 or older at the time of application or recertification: self-attestation is allowable.

(h) Eligibility for priority processing: self-attestation is allowable.

(i) Caretaker's schedule: self-attestation is allowable.

(j) Immunizations:

(A) Reporting that immunizations are up to date: self-attestation is allowable.

(B) Reporting that an immunization series has started or that requirements are met due to having the medical or non-medical exemption form: documentation is required.

(k) Payment of an unpaid copay

(l) Head Start enrollment

(m) Authorized Medical Leave

(A) Parental leave:

(i) Up to 3 months: self-attestation is allowable.

(ii) More than 3 months: medical documentation is required.

(B) Medical leave for any other reason: medical documentation is required.

(4) The following information must be verified during a certification period:

(a) A change in income:

(A) A decrease in income to reduce the copay.

(B) An increase in income due to a new filing group member entering the home.

(C) Income over the income limits in OAR 414-175-0050: self-attestation is allowable.

(b) An increase in child care hours:

(A) For families categorically eligible for ERDC, self-attestation is allowable.

(B) All other requests for increased hours, Electronic verification or documentation is required.

Notes

Or. Admin. Code § 414-175-0024

ELD 11-2023, adopt filed 06/28/2023, effective 7/1/2023; DELC 139-2024, amend filed 12/11/2024, effective 1/1/2025

Statutory/Other Authority: ORS 329A.500

Statutes/Other Implemented: ORS 329A.500