This rule explains the obligation of individuals applying for
or receiving benefits under the Oregon Supplemental Income Program Medical
(OSIPM) or Qualified Medicare Beneficiaries (QMB) program to cooperate with the
Oregon Child Support Program and to obtain cash medical support for any
individual receiving Medicaid under the state plan for which the individual can
legally assign rights (see OAR
461-120-0310).
(1) Unless excused from the requirements of
subsection (c) of this section or for
good cause defined in
OAR
461-120-0350:
(a) Individuals must cooperate with the
Department and the Oregon Child Support Program of the
Department of Justice in
establishing the identity of the
parents (see OAR
461-001-0000) of any
child (see OAR
461-001-0000) receiving Medicaid
under the state plan for which
the individual can legally
assign
rights.
(b) Individuals must
cooperate with obtaining cash medical support.
(c) The Department may not refer a case for
medical support enforcement when the referral is based solely on health care
services provided through an Indian Health Program to a child who is eligible
for health care services from the Indian Health Service.
(2) An individual who fails to meet an
applicable requirement in section (1) of this rule is ineligible.
(a) In the case of an individual failing to
meet the requirements of section (1) of this rule, the
Department shall deny or
close program benefits after providing
the individual with notice and an
opportunity to show
good cause (see OAR
461-120-0350).
(b) The loss of eligibility does not apply to
individuals who are not legally able to assign rights on behalf of
themselves.
Notes
Or. Admin. Code
§
461-120-0345
AFS 28-1992, f.
& cert. ef. 10-1-92; AFS 19-1993, f. & cert. ef. 10-1-93; AFS 2-1994,
f. & cert. ef. 2-1-94; AFS 10-1995, f. 3-30-95, cert. ef. 4-1-95; AFS
30-1996, f. & cert. ef. 9-23-96; AFS 3-1997, f. 3-31-97, cert. ef. 4-1-97;
AFS 19-1997, f. & cert. ef. 10-1-97; AFS 24-1997, f. 12-31-97, cert. ef.
1-1-98; AFS 10-1998, f. 6-29-98, cert. ef. 7-1-98; AFS 1-2000, f. 1-13-00,
cert. ef. 2-1-00; AFS 17-2000, f. 6-28-00, cert. ef. 7-1-00; AFS 19-2001, f.
8-31-01, cert. ef. 9-1-01; AFS 27-2001, f. 12-21-01, cert. ef. 1-1-02; AFS
13-2002, f. & cert. ef. 10-1-02; SSP 1-2003, f. 1-31-03, cert. ef. 2-1-03;
SSP 16-2003, f. & cert. ef. 7-1-03; SSP 29-2003(Temp), f. 10-31-03, cert.
ef. 11-1-03 thru 3-31-04; SSP 33-2003, f. 12-31-03, cert. ef. 1-4-04; SSP
35-2003(Temp), f. 12-31-03 cert. ef. 1-1-04 thru 3-31-04; SSP 6-2004, f. &
cert. ef. 4-1-04; SSP 17-2004, f. & cert. ef. 7-1-04; SSP 11-2007(Temp), f.
& cert. ef. 10-1-07 thru 3-29-08; SSP 5-2008, f. 2-29-08, cert. ef. 3-1-08;
SSP 29-2009(Temp), f. & cert. ef. 10-1-09 thru 3-30-10; SSP 38-2009, f.
12-31-09, cert. ef. 1-1-10; SSP 30-2013(Temp), f. & cert. ef. 10-1-13 thru
3-30-14; SSP 38-2013, f. 12-31-13, cert. ef. 1-1-14; SSP 25-2016(Temp), f.
6-30-16, cert. ef. 7-1-16 thru 12-27-16;
SSP
31-2016, f. & cert. ef.
9/1/2016;
SSP
44-2016, f. 12-7-16, cert. ef.
1/1/2017;
SSP
14-2017, f. 6-5-17, cert. ef.
7/1/2017;
SSP
26-2019, amend filed 12/27/2019, effective
1/1/2020;
SSP
42-2022, temporary amend filed 07/18/2022, effective
7/18/2022 through 1/13/2023;
SSP
50-2022, amend filed 09/30/2022, effective
10/1/2022;
SSP
41-2024, amend filed 06/20/2024, effective
7/1/2024;
SSP
51-2024, minor correction filed 09/04/2024, effective
9/4/2024
Statutory/Other Authority: ORS
411.060,
411.070,
412.024,
412.049 &
414.042
Statutes/Other Implemented: ORS
411.060,
411.070,
412.001,
412.024,
412.049,
414.025,
414.042,
42 CFR
433.147,
42 CFR
435.610 &
42 USC
1396e-1
