Or. Admin. Code § 461-180-0050 - Effective Dates; Suspending or Closing Benefits and JOBS and REP Support Service Payments
(1) This
rule explains the effective date for closing or suspending benefits for the
entire benefit group (see OAR
461-110-0750) and the effective
date for ending Job Opportunity and Basic Skills (JOBS) and Refugee Employment
Program (REP) support service payments.
(2) In all programs, upon the death of the
only individual in a benefit group, the effective date of the
closure is:
(a) In the Refugee Assistance
(REF), Supplemental Nutrition Assistance Program (SNAP), and Temporary
Assistance for Needy Families (TANF) program, the last day of the month in
which the death occurred.
(b) In
all other programs, the date of the death.
(3) For all closures and suspensions not
covered by section (2) of this rule, the effective date is determined as
follows:
(a) When prospective eligibility is
used, the effective date for closing or suspending benefits is the last day of
the month in which the notice period ends.
(b) For a pregnant individual receiving
benefits of the OSIPM program, the effective date for closing benefits is no
earlier than the last day of the calendar month in which the 60th day after the
last day of pregnancy falls, except at the individual's request.
(c) For an individual who is receiving
medical assistance and becomes incarcerated with an expected stay of a year or
less, the effective date for suspending medical benefits is the effective date
on the decision notice (see OAR
461-001-0000).
(d) The effective date for ending support
service payments authorized under OAR
461-190-0211 is the earlier of
the following:
(A) The date the related JOBS
activity is scheduled to end.
(B)
The date the individual no longer meets the requirements of OAR
461-190-0211.
(e) The effective date for ending
support service payments authorized under OAR 461-190-0215 is the earlier of
the following:
(A) The date the related REP
activity is scheduled to end.
(B)
The date the individual no longer meets the requirements of OAR
461-190-0215.
(f) In the
Oregon Supplemental Income Program (OSIP), Oregon Supplemental Income Program
Medical (OSIPM), and Qualified Medicare Beneficiaries (QMB) programs,
notwithstanding any other provision in Chapter 461, benefits can be closed
retroactively under any of the conditions listed below:
(A) The individual has moved out of state,
requested closure of benefits prior to the move, but the Department failed to
take the action. The effective date is the end of the month prior to the month
in which the individual established residency in the new state.
(B) In the QMB programs, the individual
became disenrolled from Medicare. The effective date is the end of the month
prior to the month the individual was disenrolled.
(C) The effective date of a retroactive
closure described in paragraph (A) above cannot be before the end of the month
in which medical claims were incurred and paid.
Notes
Statutory/Other Authority: ORS 409.050, 411.060, 411.070, 411.404, 411.706, 411.816, 412.006 & 412.009
Statutes/Other Implemented: ORS 409.010, 411.060, 411.070, 411.404, 411.706, 411.816, 412.014, 412.049 & 45 CFR 400
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