Or. Admin. Code § 309-012-0032

Current through Register Vol. 63, No. 12, December 1, 2024
Section 309-012-0032 - Requirements for Obtaining Financial Information
(1) Information Obtained from the Person and/or the Person's Representative. The Division shall require the person and/or the person's representative to submit financial information on forms provided by the Division. Financial information required by the Division shall include, but shall not be limited to the following:
(a) A description of the person's assets, and their values;
(b) A description of the person's liabilities, the dates they were incurred, the total amounts owing, and a schedule of actual or planned payment dates and amounts;
(c) The sources and amounts of the person's income;
(d) The sources of available benefits from health insurance;
(e) A description and the amounts of the person's expenses;
(f) The names and ages of any dependents, and the sources and amounts of income and assets, other than those of the person, which are available for their support; and
(g) The income, assets, and liabilities of the person's spouse or other individual who shares the person's expenses;
(h) Other information the person and/or the person's representative considers important to the determination of the person's ability to pay.
(2) Information Obtained from Other Sources. In addition, the Division may obtain financial information regarding the person from other sources the Division considers to be reliable. These sources may include, but are not limited to, the Social Security and Veterans Administrations, Oregon Department of Revenue, and other Oregon Health Authority agencies.

Or. Admin. Code § 309-012-0032

MHD 5-1980(Temp), f. & ef. 4-18-80; MHD 14-1980, f. & ef. 6-24-80; MHD 9-1991, f. 12-13-91, cert. ef. 12-16-91

Stat. Auth.: ORS 179.770, 413.042 & 431.021

Stats. Implemented: ORS 179.610 - 179.770