Or. Admin. Code § 410-200-0450

Current through Register Vol. 63, No. 11, November 1, 2024

Section 410-200-0450 - Specific Requirements - Veteran Dental Program

(1) The Veteran Dental Program is effective January 1, 2023.

(2) To be eligible for the Veteran Dental Program, an individual must:

(a) Be a resident of Oregon;

(b) Be a veteran as described in ORS 408.225, except the individual may be discharged or released under honorable conditions or other conditions; and

(c) Have MAGI-based income (see OAR 410-200-0015 General Definitions (55)) within 400% FPL.

(3) Individuals found eligible for the Veteran Dental Program must provide verification of discharge as a condition of ongoing eligibility.

(4) To be eligible for the Veteran Dental program an individual must not be eligible for Medicaid under Title XIX of the Social Security Act or the Children's Health Insurance Program under Title XXI of the Social Security Act, except an individual may be eligible for and receive Medicare Savings Programs.

(5) The begin-date of Veteran Dental Program benefits will align with OAR 410-200-0115 HSD Medical Programs - Effective Dates.

(6) Eligibility for Veteran Dental Program is subject to the availability of funds. The agency may close enrollment and implement the Veteran Dental Program reservation list when enrollment has reached capacity. The reservation list will retain the information of individuals who would have been found eligible for the Veteran Dental Program if not for closed enrollment.

(a) Individuals who apply and are denied the Veteran Dental Program due solely to closed enrollment will be added to the reservation list in date-order, based on the Date of Request (DOR) of the application that was denied.

(b) When enrollment is reopened, individuals will be selected from the reservation list in oldest to newest DOR date order. Once selected, the agency shall:

(A) Initiate a DOR on the individual's behalf;

(B) Send notification to inform the individual that they've been selected from the reservation list;

(C) Provide 45 days to reapply.

(c) Failure to reapply within the timeframe provided will result in inactivation of their reservation. Individuals may reapply at any time.

Or. Admin. Code § 410-200-0450

DMAP 89-2022, adopt filed 12/16/2022, effective 1/1/2023

Statutory/Other Authority: ORS 411.095, 411.402, 411.404, 413.038 & 414.025

Statutes/Other Implemented: ORS 411.095, 411.402, 411.404, 413.038, 414.025, 414.534, 411.400, 411.406, 411.439, 413.032, 414.231, 414.536 & 414.706