Or. Admin. Code § 461-135-0750
Current through Register Vol. 63, No. 12, December 1, 2024
Section 461-135-0750 - Individuals Applying for or Receiving Long-Term Care or Home and Community-Based CareIn the OSIPM program, an individual who does not meet the income requirements for OSIPM under sections (3) or (5) of OAR 461-155-0250 and who meets the following requirements is subject to the OSIPM income limit specified in OAR 461-155-0250(2):
(1) The individual meets at least one of the following eligibility standards: (a) The criteria in OAR 411-015-0100 (except subsection (1)(b)) regarding eligibility for nursing facility care or home and community-based care (see OAR 461-001-0030).(b) The level-of-need criteria for an ICF-ID.(c) The service eligibility standards for the CIIS (Children's Intensive In-Home Services) programs in OAR 411-300-0100 to 411-300-0220.(2) The individual resides in or will reside in one of the following locations for a continuous period of care (see OAR 461-001-0030) and is applying for or receiving long-term care services authorized by the Department: (a) A Medicaid-certified nursing facility.(b) An intermediate care facility for individuals with intellectual disabilities (ICF-ID).(c) A home and community-based care setting.(3) For an individual who resides or will reside in a home and community-based care setting, the individual receives Title 1915(c) waivered services.Or. Admin. Code § 461-135-0750
AFS 80-1989, f. 12-21-89, cert. ef. 2-1-90; AFS 13-1991, f. & cert. ef. 7-1-91; AFS 1-1999(Temp), f. & cert. ef. 2-1-99 thru 7-31-99; AFS 7-1999, f. 4-27-99, cert. ef. 5-1-99; AFS 11-2001, f. 6-29-01, cert. ef. 7-1-01; SSP 17-2004, f. & cert. ef. 7-1-04; SSP 19-2005, f. 12-30-05, cert. ef. 1-1-06; SSP 15-2006, f. 12-29-06, cert. ef. 1-1-07; SSP 4-2007, f. 3-30-07, cert. ef. 4-1-07; SSP 10-2007, f. & cert. ef. 10-1-07; SSP 10-2008(Temp), f. & cert. ef. 4-7-08 thru 9-30-08; SSP 17-2008, f. & cert. ef. 7-1-08; SSP 17-2013(Temp), f. & cert. ef. 7-1-13 thru 12-28-13; SSP 26-2013, f. & cert. ef. 10-1-13; SSP 9-2014, f. & cert. ef. 4-1-14; SSP 13-2016, f. 3-21-16, cert. ef. 4/1/2016; SSP 23-2017, f. 9-11-17, cert. ef. 10/1/2017; SSP 15-2019, amend filed 06/11/2019, effective 7/1/2019Statutory/Other Authority: ORS 409.050, 411.060, 411.070, 411.404, 413.085 & 414.685
Statutes/Other Implemented: ORS 409.010, 411.060, 411.070 & 411.404