Or. Admin. R. 410-120-2010 – HRSN Service Requests

(1) MCEs and the Authority shall accept and document all requests for HRSN Services (“HRSN Request(s)”) received through the pathways identified in OAR 410-120-2005 which utilize the methods described in section (11) of this rule. MCEs and the Authority shall accept, document, and receive all Self-Attestations for HRSN Services in the same manner as it accepts, documents, and receives all other HRSN Requests.
(2) MCEs and the Authority shall accept HRSN Requests from HRSN Connectors, that are not HRSN Service Providers, in writing or via telephone (or both). With the exception of HRSN Medically Tailored Meals, HRSN Home Changes for Safety, and HRSN Rent and Utility Financial Assistance, all other HRSN Requests made to the MCE or, as applicable, the Authority shall be effective when made:
1. (a) By telephone upon documenting all of the information in subsection (c) of this section (2). Documentation must be made during the telephone call or immediately thereafter; or
2. (b) In writing by the HRSN Connector and delivered to the MCE or, as applicable the Authority, provided that the writing includes all of the information described in subsection (c) of this section (2).
3. (c) An HRSN Request submitted by HRSN Connectors must be documented in writing as described in subsections (a) or (b) of this section (2) and include all of the following information:
  1. (A) The name and contact information for the individual recommended; and
  2. (B) The HRSN Service(s) the individual needs or may need; and
  3. (C) A statement that the individual desires to take part in an HRSN Eligibility Screening performed by the MCE, or as applicable, the Authority, in accordance with OAR 410-120-2015.
(3) HRSN Requests for Medically Tailored Meals made by HRSN Connectors that are not HRSN Service Providers shall be effective when the MCE, or as applicable, the Authority, has collected all of the information in subsections (a) and (b) of this section (3):
1. (a) The information identified in this subsection (a) must be collected in writing or may be collected during a telephone call. If the information is collected during a telephone call, the information must be documented by the MCE or, as applicable, the Authority, during or immediately after the telephone call.
  1. (A) Name and contact information for the individual recommended; and
  2. (B) The HRSN Service(s) the individual needs or may need; and
  3. (C) A statement that the individual desires to take part in an HRSN Eligibility Screening performed by the MCE, or as applicable, the Authority; and
2. (b) The following must be obtained in writing:
  1. (A) An assessment conducted by a Registered Dietitian Nutritionist licensed in the state of Oregon (RDN) indicating that Medically Tailored Meals are Medically Necessary and Medically Appropriate for the individual together with a Nutrition Care Plan; or
  2. (B) An assessment and Nutrition Care Plan may be provided by a primary care physician or a physician specialist such as a cardiologist or oncologist when access to an RDN is limited or delayed.
(4) HRSN Requests for Rent and Utility Financial Assistance made by an HRSN Connectors that are not HRSN Service Providers, shall be effective when the MCE, or as applicable, the Authority, has collected the information in subsections (a) and (b) of this section (4):
1. (a) The information identified in this subsection (a) must be collected in writing or may be collected during a telephone call. If the information is collected during a telephone call, the information must be documented by the MCE or, as applicable, the Authority, during or immediately after the telephone call:
  1. (A) The name and contact information for the individual recommended; and
  2. (B) The HRSN Service(s) the individual needs or may need; and
  3. (C) A statement that the individual desires to take part in an HRSN Eligibility Screening performed by the MCE, or as applicable, the Authority; and
  4. (D) Income verification to determine “At Risk of Homelessness” as defined in OAR 410-120-0000. Income verification may be self-attested to as described in OAR 410-120-2015; and
2. (b) A copy of the written lease, HRSN Verification of Landlord/Tenant Relationship and Rent Owed form, or rental agreement as described in OAR 410-120-2005 Table 5 must be obtained.
(5) HRSN Requests for Home Changes for Safety (Home Modifications and Remediations) made by HRSN Connectors that are not HRSN Service Providers shall be effective when the MCE, or as applicable, the Authority, has collected the information in subsections (a) and (b) of this section (5) as follows:
1. (a) The information identified in this subsection (a) must be collected in writing or may be collected during a telephone call. If the information is collected during a telephone call, the information must be documented by the MCE or, as applicable, the Authority, during or immediately after the telephone call.
  1. (A) The name and contact information for the individual recommended; and
  2. (B) The HRSN Service(s) the individual needs or may need; and
  3. (C) A statement that the individual desires to take part in an HRSN Eligibility Screening performed by the MCE, or as applicable, the Authority.
2. (b) The following information must be provided to, or collected by, the MCE or, as applicable, the Authority, in writing:
  1. (A) A completed scope of work must be submitted to the MCE or the Authority as appropriate, as detailed in OAR 410-120-2005 Table 5; and
  2. (B) If the Member rents their home, the landlord must provide written consent to the service, which shall also serve as verification that the individual lives at the residence; or
  3. (C) If the Member owns their home, the Member must provide proof of homeownership (for example, Certificate of Title/Deed, Monthly mortgage bill).
(6) With the exception of HRSN Medically Tailored Meals, HRSN Home Changes for Safety, and HRSN Rent and Utility Financial Assistance, HRSN Requests made by an HRSN Connector that is also an HRSN Service Provider must be in writing and:
1. (a) Must include all of the following:
  1. (A) Name and contact information for the individual being recommended; and
  2. (B) The HRSN Service(s) the individual needs or may need; and
  3. (C) A statement that the individual desires to take part in an HRSN Eligibility Screening performed by the MCE, or as applicable, the Authority, which must be signed or orally attested to by the individual for whom the request is being made or the individual’s Representative; and
2. (b) May include any one or all of the following:
  1. (A) Confirmation of individual’s current OHP enrollment;
  2. (B) Confirmation of current enrollment in the MCE or in FFS;
  3. (C) Any other information regarding the individual’s potential HRSN Eligibility.
(7) HRSN Requests for Medically Tailored Meals made by an HRSN Connector that is also an HRSN Service Provider must be in writing and:
1. (a) Must include all of the following:
  1. (A) Name and contact information for the individual being recommended; and
  2. (B) The HRSN Service(s) the individual needs or may need; and
  3. (C) A statement that the individual desires to take part in an HRSN Eligibility Screening performed by the MCE, or as applicable, the Authority, which must be signed or verbally attested to by the individual for whom the request is being made or the individual’s Representative; and
  4. (D) Registered Dietitian Nutritionist (RDN) assessment (or Primary Care Provider (PCP) if RDN access is limited or delayed) indicating that Medically Tailored Meals are Medically Appropriate and Medically Necessary for the individual; and
  5. (E) Nutrition Care Plan; and
2. (b) May include any one or all of the following:
  1. (A) Confirmation of individual’s current OHP enrollment;
  2. (B) Confirmation of current enrollment in the MCE or in FFS;
  3. (C) Any other information regarding the individual’s potential HRSN Eligibility.
(8) HRSN Requests for Rent and Utility Financial Assistance made by HRSN Connectors that are also HRSN Service Providers, must be in writing and:
1. (a) Must include all of the following:
  1. (A)The name and contact information for the individual recommended; and
  2. (B) The HRSN Service(s) the individual needs or may need; and
  3. (C) A statement that the individual desires to take part in an HRSN Eligibility Screening performed by the MCE, or as applicable, the Authority; and
  4. (D) A written lease, HRSN Verification of Landlord/Tenant Relationship and Rent Owed form, or rental agreement as described in OAR 410-120-2005 Table 5; and
  5. (E) Income verification to determine “At Risk of Homelessness” as described in OAR 410-120-0000. Income verification may be self-attested to as described in OAR 410-120-2015; and
2. (b) May include any one or all of the following:
  1. (A) Confirmation of individual’s current OHP enrollment;
  2. (B) Confirmation of current enrollment in the MCE or in FFS;
  3. (C) Any other information regarding the individual’s potential HRSN Eligibility.
(9) HRSN Requests for HRSN Home Changes for Safety (Home Modifications and Remediations) made by an HRSN Connector that is also an HRSN Service Provider must be in writing and:
1. (a) Must include all of the following:
  1. (A) The name and contact information for the individual recommended; and
  2. (B) The HRSN Service(s) the individual needs or may need; and
  3. (C) A statement that the individual desires to take part in an HRSN Eligibility Screening performed by the MCE, or as applicable, the Authority; and
  4. (D) If the Member rents their home, the landlord must provide written consent for home modification services, which shall also serve as verification that the individual lives at the residence. If the Member rents their home, and the lease/rental agreement requires landlord approval of any home remediations that will be made, the landlord must provide written consent to the service, which also may serve as the verification that the individual lives at the residence. If the Member rents their home and the lease agreement does not require landlord approval for home remediations, the Member must submit proof of residency. If the Member owns their home, the Member must provide proof of homeownership (for example, Certificate of Title/Deed); and
  5. (E) A completed scope of work must be submitted to the MCE or the Authority as appropriate, as detailed in OAR 410-120-2005 Table 5; and
2. (b) May include any one or all of the following:
  1. (A) Confirmation of individual’s current OHP enrollment;
  2. (B) Confirmation of current enrollment in the MCE or in FFS;
  3. (C) Any other information regarding the individual’s potential HRSN Eligibility.
(10) MCEs and the Authority shall accept complete HRSN Requests from an HRSN Connector that complies with the requirements in this rule. Complete HRSN Requests that comply with the requirements of this rule are subject to the service authorization timeframes identified in OAR 410-120-2020 regardless of whether they are submitted by a Member, HRSN Service Provider, or any other HRSN Connector.
(11) At a minimum, all MCEs and the Authority shall accept HRSN Requests received from an HRSN Connector that uses any of the following delivery methods: email, mail, or personal delivery. MCEs and the Authority may choose to accept other reliable delivery methods, including but not limited to, community information exchange (CIE) and telephone. For HRSN Connectors who are not HRSN Service Providers, delivery method may also include telephone.
(12) A request for HRSN Services that does not comply with the requirements of this rule is not considered complete and is not subject to the service authorization timeframes identified in OAR 410-120-2015 and OAR 410-120-2020. However, MCEs or the Authority must make a good faith effort to work with the Member or HRSN Connector, or both, as applicable to obtain the minimum required information necessary for an HRSN Request to be complete in accordance with this rule. Good faith effort means at minimum, the Member is informed that their HRSN Request is incomplete and is provided with the support they may need to complete the HRSN Request or, as applicable, informing the HRSN Connector of the specific, additional information required to be provided in order for the HRSN Request to be completed. MCEs and the Authority must, when contacting and communicating with a member, utilize the member’s preferred contact method.

Statutory/Other Authority

ORS 413.042

Statutes/Other Implemented

ORS 414.572, 414.605, 414.665, 414.719 & 414.632

History

DMAP 14-2026, temporary amend filed 04/28/2026, effective 05/01/2026 through 10/27/2026
DMAP 97-2025, amend filed 12/29/2025, effective 01/01/2026
DMAP 79-2025, temporary amend filed 10/24/2025, effective 11/01/2025 through 04/29/2026
DMAP 42-2025, amend filed 04/29/2025, effective 05/01/2025
DMAP 144-2024, temporary amend filed 12/29/2024, effective 01/01/2025 through 06/29/2025
DMAP 130-2024, adopt filed 10/24/2024, effective 11/01/2024