In addition to eligibility requirements applicable to the MAGI Adult program in other rules in chapter 410 division 200, this rule describes specific eligibility requirements for the MAGI Adult program.

1. (1) To be eligible for the MAGI Adult program an individual must:

   1. (a) Be 19 years of age or older and under age 65; and
   2. (b) Have household income at or below 133 percent federal poverty level (OAR 410-200-0315) for the applicable family size.

2. (2) To be eligible for the MAGI Adult program, an individual may not be:

   1. (a) Pregnant;
   2. (b) Entitled to or enrolled for Medicare benefits under part A or B of Title XVIII of the Act;
   3. (c) Receiving SSI benefits; or
   4. (d) A parent or caretaker relative of a child living in the home who is not enrolled in minimum essential coverage.

Statutory/Other Authority

ORS 411.402, 411.404 & 413.042

Statutes/Other Implemented

ORS 411.400, 411.402, 411.404, 411.406, 411.439, 411.443, 413.032, 413.038, 414.025, 414.231, 414.447 & 414.706

History

DMAP 23-2020, amend filed 05/07/2020, effective 05/08/2020
DMAP 3-2015, f. & cert. ef. 1-30-15
DMAP 67-2014(Temp), f. 11-14-14, cert. ef. 11-15-14 thru 5-13-15
DMAP 20-2014, f. & cert. ef. 3-28-14
DMAP 4-2014(Temp), f. & cert. ef. 1-15-14 thru 3-30-14
DMAP 54-2013(Temp), f. & cert. ef. 10-1-13 thru 3-30-14