1. (1) To be eligible for crisis supports, an individual must:

   1. (a) Be eligible for or receiving Medicaid long term services and supports, including OPI-M, from Aging and People with Disabilities;
   2. (b) Have an identified, short-term need which, if provided this funding, supports the individual to establish or maintain their service plan;
   3. (c) Have an assessed crisis as defined in these rules;
   4. (d) Have a stable, ongoing plan in place to resolve the need for crisis services;
   5. (e) Not have the funds to meet the need;
   6. (f) Not have natural supports or other services available in the community or other sources of funding that would meet the identified need; and
   7. (g) For a crisis support need that directly impacts the ability to maintain placement in a licensed care setting, the need must be able to be remediated by the items or services described in OAR 411-017-0040(h).
2. (2) The individual and their Case Manager must have or develop a plan that ensures service plan stability.
3. (3) The crisis support service must be cost effective.
4. (4) The individual must be provided the choice to accept or deny the item or service being offered.
5. (5) Home repairs may be approved only when the individual owns the home, lives with family that do not have the resources to address the crisis or the repair is not the responsibility of the landlord.

6. (6) Crisis supports can be used for items and services that:

   1. (a) Are necessary to prevent or resolve the crisis;
   2. (b) Are not reasonably accessible through natural supports or other community services;
   3. (c) Do not require ongoing payments;
   4. (d) Are not the responsibility of any other party; and
   5. (e) Are not typically covered by insurance or medical benefits.

7. (7) To be eligible for funding under this Rule, services must meet one or more of the following criteria:

   1. (a) The need must be short term and immediate.
   2. (b) The need must be met to prevent admission or readmission to a higher level of care.
   3. (c) The item or repair must meet community standards to ensure health and safety.
   4. (d) Other members of the household must continue to pay their portion of any security deposits, rent, housing payments, utility payments, or similar expenses.

8. (8) The Department has full discretion for:

   1. (a) Determining eligibility for crisis supports;
   2. (b) Denying requests that don't meet community standards to ensure health and safety; and
   3. (c) Granting exceptions to the provisions in this rule.

Statutory/Other Authority

ORS 409.050, 410.070, 410.090 & 410.210-410.300

Statutes/Other Implemented

ORS 410.010, 410.020 & 410.070

History

APD 2-2026, adopt filed 01/13/2026, effective 01/14/2026
APD 9-2025, temporary adopt filed 07/16/2025, effective 07/21/2025 through 01/16/2026