In 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. (1) The individual meets at least one of the following eligibility standards:

   1. (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).
   2. (b) The level-of-need criteria for an ICF-ID.
   3. (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. (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:

   1. (a) A Medicaid-certified nursing facility.
   2. (b) An intermediate care facility for individuals with intellectual disabilities (ICF-ID).
   3. (c) A home and community-based care setting.
3. (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.

Statutory/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

History

SSP 15-2019, amend filed 06/11/2019, effective 07/01/2019
SSP 23-2017, f. 9-11-17, cert. ef. 10-1-17
SSP 13-2016, f. 3-21-16, cert. ef. 4-1-16
SSP 32-2015(Temp), f. & cert. ef. 12-15-15 thru 6-11-16
SSP 9-2014, f. & cert. ef. 4-1-14
SSP 26-2013, f. & cert. ef. 10-1-13
SSP 17-2013(Temp), f. & cert. ef. 7-1-13 thru 12-28-13
SSP 17-2008, f. & cert. ef. 7-1-08
SSP 10-2008(Temp), f. & cert. ef. 4-7-08 thru 9-30-08
SSP 10-2007, f. & cert. ef. 10-1-07
SSP 4-2007, f. 3-30-07, cert. ef. 4-1-07
SSP 15-2006, f. 12-29-06, cert. ef. 1-1-07
SSP 19-2005, f. 12-30-05, cert. ef. 1-1-06
SSP 17-2004, f. & cert. ef. 7-1-04
AFS 11-2001, f. 6-29-01, cert. ef. 7-1-01
AFS 7-1999, f. 4-27-99, cert. ef. 5-1-99
AFS 1-1999(Temp), f. & cert. ef. 2-1-99 thru 7-31-99
AFS 13-1991, f. & cert. ef. 7-1-91
AFS 80-1989, f. 12-21-89, cert. ef. 2-1-90