Or. Admin. R. 461-155-0250 – Income and Payment Standard; OSIPM

In the Oregon Supplemental Income Program Medical (OSIPM):

(1) An individual who is assumed eligible per OAR 461-135-0010 is presumed to meet the income limits for the OSIPM program.
(2) An individual meeting the requirements of OAR 461-135-0745 or OAR 461-135-0750, who is not assumed eligible and does not meet the income standards set out in sections (3) or (5) of this rule, must have countable (see OAR 461-001-0000) income that is equal to or less than 300 percent of the full Supplemental Security Income (SSI) standard for a single individual or have established a qualifying trust as specified in OAR 461-145-0540(9)(c).
(3) An individual, other than one identified in sections (1), (2), (5), or (6) of this rule, must have adjusted income (see OAR 461-001-0000) below the standard in this section.
OSIPM Adjusted Income Standards Number in Need Group ………........ One ………................ Two AB/AD/OAA ……………………........ 994 ………........... 1,491
(4) In the OSIPM (except the Oregon Supplemental Income Program Medical-Employed Persons with Disabilities (OSIPM-EPD)), an individual receiving Medicaid services in a nursing facility or an Intermediate Care Facility-Intellectually Disabled (ICF-ID) is allowed the following amounts for clothing and personal incidentals:
1. (a) For an individual who receives a Veterans (VA) pension based on unreimbursed medical expenses (UME), $90 is allowed.
2. (b) For all other individuals, $81.28 is allowed.
3. (c) For an individual identified in subsection (b) of this section with countable income (including any SSI) that is less than $79.07, the payment standard is equal to the difference between the individual's countable income (including any SSI) and $79.07. For the purposes of this subsection, countable income includes income that would otherwise be countable for an individual who is assumed eligible under OAR 461-135-0010.
(5) In the OSIPM-EPD, an individual must have adjusted earned income equal to or below 250 percent of the federal poverty level for a family of one.
(6) An individual who meets the requirements of OAR 461-135-0755, is not assumed eligible, and does not meet the income standard set out in section (3) of this rule, must have adjusted income equal to or below 150 percent of the federal poverty level for a family of one.

Statutory/Other Authority

ORS 411.060, ORS 409.050, 411.070, 411.404, 411.704, 411.706, 413.085 & 414.685

Statutes/Other Implemented

ORS 411.060, ORS 409.010, 411.070, 411.404, 411.704, 411.706 & P.L. 92-336

History

SSP 29-2025, amend filed 12/29/2025, effective 01/01/2026
SSP 61-2024, amend filed 12/30/2024, effective 01/01/2025
SSP 52-2023, amend filed 12/18/2023, effective 01/01/2024
SSP 29-2023, minor correction filed 07/18/2023, effective 07/18/2023
SSP 58-2022, amend filed 12/22/2022, effective 01/01/2023
SSP 5-2022, amend filed 02/02/2022, effective 02/02/2022
SSP 77-2021, temporary amend filed 12/20/2021, effective 01/01/2022 through 06/29/2022
SSP 45-2020, amend filed 12/22/2020, effective 01/01/2021
SSP 26-2019, amend filed 12/27/2019, effective 01/01/2020
SSP 23-2019, amend filed 10/21/2019, effective 10/22/2019
SSP 34-2018, amend filed 12/04/2018, effective 01/01/2019
SSP 28-2018, amend filed 09/06/2018, effective 10/01/2018
SSP 22-2018, amend filed 06/05/2018, effective 07/01/2018
SSP 33-2017, amend filed 12/08/2017, effective 01/01/2018
SSP 23-2017, f. 9-11-17, cert. ef. 10-1-17
SSP 20-2017, f. 8-11-17, cert. ef. 9-1-17
SSP 11-2017(Temp), f. 3-28-17, cert. ef. 4-1-17 thru 9-27-17
SSP 44-2016, f. 12-7-16, cert. ef. 1-1-17
SSP 4-2015, f. & cert. ef. 1-1-15
SSP 24-2014, f. & cert. ef. 10-1-14
SSP 17-2014(Temp), f. & cert. ef. 7-1-14 thru 12-28-14
SSP 37-2013, f. 12-31-13, cert. ef. 1-1-14
Reverted to SSP 25-2012, f. 6-29-12, cert. ef. 7-1-12
SSP 39-2012(Temp), f. 12-28-12, cert. ef. 1-1-13 thru 6-30-13
SSP 25-2012, f. 6-29-12, cert. ef. 7-1-12
SSP 5-2012(Temp), f. & cert. ef 2-1-12 thru 7-30-12
SSP 35-2011, f. 12-27-11, cert. ef. 1-1-12
SSP 38-2009, f. 12-31-09, cert. ef. 1-1-10
SSP 13-2009, f. & cert. ef. 7-1-09
SSP 2-2009(Temp), f. 2-27-09, cert. ef. 3-1-09 thru 8-28-09
SSP 26-2008, f. 12-31-08, cert. ef. 1-1-09
SSP 23-2008, f. & cert. ef. 10-1-08
SSP 17-2008, f. & cert. ef. 7-1-08
SSP 6-2008(Temp), f. 2-29-08, cert. ef. 3-1-08 thru 8-28-08
SSP 14-2007, f. 12-31-07, cert. ef. 1-1-08
SSP 10-2007, f. & cert. ef. 10-1-07
SSP 7-2007, f. 6-29-07, cert. ef. 7-1-07
Suspended by SSP 5-2007(Temp), f. 3-30-07, cert. ef. 4-1-07 thru 6-30-07
SSP 4-2007, f. 3-30-07, cert. ef. 4-1-07
Suspended by SSP 3-2007(Temp), f. & cert. ef. 3-9-07 thru 6-30-07
SSP 2-2007(Temp), f. & cert. ef. 3-1-07 thru 3-31-07
SSP 15-2006, f. 12-29-06, cert. ef. 1-1-07
SSP 14-2006, f. 9-29-06, cert. ef. 10-1-06
SSP 10-2006, f. 6-30-06, cert. ef. 7-1-06
SSP 6-2006, f. 3-31-06, cert. ef. 4-1-06
SSP 4-2006, f. & cert. ef. 3-1-06
SSP 19-2005, f. 12-30-05, cert. ef. 1-1-06
SSP 4-2005, f. & cert. ef. 4-1-05
SSP 24-2004, f. 12-30-04, cert. ef. 1-1-05
SSP 8-2004, f. & cert. ef. 4-1-04
SSP 33-2003, f. 12-31-03, cert. ef. 1-4-04
SSP 26-2003, f. & cert. ef. 10-1-03
SSP 10-2003(Temp), f. & cert. ef. 5-1-03 thru 9-30-03
SSP 7-2003, f. & cert. ef. 4-1-03
AFS 22-2002, f. 12-31-02, cert. ef. 1-1-03
AFS 5-2002, f. & cert. ef. 4-1-02
AFS 27-2001, f. 12-21-01, cert. ef. 1-1-02
AFS 6-2001, f. 3-30-01, cert. ef. 4-1-01
AFS 34-2000, f. 12-22-00, cert. ef. 1-1-01
AFS 10-2000, f. 3-31-00, cert. ef. 4-1-00
AFS 16-1999, f. 12-29-99, cert. ef. 1-1-00
AFS 3-1999, f. 3-31-99, cert. ef. 4-1-99
AFS 1-1999(Temp), f. & cert. ef. 2-1-99 thru 7-31-99
AFS 25-1998, f. 12-28-98, cert. ef. 1-1-99
AFS 24-1997, f. 12-31-97, cert. ef. 1-1-98
AFS 42-1996, f. 12-31-96, cert. ef. 1-1-97
AFS 41-1995, f. 12-26-95, cert. ef. 1-1-96
AFS 29-1994, f. 12-29-94, cert. ef. 1-1-95
AFS 29-1993, f. 12-30-93, cert. ef. 1-1-94
AFS 35-1992, f. 12-31-92, cert. ef. 1-1-93
AFS 25-1991, f. 12-30-91, cert. ef. 1-1-92
AFS 30-1990, f. 12-31-90, cert. ef. 1-1-91
AFS 16-1990, f. 6-29-90, cert. ef. 7-1-90
AFS 80-1989, f. 12-21-89, cert. ef. 2-1-90