1. (1) When an OSIPM or QMB client, who is required by this division of rules to report a change in circumstances, makes a timely report of a change that could reduce or end medical benefits, prior to reducing or ending medical benefits:

   1. (a) The Department must review each individual in the filing group for eligibility for the other medical programs listed in this rule; and
   2. (b) The Oregon Health Authority or the Department must review the individual for Medicaid eligibility under MAGI rules (OAR 410-200).
2. (2) If the Department needs additional information to act on the timely reported change, members of the benefit group (see OAR 461-110-0750) remain eligible from the date the change was reported until the Department determines their eligibility in accordance with the application processing time frames in OAR 461-115-0190.

Statutory/Other Authority

ORS 409.050, 411.060 & 411.404

Statutes/Other Implemented

ORS 409.010, 411.060 & 411.404

History

SSP 40-2016, f. & cert. ef. 11-1-16
SSP 38-2013, f. 12-31-13, cert. ef. 1-1-14
SSP 30-2013(Temp), f. & cert. ef. 10-1-13 thru 3-30-14
SSP 14-2007, f. 12-31-07, cert. ef. 1-1-08
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 9-2006(Temp), f. & cert. ef. 6-1-06 thru 9-30-06
SSP 24-2004, f. 12-30-04, cert. ef. 1-1-05