OAR 410-200-0130
Retroactive Medical

(1) The Authority may evaluate for retroactive medical eligibility for the three calendar months preceding the month in which the Date of Request was established for the following individuals:
(a) Applicants requesting HSD Medical Programs who have unpaid medical bills or received donated medical services that would have been covered by Oregon Medicaid/CHIP; and
(b) Deceased individuals who have unpaid medical bills or received donated medical services that would have been covered by Oregon Medicaid/CHIP, who would have been eligible for Medicaid covered services had they, or someone acting on their behalf, applied.
(2) If eligible for retroactive medical, the individual’s eligibility may not start earlier than the date indicated by OAR 410-200-0115 (HSD Medical Programs—Effective Dates) Effective Dates.
(3) The Authority reviews each month individually for retroactive medical eligibility.
(4) Retroactive medical eligibility may be approved for months in which an individual received coverage during a Hospital Presumptive Eligibility period (OAR 410-200-0105 (Hospital Presumptive Eligibility)), unless the retroactive benefits would be a reduction in benefit-level compared to the Hospital Presumptive Eligibility benefits.

Source: Rule 410-200-0130 — Retroactive Medical, https://secure.­sos.­state.­or.­us/oard/view.­action?ruleNumber=410-200-0130.

410‑200‑0010
Overview 410‑200‑0015
General Definitions 410‑200‑0100
Coordinated Eligibility and Enrollment Process with the Department of Human Services and the Federally Facilitated Marketplace 410‑200‑0105
Hospital Presumptive Eligibility 410‑200‑0110
Application and Renewal Processing and Timeliness Standards 410‑200‑0111
Authorized Representatives 410‑200‑0115
HSD Medical Programs—Effective Dates 410‑200‑0120
Notices 410‑200‑0125
Acting on Reported Changes 410‑200‑0130
Retroactive Medical 410‑200‑0135
Assumed, Continuous, and Protected Eligibility for Children and Pregnant Individuals 410‑200‑0140
Eligibility for Inmates 410‑200‑0145
Contested Case Hearing 410‑200‑0146
Final Orders, Dismissals and Withdrawals 410‑200‑0200
Residency Requirements 410‑200‑0205
Concurrent and Duplicate Program Benefits 410‑200‑0210
Requirement to Provide Social Security Number 410‑200‑0215
Citizenship and Non-Citizen Status Requirements 410‑200‑0220
Requirement to Pursue Assets 410‑200‑0225
Assignment of Rights 410‑200‑0230
Verification 410‑200‑0235
Changes That Must Be Reported 410‑200‑0240
Eligibility for Individuals Who Do Not Meet the Citizen and Non-Citizen Status Requirements 410‑200‑0305
Eligibility Determination Group — MAGI Medicaid/CHIP 410‑200‑0310
Eligibility and Budgeting 410‑200‑0315
Standards and Determining Income Eligibility 410‑200‑0400
Specific Requirements 410‑200‑0405
Specific Requirements 410‑200‑0407
Specific Requirements—Former Foster Care Youth Medical Program 410‑200‑0410
Specific Requirements 410‑200‑0415
Specific Requirements 410‑200‑0420
Specific Requirements 410‑200‑0425
Specific Requirements 410‑200‑0435
Specific Requirements 410‑200‑0440
Specific Requirements 410‑200‑0520
COVID-19 Emergency Policies
Last Updated

Jun. 8, 2021

Rule 410-200-0130’s source at or​.us