OAR 410-200-0315
Standards and Determining Income Eligibility

(1) This rule outlines income thresholds for HSD Medical Programs. See OAR 410-200-0310 (Eligibility and Budgeting; MAGI Medicaid/CHIP) for eligibility and budgeting.
(2) The MAGI-based income standard for the MAGI Parent or Caretaker-Relative program is set as follows: See attached table.
(3) Effective March 1, 2021, the MAGI income standard for the MAGI Child Program and the MAGI Adult Program is set at 133 percent FPL as follows: See attached table.
(4) Effective March 1, 2021, the MAGI income standard for the MAGI Pregnant Woman Program and for MAGI Child Program recipients under the age of one year is set at 185 percent FPL as follows: See attached table.
(5) Effective March 1, 2021, the MAGI income standard for the MAGI CHIP program is set at 300 percent FPL as follows: See attached table.
(6) When the Department makes an ELE determination and the child meets all MAGI CHIP or MAGI Child Program nonfinancial eligibility requirements, the EDG size determined by the Department is used to determine eligibility regardless of the family size. The countable income of the household is determined by the ELA. A child is deemed eligible for MAGI CHIP or MAGI Child Program as follows:
(a) Effective March 1, 2021, if the MAGI-based income of the EDG is below 163 percent of the 2021 federal poverty level as listed below, the Department deems the child eligible for the MAGI Child Program: See attached table.
(b) If the MAGI-based income of the EDG is at or above 163 percent FPL through 300 percent FPL as described in section (4) of this rule, the Department deems the child eligible for MAGI CHIP.
[ED. NOTE: To view attachments referenced in rule text, click here to view rule.]

Source: Rule 410-200-0315 — Standards and Determining Income Eligibility, https://secure.­sos.­state.­or.­us/oard/view.­action?ruleNumber=410-200-0315.

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 410-200-0315’s source at or​.us