OAR 410-200-0440
Specific Requirements; Extended Medical Assistance

(1) Individuals who lose eligibility for MAGI PCR due to the receipt or increase of earned income are eligible for a period of up to 12 months of Extended Medical Assistance if:
(a) They were eligible for and receiving MAGI PCR benefits for any one of the six months preceding the receipt or increase in earned income that resulted in loss of MAGI PCR eligibility;
(b) Eligibility is redetermined and the individual is found ineligible for any Medicaid program except BCCTP or Substitute Care; and
(c) They are the parent or caretaker relative of a dependent child living in their home.
(2) Individuals who lose eligibility for MAGI PCR due to the receipt or increase of spousal support are eligible for a period of up to four months of EXT if:
(a) They were eligible for and receiving MAGI PCR benefits for any three of the six months preceding the receipt or increase in spousal support that resulted in loss of MAGI PCR eligibility;
(b) Eligibility is redetermined and the individual is found ineligible for any Medicaid program except BCCTP or Substitute Care; and
(c) They are the parent or caretaker relative of a dependent child living in their home.
(3) The dependent children of individuals described in sections (1) and (2) are eligible for EXT for the same time period as their parent or caretaker relative if:
(a) They lost Medicaid eligibility due to the parent or caretaker relative’s receipt or increase of earned income or spousal support; and
(b) Eligibility is redetermined and they are not eligible for any Medicaid program.
(4) The EXT eligibility period is established as described in sections (1) and (2) of this rule, beginning the first of the month following the month in which the beneficiary experienced the receipt or increase in earned income or spousal support resulting in loss of MAGI PCR eligibility. For individuals who receive other Medicaid/CHIP benefits during the EXT eligibility period:
(a) Such months are not an overpayment;
(b) Any month in which an individual receives other Medicaid/CHIP benefits when they were eligible for EXT is counted as a month of the EXT eligibility period.
(5) Individuals described in sections (1) through (3) of this rule who lose EXT eligibility for one of the following reasons may regain EXT eligibility for the remainder of the original EXT eligibility period if:
(a) EXT eligibility was lost because the individual left the household during the EXT eligibility period. The individual may regain EXT eligibility if they return to the household; or
(b) EXT eligibility was lost due to a change in circumstance that resulted in eligibility for another Medicaid program, and then a subsequent change in circumstance occurred that resulted in loss of eligibility for all Medicaid Programs.
(6) Individuals who lose eligibility for MAGI PCR and would be eligible to receive EXT except that they are determined eligible for another Medicaid program, and their dependent children, shall receive EXT benefits for the remainder of their original EXT eligibility period if:
(a) They subsequently lose eligibility for all Medicaid programs; and
(b) They continue to meet the non-financial eligibility requirements of MAGI PCR.

Source: Rule 410-200-0440 — Specific Requirements; Extended Medical Assistance, https://secure.­sos.­state.­or.­us/oard/view.­action?ruleNumber=410-200-0440.

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 410-200-0440’s source at or​.us