OAR 413-100-0435
Title XIX Medicaid Eligibility for a Child or Young Adult Receiving Adoption Assistance or Guardianship Assistance


(1)

The Child Welfare Post Adoption Program will determine and maintain Child Welfare Title XIX Medicaid eligibility for the following children and young adults:

(a)

A child or young adult who has exited Department custody as the result of a finalized adoption, and the child or young adult is the subject of an effective adoption assistance agreement administered by the Department. Prior to the adoption finalization the child or young adult receives medical coverage as described in OAR 413-100-0430 (Eligibility Determination for a Child or Young Adult in Substitute Care).

(b)

A child or young adult who is determined eligible for guardianship assistance and is the subject of an effective guardianship assistance agreement administered by the Department.

(c)

A child or young adult who is the subject of an adoption that does not require the Department’s consent and is the subject of an effective adoption assistance agreement administered by the Department.

(2)

Before a child or young adult described in section (1) of this rule may receive a medical card providing Child Welfare Title XIX Medicaid services, the Child Welfare Post Adoption Program must determine the eligibility of the child or young adult for Child Welfare Title XIX Medicaid.

(3)

The requirements listed in OAR 413-100-0430 (Eligibility Determination for a Child or Young Adult in Substitute Care)(3) also apply to children and young adults described in section (1) of this rule.

(4)

A child or young adult described in section (1) of this rule who is the subject of a guardianship assistance agreement where Title IV-E funded payments are being made to the guardian is eligible for Child Welfare Title XIX Medicaid.

(5)

A child or young adult described in section (1) of this rule who is the subject of an adoption assistance agreement where the pre-adoptive parent or adoptive parent is eligible to receive a Title IV-E funded payment is eligible for Child Welfare Title XIX Medicaid.

(6)

A child or young adult described in section (1) of this rule who is the subject of an adoption assistance agreement or guardianship assistance agreement, where the child or young adult was eligible for Child Welfare Title XIX Medicaid while in substitute care but ineligible for Title IV-E foster care, will be determined eligible and provided Child Welfare Title XIX Medicaid.

(7)

A child or young adult described in section (1) of this rule determined ineligible to receive Child Welfare Title XIX Medicaid will be provided General Assistance medical when:

(a)

The child or young adult resides in Oregon; or

(b)

The child or young adult resides outside of Oregon but in the United States or a territory or possession thereof and is not able to receive medical assistance through the state of residence.

(8)

Annual redeterminations are not required for children and young adults under a finalized adoption assistance agreement or guardianship assistance agreement.

Source: Rule 413-100-0435 — Title XIX Medicaid Eligibility for a Child or Young Adult Receiving Adoption Assistance or Guardianship Assistance, https://secure.­sos.­state.­or.­us/oard/view.­action?ruleNumber=413-100-0435.

413–100–0000
Purpose
413–100–0005
Definitions
413–100–0015
Application for Title IV-E Foster Care Funds
413–100–0060
Title IV-E Reimbursable Placements
413–100–0065
Title IV-E Reimbursable Payments
413–100–0075
Eligibility Status
413–100–0080
Effective Date
413–100–0090
Correcting Eligibility
413–100–0110
Eligibility End Date
413–100–0125
Initial Determination Requirements
413–100–0135
Removal Requirements
413–100–0150
Determining Parental Deprivation
413–100–0160
Determining Financial Need
413–100–0170
Determining Resources
413–100–0180
Earned Income of Students
413–100–0210
U.S. Citizenship and Qualified Non-citizens
413–100–0230
Age Requirements
413–100–0240
Judicial Finding Requirements for Title IV-E Eligibility
413–100–0270
Redetermination Requirements
413–100–0320
Consolidated Omnibus Reconciliation Act (COBRA) and Title XIX Medicaid
413–100–0335
Title IV-E Adoption Assistance Eligibility Determination
413–100–0345
Guardianship Assistance Eligibility
413–100–0400
Purpose
413–100–0410
Definitions
413–100–0420
Child Welfare Title XIX Medicaid Program Eligible Populations
413–100–0430
Eligibility Determination for a Child or Young Adult in Substitute Care
413–100–0432
Payments for Services Provided in Emergency Situations When a Child or Young Adult is Not Enrolled in Title XIX Medicaid
413–100–0435
Title XIX Medicaid Eligibility for a Child or Young Adult Receiving Adoption Assistance or Guardianship Assistance
413–100–0445
Youth in Detention
413–100–0451
Interstate Compact for the Placement of Children (ICPC) and Interstate Compact on Adoption and Medical Assistance (ICAMA)
413–100–0455
Out-of-State Placements
413–100–0460
Citizenship and Alienage
413–100–0530
Compliance
413–100–0800
Child Support Referrals
413–100–0810
Child Support Arrears Owed to Department
413–100–0820
Handling DCS Case Information
413–100–0830
Paternity and Parentage Establishment
Last Updated

Jun. 8, 2021

Rule 413-100-0435’s source at or​.us