Oregon Department of Human Services, Self-Sufficiency Programs

Rule Rule 461-135-0745
Eligibility for Individuals in Acute Care Settings; OSIPM


An individual in an acute care hospital or nursing facility is evaluated for the OSIPM program as follows:

(1)

The individual must meet all non-financial eligibility requirements for OSIPM.

(2)

Individuals are considered in their own household group (see OAR 461-110-0210 (Household Group)) and filing group (see OAR 461-110-0410 (Filing Group; OSIPM, QMB)).

(3)

The financial group (see OAR 461-110-0530 (Financial Group)) consists only of the individual applying for benefits, except that the spouse (see OAR 461-001-0000 (Definitions for Chapter 461)) is included in the financial group to determine initial eligibility as follows:

(a)

At initial eligibility, the resources of the spouse are considered and the provisions of OAR 461-160-0580 (Excluded Resource; Community Spouse Provision (OSIPM except OSIPM-EPD)) apply.

(b)

The income of the spouse is not considered in determining initial eligibility, and the spouse is not included in any other eligibility group.

(4)

The individual must have countable (see OAR 461-001-0000 (Definitions for Chapter 461)) income at or below 300 percent of the full SSI standard or have established a qualifying trust as specified in OAR 461-145-0540 (Trusts)(10)(c); and

(5)

The individual must require a continuous period of care (see OAR 461-001-0030 (Definitions; OSIP, OSIPM Long-Term Care or Home and Community-Based Care)).
Source

Last accessed
Jun. 8, 2021