Oregon Department of Human Services, Self-Sufficiency Programs

Rule Rule 461-135-0750
Individuals Applying for or Receiving Long-Term Care or Home and Community-Based Care


In the OSIPM program, an individual who does not meet the income requirements for OSIPM under sections (3) or (5) of OAR 461-155-0250 (Income and Payment Standard; OSIPM) and who meets the following requirements is subject to the OSIPM income limit specified in OAR 461-155-0250 (Income and Payment Standard; OSIPM)(2):

(1)

The individual meets at least one of the following eligibility standards:
(a) The criteria in OAR 411-015-0100 (Eligibility for Nursing Facility or Medicaid Home and Community-Based Services) (except subsection (1)(b)) regarding eligibility for nursing facility care or home and community-based care (see OAR 461-001-0030 (Definitions; OSIP, OSIPM Long-Term Care or Home and Community-Based Care)).

(b)

The level-of-need criteria for an ICF-ID.
(c) The service eligibility standards for the CIIS (Children’s Intensive In-Home Services) programs in OAR 411-300-0100 (Statement of Purpose) to 411-300-0220.
(2) The individual resides in or will reside in one of the following locations for a continuous period of care (see OAR 461-001-0030 (Definitions; OSIP, OSIPM Long-Term Care or Home and Community-Based Care)) and is applying for or receiving long-term care services authorized by the Department:

(a)

A Medicaid-certified nursing facility.

(b)

An intermediate care facility for individuals with intellectual disabilities (ICF-ID).

(c)

A home and community-based care setting.

(3)

For an individual who resides or will reside in a home and community-based care setting, the individual receives Title 1915(c) waivered services.
Source

Last accessed
Jun. 8, 2021