OAR 461-135-0990
Specific Requirements; Reimbursement of Cost-Effective, Employer-Sponsored Health Insurance Premiums

(1)

Clients or an eligible applicant (see section (2) of this rule) for a client in the OSIPM program may be reimbursed for their share of the premiums for private or employer-sponsored group health insurance if:

(a)

The insurance covers a member of the benefit group (see OAR 461-110-0750 (Benefit Group));

(b)

The insurance coverage is a comprehensive major medical plan that includes inpatient and outpatient hospital, physician, lab, x-ray and full prescription coverage; and

(c)

The premium is cost-effective (see OAR 461-155-0360 (Pursuit of Cost-Effective Employer Sponsored Health Insurance) and OAR 410-120-1960 (Payment of Private Insurance Premiums)).

(2)

An “eligible applicant” may be a non-Medicaid individual living in or outside of the household. The Department may pay a portion of or the entire premium if payment of the premium for the non-Medicaid individual is necessary in order to enroll the Department client in the group health plan (see OAR 410-120-1960 (Payment of Private Insurance Premiums)).

Source: Rule 461-135-0990 — Specific Requirements; Reimbursement of Cost-Effective, Employer-Sponsored Health Insurance Premiums, https://secure.­sos.­state.­or.­us/oard/view.­action?ruleNumber=461-135-0990.

461‑135‑0010
Assumed Eligibility for Medical Programs 461‑135‑0070
Specific Requirements 461‑135‑0071
TANF Time Limit 461‑135‑0073
TANF Time Limit 461‑135‑0075
TANF Time Limit 461‑135‑0080
TANF Eligibility for Minor Parents 461‑135‑0085
Requirement to Attend an Assessment or Evaluation, or Seek Medically Appropriate Treatment for Substance Abuse and Mental Health 461‑135‑0087
Good Cause for Failure to Comply with Substance Abuse or Mental Health Requirements 461‑135‑0089
Demonstrating Compliance with Substance Abuse and Mental Health Requirements 461‑135‑0200
Multiple Disqualifications 461‑135‑0220
REF, REFM, and TANF Programs 461‑135‑0300
Eligibility for and Needs Covered by EA 461‑135‑0301
Closure of the Emergency Assistance (EA) Program Effective May 1, 2004 461‑135‑0310
Covered Shelter Needs 461‑135‑0320
Time Limits 461‑135‑0340
Work Requirements 461‑135‑0350
Eligible People 461‑135‑0400
Specific Requirements 461‑135‑0405
Children in the Head Start Program 461‑135‑0415
Requirement to Make Copay or Satisfactory Arrangements 461‑135‑0440
Child Care Benefit Eligibility and Payment 461‑135‑0475
Specific Requirements 461‑135‑0485
Requirement to Complete an Employability Screening and Overview of the Job Opportunity and Basic Skills (JOBS) Program 461‑135‑0491
Disaster Supplemental Nutrition Assistance Program (DSNAP) 461‑135‑0492
Application, Interviews, and Verification for DSNAP 461‑135‑0493
Eligibility and Benefit Amount for DSNAP 461‑135‑0494
DSNAP Treatment of Households Already Certified and Receiving SNAP Benefits 461‑135‑0495
Recertifications for DSNAP 461‑135‑0496
Hearings for DSNAP 461‑135‑0497
Household Liability in the DSNAP 461‑135‑0498
Pandemic-related Supplemental Nutrition Assistance Program 461‑135‑0505
Categorical Eligibility for SNAP 461‑135‑0506
Transitional Benefit Alternative (TBA) in the SNAP Program 461‑135‑0510
Residents of Institutions 461‑135‑0520
Time Limit and Special Requirements for ABAWD 461‑135‑0521
Job Quit by Applicants 461‑135‑0530
People in Adult Foster Care (AFC) and Boarding Houses 461‑135‑0560
Fleeing Felon and Violators of Parole, Probation, and Post-Prison Supervision 461‑135‑0570
Eligible and Ineligible Students 461‑135‑0575
SNAP Expedited Services 461‑135‑0580
Prepared Meals 461‑135‑0590
Communal Dining 461‑135‑0610
Meal Providers for Homeless Individuals 461‑135‑0660
SNAP 461‑135‑0700
Specific Requirements 461‑135‑0701
Terminate GA and GAM Programs October 1, 2005 461‑135‑0708
Criteria for Developing a Plan for Self-support 461‑135‑0725
Specific Requirements 461‑135‑0726
Specific Requirements 461‑135‑0730
Specific Requirements 461‑135‑0745
Eligibility for Individuals in Acute Care Settings 461‑135‑0750
Individuals Applying for or Receiving Long-Term Care or Home and Community-Based Care 461‑135‑0755
Individual Residing in a 24-Hour Mental Health Residential Care Setting 461‑135‑0771
Eligibility for OSIPM Under “Grandfathering” Provision 461‑135‑0780
Pickle Amendment Clients 461‑135‑0790
Eligibility for People in an Institution Since 1973 461‑135‑0800
Eligibility for 1972 COLA Clients 461‑135‑0820
Eligibility for Widows and Widowers 461‑135‑0830
Eligibility for Disabled Adult Children 461‑135‑0832
Estate Administration 461‑135‑0833
Burial Expenses 461‑135‑0834
Delivery of Required Notices to the Estate Administration Unit 461‑135‑0835
Limits on Estate Claims 461‑135‑0837
Administering Medicaid Estate Claims When the Recipient of Assistance was a Native American Indian or Alaskan Native Village Tribal Member 461‑135‑0838
Administering Estate Claims 461‑135‑0839
Title to Real and Personal Property 461‑135‑0841
Undue Hardship Waiver Criteria 461‑135‑0843
Establishing Legal Title, Interest or Form of Ownership 461‑135‑0844
Procedures for Applying for Undue Hardship Waiver 461‑135‑0845
Valuation of Life Estate, Reversionary Interest, and Property 461‑135‑0847
Forms 461‑135‑0850
Specific Requirements 461‑135‑0875
Specific Requirements 461‑135‑0880
OSIPM and QMB Programs 461‑135‑0900
Specific Requirements 461‑135‑0910
Unaccompanied Minor Program 461‑135‑0915
Specific Requirements 461‑135‑0920
Refugees Applying for SSI 461‑135‑0930
Medical Coverage for Refugees 461‑135‑0950
Eligibility for Inmates and Residents of Public Institutions 461‑135‑0990
Specific Requirements 461‑135‑1070
Specific Requirements 461‑135‑1175
Senior Farm Direct Nutrition Program 461‑135‑1185
Low-Income Subsidy Program (LIS) 461‑135‑1186
LIS Applications 461‑135‑1187
Eligibility Determinations and Due Process for LIS 461‑135‑1195
Specific Requirements 461‑135‑1197
Good Cause 461‑135‑1200
Specific Requirements 461‑135‑1230
Benefits 461‑135‑1235
TA-DVS 461‑135‑1240
TA-DVS Program 461‑135‑1250
Closure of Post-TANF Program 461‑135‑1260
Specific Requirements: Job Participation Incentive 461‑135‑1270
Specific Requirements
Last Updated

Jun. 8, 2021

Rule 461-135-0990’s source at or​.us