OAR 461-155-0500
Special Needs; Overview

(1)

Ongoing special needs are needs that last several months at a consistent cost. Examples are special diets and accommodation allowances. OAR 461-155-0010 (Use of Payment Standards to Establish Need) is used to determine how special needs are considered for each program.

(2)

To be eligible for a special need item, a client may not have any other available resources in the community or natural support system to meet the need, excluding resources used in determining eligibility.

(3)

To be eligible for a special need item, a client may not be eligible for the item through Medicare, Medicaid, or any other medical coverage.

(4)

A client may be eligible for an ongoing special need item if providing the ongoing special need item is authorized in lieu of additional provider service hours pursuant to OAR 411-030-0002 (Purpose and Scope) to 411-030-0090 and is more cost-effective.

(5)

The Department may authorize payment for one-time and ongoing special needs for the following, in accordance with OAR 461-155-0510 (Special Need in Combined OSIP/REF/TANF Cases) to 461-155-0710 (Special Need; Diversion Services; OSIP and OSIPM):

(a)

One-time needs for the following:

(A)

Community based facility room and board (see OAR 461-155-0630 (Special Need; Community Based Care; OSIPM)).

(B)

Community transition services (see OAR 461-155-0526 (Special Need; Community Transition Services; OSIP and OSIPM)).

(C)

Diversion and transition services (see OAR 461-155-0710 (Special Need; Diversion Services; OSIP and OSIPM)).

(D)

Home repairs (see OAR 461-155-0600 (Special Need; Home Repairs; OSIP and OSIPM)).

(E)

Moving costs (see OAR 461-155-0610 (Special Need; Moving Costs; OSIP and OSIPM)).

(F)

Property taxes (see OAR 461-155-0620 (Special Need; Property Taxes)).

(b)

Ongoing needs for the following:

(A)

Accommodation allowances (see OAR 461-155-0660 (Special Need; Accommodation Allowance)).

(B)

Food for guide dogs and special assistance animals (see OAR 461-155-0530 (Special Need; Food for Guide Dogs and Special Assistance Animals)).

(C)

In-home supplement (see OAR 461-155-0575 (Special Need; In-home Supplement; OSIPM)).

(D)

Laundry allowances (see OAR 461-155-0580 (Special Need; Laundry Allowances)).

(E)

Personal incidentals and room and board allowance (see OAR 461-155-0700 (Special Need; Personal Incidentals and Room and Board Allowances; OSIPM)).

(F)

Special diet allowances (see OAR 461-155-0670 (Special Need; Special Diet Allowance)).

(G)

Supplemental Communication Allowance (see OAR 461-155-0680 (Special Need — Supplemental Communication Allowance; OSIPM)).

(H)

Prescription drug co-pay coverage (see OAR 461-155-0688 (Prescription Drug Co-pay Coverage)).

Source: Rule 461-155-0500 — Special Needs; Overview, https://secure.­sos.­state.­or.­us/oard/view.­action?ruleNumber=461-155-0500.

Last Updated

Jun. 8, 2021

Rule 461-155-0500’s source at or​.us