Special Need; Community Based Care; OSIPM
(1)A client is considered living in a community based care facility (see OAR 461-001-0000 (Definitions for Chapter 461)) if the client resides at one of the following care settings licensed by the Department:
(a)Adult Foster Home.
(b)Residential Care Facility.
(c)Assisted Living Facility.
(d)Specialized Living Facility.
(e)Group Care Home.
(2)If a client who meets the applicable income requirements begins living in a community based care facility:
(a)Payment for room and board may be authorized during the month of admission at the initial placement, limited to the approved rate.
(b)Room and board payments may be paid to the community based care facility during the temporary absence of a client if all of the following criteria are met:
(A)The absence occurs because the client is admitted to a hospital or nursing home.
(B)The Department determines the intent of the client to return to the community based care facility.
(C)The community based care facility is willing to accept the room and board payment.
(D)The client returns within the calendar month following the month in which the absence began.
(3)Spouses who each receive SSI and receive services in a community based care facilityare eligible for a payment in the amount that equals the difference between the OSIPM standard for a one-person need group (see OAR 461-110-0630 (Need Group)) and the individual’s total countable (see OAR 461-001-0000 (Definitions for Chapter 461)) income. If one spouse (see OAR 461-001-0000 (Definitions for Chapter 461)) has income above the OSIPM standard, the excess income is applied to the countable income of the other spouse.
Rule 461-155-0630 — Special Need; Community Based Care; OSIPM,