Oregon Department of Human Services, Self-Sufficiency Programs
Special Need; Personal Incidentals and Room and Board Allowances; OSIPM
In the OSIPM program:
In the following circumstances, personal incidentals and room and board allowances may be paid for an individual to reside in a community based care facility (see OAR 461-155-0630 (Special Need; Community Based Care; OSIPM)) to avoid placement in a nursing facility or leave a nursing facility or an acute care hospital, when an individual meets the requirements of one of the following subsections:
To receive this payment, the individual must pursue SSI by making application with the Social Security Administration (SSA) and appealing denials until SSA makes a final administrative decision. If SSI is denied at the final SSA administrative level, the individual is no longer eligible for this payment.
Is leaving a nursing facility and limited to a maximum SSI payment of $30 or to a maximum Veterans benefit payment of $90. The payment is the difference between the countable income of the individual and the OSIPM program adjusted income standard (see OAR 461-155-0250 (Income and Payment Standard; OSIPM)).
Is a qualified non-citizen under OAR 461-120-0125 (Alien Status) who is not eligible for SSI due to not meeting the requirements to become a naturalized citizen within the SSI time limit.
Does not have sufficient income to divert to the community spouse (see OAR 461-001-0030 (Definitions; OSIP, OSIPM Long-Term Care or Home and Community-Based Care)) due to the difference between the personal needs allowance related to a nursing facility placement and the personal needs allowance and room and board related to a community based care facility placement. The allowance is issued only when the individual or community spouse requests or chooses a nursing facility placement rather than a community based care facility placement because the community spouse needs the resulting higher diversion amount to meet his or her monthly expenses.