OAR 461-160-0540
Determining Income Eligibility; QMB and OSIPM (except OSIPM-EPD) Living in the Community or Residing in a 24-Hour Mental Health Residential Care Setting

(1)

This rule is used to determine income eligibility for the OSIPM (except OSIPM-EPD) and QMB programs for individuals who---

(a)

Live in the community or a 24-hour mental health residential care setting;

(b)

Do not receive SSI; and

(c)

Do not receive home and community-based care (see OAR 461-001-0030 (Definitions; OSIP, OSIPM Long-Term Care or Home and Community-Based Care)).

(2)

In the OSIPM program:

(a)

Individuals residing in a 24-hour mental health residential care setting -- such as an adult foster home, residential treatment home, residential treatment facility, or a secure treatment facility -- meet the income requirements if their adjusted income (see OAR 461-001-0000 (Definitions for Chapter 461)) is equal to or less than the income standard specified in OAR 461-155-0250 (Income and Payment Standard; OSIPM)(6).

(b)

Except as provided in subsection (a) of this section, individuals meet the income requirements if the adjusted income of the individual’s financial group (see OAR 461-110-0530 (Financial Group)) is less than the OSIPM program adjusted income standard.

(3)

In the QMB-BAS and QMB-DW programs, an individual meets the income requirements if the adjusted income of the individual’s financial group is equal to or less than the QMB program adjusted income standard.

(4)

In the QMB-SMB and QMB-SMF programs, an individual meets the income requirements if the adjusted income of the individual’s financial group is less than the adjusted income standard.

Source: Rule 461-160-0540 — Determining Income Eligibility; QMB and OSIPM (except OSIPM-EPD) Living in the Community or Residing in a 24-Hour Mental Health Residential Care Setting, https://secure.­sos.­state.­or.­us/oard/view.­action?ruleNumber=461-160-0540.

461‑160‑0010
Use of Resources in Determining Financial Eligibility 461‑160‑0015
Resource Limits 461‑160‑0030
Overview of Costs 461‑160‑0040
Dependent Care Costs 461‑160‑0055
Medical Costs That Are Deductible 461‑160‑0060
Use of Rounding in Calculating Benefit Amount 461‑160‑0070
Benefits for Less Than a Full Month 461‑160‑0090
Employment and Independence Expenses 461‑160‑0100
How Income Affects Eligibility and Benefits 461‑160‑0140
How Income and Resources are Used to Determine Eligibility and Benefit for EA 461‑160‑0160
Earned Income Deduction 461‑160‑0193
Determining Eligibility and Calculating Payment 461‑160‑0300
Use of Income to Determine Eligibility and Benefits for ERDC 461‑160‑0400
Use of Income to Determine Eligibility and Benefits 461‑160‑0410
Use of Income and Income Deductions When There Are Ineligible or Disqualified Group Members 461‑160‑0415
Medical Deduction 461‑160‑0420
Shelter Cost 461‑160‑0430
Income Deductions 461‑160‑0500
Use of Income to Determine Benefits 461‑160‑0540
Determining Income Eligibility 461‑160‑0550
Income Deductions 461‑160‑0551
Income Deductions 461‑160‑0552
Income Deductions 461‑160‑0570
Excluded Resource 461‑160‑0580
Excluded Resource 461‑160‑0590
Assessment of Resources 461‑160‑0600
Availability of Income 461‑160‑0610
Client Liability 461‑160‑0620
Income Deductions and Client Liability 461‑160‑0630
Deduction for Maintaining a Home 461‑160‑0780
Determining Adjusted Income 461‑160‑0800
Determining Participant Fee 461‑160‑0855
Excluded Resources for Payments Received Under a Qualified Partnership Policy
Last Updated

Jun. 8, 2021

Rule 461-160-0540’s source at or​.us