OAR 461-160-0610
Client Liability; OSIPM (except OSIPM-EPD)


(1)

A client in the OSIPM (except OSIPM-EPD) program who receives long-term care (see OAR 461-001-0000 (Definitions for Chapter 461)) services must, in order to remain eligible, make the payment required by this rule, except as provided in sections (2) to (6) of this rule. The client must apply his or her adjusted income to the cost of the care or service. This amount is the client liability. If the client’s adjusted income exceeds the cost of care or service, the client must pay the full cost of care but has no additional liability.

(2)

A client who receives SSI, or is deemed to receive SSI under section 1619(b) of the Social Security Act (42 U.S.C. § 1382h(b)), is eligible for OSIPM program benefits without having to make a payment.

(3)

The ICP service payment of a client in OSIPM-ICP is reduced by the amount of his or her liability.

(4)

The following clients, if they receive the services described in section (5) of this rule, are exempt from payments required by this rule:

(a)

A disabled adult child under OAR 461-135-0830 (Eligibility for Disabled Adult Children; OSIPM).

(b)

A widow or widower under OAR 461-135-0820 (Eligibility for Widows and Widowers; OSIPM).

(c)

A Pickle amendment client under OAR 461-135-0780 (Pickle Amendment Clients; OSIPM).

(5)

A client identified in section (4) of this rule is exempt from payments required by this rule if the client receives home and community-based care (see OAR 461-001-0030 (Definitions; OSIP, OSIPM Long-Term Care or Home and Community-Based Care)).

(6)

In the initial month of placement, a client may be exempt from payments required under this rule if the Department determines that the client’s income has been exhausted prior to placement. If any income remains, the client must contribute to the cost of care or service.

(7)

A client residing in an acute care hospital or mental health residential treatment facility is exempt from payments required by this rule while residing in the acute care hospital or mental health residential treatment facility. If a service benefit was received prior to admission to the acute care hospital, payment must be made for that service. For purposes of this rule, only the following types of treatment centers qualify as a mental health residential treatment facility:

(a)

A mental health adult foster home.

(b)

A mental health residential treatment home.

(c)

A mental health residential treatment facility.

(d)

A mental health secure residential treatment facility.

Source: Rule 461-160-0610 — Client Liability; OSIPM (except OSIPM-EPD), https://secure.­sos.­state.­or.­us/oard/view.­action?ruleNumber=461-160-0610.

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 461-160-0610’s source at or​.us