OAR 461-160-0800
Determining Participant Fee; OSIP-EPD, OSIPM-EPD (Including In-Home Services)

Retroactively effective July 6, 2020:

(1)

Individuals who receive OSIP-EPD and OSIPM-EPD program benefits will have a participant fee (see OAR 461-001-0035 (Definitions; OSIP-EPD and OSIPM-EPD)).

(a)

For individuals in a standard living arrangement (see OAR 461-001-0000 (Definitions for Chapter 461)), the participant fee is the amount calculated under section (2) of this rule.

(b)

For individuals in a nonstandard living arrangement (see OAR 461-001-0000 (Definitions for Chapter 461)), the participant fee is the amount calculated under section (2) of this rule or the client liability as discussed in OAR 461-160-0620 (Income Deductions and Client Liability; Long-Term Care Services or Home and Community-Based Care; OSIPM), whichever is less.

(2)

The participant fee is calculated using the Federal Poverty Level (FPL) (see OAR 461-155-0290 (Income Standard; QMB-BAS)) and the individual’s total countable (see OAR 461-001-0000 (Definitions for Chapter 461)) income as follows:

(a)

For individuals with countable income less than 75 percent of the FPL, the participant fee is $0.

(b)

For individuals with countable income equal to or greater than 75 percent but less than 100 percent of the FPL, the participant fee is $50 per month.

(c)

For individuals with countable income equal to or greater than 100 percent but less than 250 percent of the FPL, the participant fee is $100 per month.

(d)

For individuals with countable income equal to or greater than 250 percent of the FPL, the participant fee is $150 per month.

(3)

The participant fee must be paid each month as a condition of eligibility for as long as the individual is receiving OSIP-EPD or OSIPM-EPD.

(4)

OSIP-EPD and OSIPM-EPD individuals in a licensed community-based care facility must pay room and board costs in addition to their participant fees.

(5)

The local office may waive unpaid participant fees if the individual provides verification (OAR 461-115-0610 (Verification; General)) of significant economic difficulty, such as, but not limited to, homelessness, divorce, domestic violence (see OAR 461-001-0000 (Definitions for Chapter 461)), or illness.

Source: Rule 461-160-0800 — Determining Participant Fee; OSIP-EPD, OSIPM-EPD (Including In-Home Services), https://secure.­sos.­state.­or.­us/oard/view.­action?ruleNumber=461-160-0800.

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 461-160-0800’s source at or​.us