OAR 461-180-0085
Effective Dates; Redeterminations of OSIPM and QMB

In the OSIPM and QMB programs, when the Department initiates a redetermination of eligibility (see OAR 461-001-0000 (Definitions for Chapter 461)):

(1)

Prior to reducing or ending medical benefits:

(a)

The Department must review each individual in the filing group (see OAR 461-110-0410 (Filing Group; OSIPM, QMB)) for eligibility for the other medical programs listed in this rule; and

(b)

The Oregon Health Authority or the Department must review the individual for Medicaid eligibility under MAGI rules (OAR 410-200).

(2)

If additional information is needed to redetermine eligibility, members of the benefit group (see OAR 461-110-0750 (Benefit Group)) who may be eligible for the other programs listed in this rule remain eligible from the date the review is initiated until the Department or the Oregon Health Authority determines their eligibility in accordance with the application processing time frames in OAR 410-200-0110 (Application and Renewal Processing and Timeliness Standards).

Source: Rule 461-180-0085 — Effective Dates; Redeterminations of OSIPM and QMB, https://secure.­sos.­state.­or.­us/oard/view.­action?ruleNumber=461-180-0085.

Last Updated

Jun. 8, 2021

Rule 461-180-0085’s source at or​.us