ORS 411.402
Procedures for verifying eligibility for medical assistance; rules


(1)

The Department of Human Services and the Oregon Health Authority shall adopt by rule, consistent with federal requirements, the procedures for verifying eligibility for medical assistance, including but not limited to all of the following:

(a)

The department and the authority shall access all relevant state and federal electronic databases for any eligibility information available through the databases.

(b)

The department and the authority shall verify the following factors through self-attestation:

(A)

Pregnancy;

(B)

Date of birth;

(C)

Household composition; and

(D)

Residency.

(c)

The department and the authority may not use self-attestation to verify citizenship and immigration status.

(d)

The department and the authority may require the applicant to provide verification in addition to the verification specified in this subsection only if the department and the authority are unable to obtain the information electronically or if the information obtained electronically is not reasonably compatible with information provided by or on behalf of the applicant.

(e)

The department and the authority shall use methods of administration that are in the best interests of applicants and recipients and that are necessary for the proper and efficient operation of the medical assistance program.

(2)

Information obtained by the department or the authority under this section may be exchanged with the health insurance exchange and with other state or federal agencies for the purpose of:

(a)

Verifying eligibility for medical assistance, participation in the exchange or other health benefit programs;

(b)

Establishing the amount of any tax credit due to the person, cost-sharing reduction or premium assistance;

(c)

Improving the provision of services; and

(d)

Administering health benefit programs. [Formerly 414.049; 2010 c.73 §4; 2011 c.720 §102; 2013 c.14 §4; 2013 c.688 §42]

Source
Last accessed
May. 15, 2020