Oregon Administrative Rules
Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS
Division 200 - ELIGIBILITY FOR HEALTH SYSTEMS DIVISION MEDICAL PROGRAMS
Section 410-200-0225 - Assignment of Rights
Universal Citation: OR Admin Rules 410-200-0225
Current through Register Vol. 63, No. 9, September 1, 2024
(1) The signature of the applicant or authorized representative on the application for assistance signifies the applicant's agreement to assign the rights to reimbursement for medical care costs to the Agency.
(2) As a condition of eligibility, each applicant shall:
(a) Assign to the Agency any
rights of each EDG member receiving benefits to reimbursement for medical care
costs to the Agency including any third party payments for medical care and any
medical care support available under an order of a court or an administrative
agency;
(b) Assign to the Agency
any rights to payment for medical care from any third party and, once they
receive assistance, to assist the Agency in pursuing any third party who may be
liable for medical care or services paid by the Agency, including health
services paid for pursuant to ORS
414.706 to
414.750 as set forth in OAR
410-200-0220,
461-195-0303 and
461-195-0310;
(c) Unless good cause exists as established
in OAR 410-200-0220 (Requirement to
Pursue Assets), failure to assign the right to reimbursement for medical care
costs to the Agency shall result in ineligibility for the EDG until the
requirements of this rule are met.
(3) Except for the MAGI CHIP program, and eligibility granted under Cover All Kids (OAR 410-200-0240):
(a) An applicant shall assign to the state
the right of any Medicaid-eligible individual in the EDG to receive any cash
medical support that accrues while the individual receives assistance, not to
exceed the total amount of assistance paid; and
(b) Cash medical support received by the
Agency shall be retained as necessary to reimburse the Agency for medical
assistance payments made on behalf of an individual with respect to whom such
assignment was executed.
Statutory/Other Authority: ORS 411.402, 411.404 & 413.042
Statutes/Other Implemented: 411.402, 411.404, 411.406, 413.032, 414.025, 414.231, 414.706 & ORS 411.400
Disclaimer: These regulations may not be the most recent version. Oregon may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.