Current through Register Vol. 63, No. 9, September 1, 2024
(1) Reporting requirements described in this
rule apply to any individual whose information is considered in determining
eligibility for any case member.
(2) An individual or someone authorized to
act on the individuals behalf shall report the following changes in
circumstances within 10 calendar days of its occurrence:
(a) The receipt or loss of health care
coverage;
(b) A change in mailing
or residential address;
(c) A
change in legal name;
(d) A change
in pregnancy status;
(e) A change
in tax-filing status;
(f) A change
in citizenship or immigration status of an applicant or recipient;
(g) Someone joins or permanently leaves the
household;
(h) Someone becomes a
resident of a public institution as described in OAR
410-200-0015(69);
(i) For all HSD Medical Programs except MAGI
CHIP, a change in availability of employer-sponsored health
insurance;
(j) For the MAGI Parent
or Caretaker Relative and EXT programs, when the beneficiary no longer has a
dependent child living in the home, including:
(A) The only dependent child leaves the
household; or
(B) The only
dependent child is 18 years old and not a full-time student in a secondary
school or equivalent vocational or technical training.
(k) An EDG member age 19 or older experiences
a change in income, including:
(A) A change in
source of income;
(B) A change in
employment status:
(i) For a new job, the
change occurs the first day of the new job;
(ii) For a job separation, the change occurs
on the last day of employment.
(C) A change in earned income more than $100
per month. The change occurs upon the receipt by the beneficiary of the first
paycheck from a new job or the first paycheck reflecting the updated income
amount;
(D) A change in unearned
income more than $50 per month. The change occurs the day the beneficiary
receives the new or changed payment.
(3) Individuals shall report a claim for
personal injury within 10 calendar days of its occurrence. The following
information shall be reported:
(a) The names
and addresses of all parties against whom the action is brought or claim is
made;
(b) A copy of each claim
demand; and
(c) If an action is
brought, identification of the case number and the county where the action is
filed.
(4) Changes may be
reported via the Internet, by telephone, via mail, in person, and through other
commonly available electronic means.
(5) A change is considered reported on the
date the information is received by the Agency.
(6) A change reported for one program is
considered reported for all programs administered by the Agency in which the
beneficiary participates.
(7) The
following changes are not required to be reported:
(a) Periodic cost-of-living adjustments to
the federal Black Lung Program, SSB, SSDI, SSI, and veterans assistance under
Title 38 of the United States Code;
(b) Changes in eligibility criteria based on
legislative or regulatory actions.
Statutory/Other Authority: ORS
411.402,
411.404,
413.042 &
414.534
Statutes/Other Implemented: ORS
411.400,
411.402,
411.404,
411.406,
411.439,
411.443,
413.032,
414.025,
414.231, 414.447,
414.534,
414.536 &
414.706
