Oregon Administrative Rules
Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS
Division 200 - ELIGIBILITY FOR HEALTH SYSTEMS DIVISION MEDICAL PROGRAMS
Section 410-200-0410 - Specific Requirements; MAGI CHIP

Universal Citation: OR Admin Rules 410-200-0410

Current through Register Vol. 63, No. 9, September 1, 2024

In addition to eligibility requirements applicable to MAGI CHIP in other rules in chapter 410 division 200, this rule describes specific eligibility requirements for the MAGI CHIP program.

(1) Individuals may not be eligible for MAGI CHIP with an effective date prior to October 1, 2013.

(2) To be eligible for MAGI CHIP, an individual must:

(a) Be under 19 years of age; and

(b) Meet the budgeting requirements of OAR 410-200-0315.

(3) To be eligible for MAGI CHIP, an individual may not:

(a) Be eligible for MAGI Child, MAGI Pregnant Woman, MAGI Parent or Caretaker Relative, or Substitute Care programs;

(b) Be receiving or deemed to be receiving SSI benefits; and

(c) Be covered by minimum essential coverage. For the purposes of this rule, a child is not considered to have minimum essential coverage if it is not accessible for one or more of the following reasons:
(A) The travel time or distance to available providers within the minimum essential coverage network exceeds:
(i) In urban areas: 30 miles, 30 minutes, or the community standard, whichever is greater; or

(ii) In rural areas: 60 miles, 60 minutes, or the community standard, whichever is greater;

(B) Accessing the minimum essential coverage would place a member of the household at risk of harm.

(4) For the Authority to enroll a child in MAGI CHIP based on a determination made by an Express Lane Agency (ELA), the child's parent or guardian shall give consent in writing, by telephone, orally, or through electronic signature.

Statutory/Other Authority: ORS 411.402, 411.404 & 413.042

Statutes/Other Implemented: ORS 411.400, 411.402, 411.404, 411.406, 413.032, 413.038, 414.025, 414.231 & 414.706

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.
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