Oregon Administrative Rules
Chapter 413 - DEPARTMENT OF HUMAN SERVICES, CHILD WELFARE PROGRAMS
Division 100 - SUBSTITUTE CARE - FUNDING ELIGIBILITY
Section 413-100-0420 - Child Welfare Title XIX Medicaid Program Eligible Populations
Universal Citation: OR Admin Rules 413-100-0420
Current through Register Vol. 63, No. 3, March 1, 2024
Only the following children and young adults may be eligible for Child Welfare Title XIX Medicaid:
(1) A child or young adult in substitute care, which may include:
(a) A child or young
adult in foster care.
(b) A child
or young adult receiving Supplemental Security Income (SSI).
(c) A child or young adult held temporarily
in a county or state juvenile detention facility.
(d) A child or young adult in a subsidized
Independent Living Program.
(e) A
child or young adult who returned home in a trial reunification for up to six
months.
(f) A child or young adult
in a pre-adoptive placement.
(g) A
child or young adult on runaway status who would otherwise be in substitute
care, as long as the Department retains custody of the child or young adult and
the child or young adult would continue to be in substitute care and Child
Welfare Title XIX Medicaid eligible if not on runaway status.
(h) A child or young adult hospitalized while
under the Department's protective custody is eligible, if at the time of
hospitalization, the Department's intent was to place the child or young adult
in substitute care.
(i) A child or
young adult from Oregon placed in substitute care in another state through ICPC
and the receiving state has denied the child or young adult medical coverage.
(j) A child or young adult
admitted to the hospital prior to entering substitute care and a newborn
released from the hospital into substitute care. Eligibility for a child or
young adult is effective on the date the Department finds the child or young
adult is eligible but not earlier than the date the Department obtains custody
of the child or young adult.
(k)
Newborns in the following situations:
(A) A
baby born to a mother receiving medical benefits under Title XIX Medicaid from
the Oregon Health Authority is eligible for Title XIX Medicaid due to the
mother's coverage.
(B) A baby born
to a mother not receiving medical benefits under Title XIX Medicaid from the
Oregon Health Authority, to ensure coverage of birth expenses if:
(i) The Department obtains custody of the
baby during its hospitalization; and
(ii) Child Welfare Title XIX Medicaid
coverage is entered in the Department's electronic information system effective
the date of birth.
(2) A child or young adult who is the subject of an effective adoption assistance agreement administered by the Department.
(3) A child or young adult who is the subject of an effective guardianship assistance agreement administered by the Department.
Stat. Auth.: ORS 418.005
Stats. Implemented: ORS 418.005
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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