Oregon Administrative Rules
Chapter 413 - DEPARTMENT OF HUMAN SERVICES, CHILD WELFARE PROGRAMS
Division 100 - SUBSTITUTE CARE - FUNDING ELIGIBILITY
Section 413-100-0430 - Eligibility Determination for a Child or Young Adult in Substitute Care
Current through Register Vol. 63, No. 12, December 1, 2024
Except as provided in OAR 413-100-0435(7), the following policies apply to a child or young adult in substitute care:
(1) Before a child or young adult in substitute care may receive a medical card providing Child Welfare Title XIX Medicaid services, the Department must determine the eligibility of the child or young adult for Child Welfare Title XIX Medicaid.
(2) A child or young adult covered by OAR 413-100-0420 who meets one of the following criteria is categorically eligible for Child Welfare Title XIX Medicaid:
(3) As part of the eligibility determination for Child Welfare Title XIX Medicaid:
(4) Except when a child or young adult is determined eligible for Child Welfare Title XIX Medicaid under OAR 413-100-0435, coverage ends the day the child or young adult leaves state custody, or enrolls into OCCS Medical.
(5) General Assistance coverage will be provided when a child or young adult in substitute care does not meet the eligibility requirements for Child Welfare Title XIX Medicaid coverage. Eligibility redeterminations for a child or young adult receiving General Assistance must be completed every 12 months.
(6) Redetermination of the eligibility of each child or young adult for Child Welfare Title XIX Medicaid must be reviewed every 12 months.
(7) Retroactive Title XIX Medicaid or General Assistance eligibility.
(8) Corrections to the record of the child or young adult in the Department's electronic information system may be made when it has been determined that the child or young adult was incorrectly shown as Child Welfare Title XIX Medicaid eligible for prior months.
Statutory/Other Authority: ORS 418.005
Statutes/Other Implemented: ORS 418.005