Oregon Administrative Rules
Chapter 461 - DEPARTMENT OF HUMAN SERVICES, SELF-SUFFICIENCY PROGRAMS
Division 155 - INCOME AND PAYMENT STANDARDS, AND SPECIAL NEEDS
Section 461-155-0295 - Income Standard; QMB-SMB, QMB-SMF
Current through Register Vol. 63, No. 9, September 1, 2024
(1) Eligibility for Qualified Medicare Beneficiaries - Specified Low Income Medicare Beneficiary (QMB-SMB) requires income greater than 100 percent (see OAR 461-155-0290) but less than 120 percent of the federal poverty level. The adjusted income standard for QMB-SMB is 120 percent of the 2024 federal poverty level.
QMB-SMB Adjusted Income Standard
(Case Descriptor SMB)
|
No. in Need Group .............................. |
Amount |
|
1 . ........................................................... |
$1,506 |
|
2 . ........................................................... |
2,044 |
|
3 . ........................................................... |
2,582 |
|
4 . ........................................................... |
3,120 |
|
5 . ........................................................... |
3,658 |
|
6 . ........................................................... |
4,196 |
|
7 . ........................................................... |
4,734 |
|
8 . ........................................................... |
5,272 |
|
9 . ........................................................... |
5,810 |
|
10 . ......................................................... |
6,348 |
|
Each additional person ....................... |
+ 538 |
(2) Eligibility for Qualified Medicare Beneficiaries - Supplemental Medicare Full (QMB-SMF) requires income equal to or greater than 120 percent (see section (1) of this rule) but less than 135 percent of the federal poverty level. The adjusted income standard for QMB-SMF is 135 percent of the 2024 federal poverty level.
QMB-SMF Adjusted Income Standard
(Case Descriptor SMF)
|
No. in Need Group .............................. |
Amount |
|
1 . ........................................................... |
$1,695 |
|
2 . ........................................................... |
2,300 |
|
3 . ........................................................... |
2,905 |
|
4 . ........................................................... |
3,510 |
|
5 . ........................................................... |
4,116 |
|
6 . .......................................................... |
4,721 |
|
7 . ........................................................... |
5,326 |
|
8 . ........................................................... |
5,931 |
|
9 . ........................................................... |
6,537 |
|
10 . ......................................................... |
7,142 |
|
Each additional person ....................... |
+ 606 |
To view attachments referenced in rule text, click here to view rule.
Statutory/Other Authority: ORS 411.060, 411.070, ORS 409.050, 413.085 & 414.685
Statutes/Other Implemented: ORS 411.060, 411.070, ORS 409.010 & 42 USC 1396a(10)(E)(iii) and (iv)
