Oregon Administrative Rules
Chapter 461 - DEPARTMENT OF HUMAN SERVICES, SELF-SUFFICIENCY PROGRAMS
Division 155 - INCOME AND PAYMENT STANDARDS, AND SPECIAL NEEDS
Section 461-155-0688 - Prescription Drug Co-pay Coverage
Current through Register Vol. 63, No. 9, September 1, 2024
In the OSIPM program for a client who is receiving SSI:
(1) The Department will provide a payment for all Medicare Part D or Veteran's Administration Health Care prescription co-pays if a client's co-pays exceed $10 per month.
(2) Payment for Medicare Part D co-pays is limited to the current Low-Income Subsidy (LIS) program amounts for a fully dual eligible individual under 100 percent of the Federal Poverty Limit.
(3) If the payment exceeds $30 per month, it must be approved by Aging and People with Disabilities central office staff.
Stat. Auth.: ORS 409.050, 411.060, 411.404, 411.706, 413.085, 414.685
Stats. Implemented: ORS 409.010, 411.060, 411.083, 411.404, 411.704, 411.706, 413.085, 414.685