Current through Register Vol. 63, No. 9, September 1, 2024
(1) Except as provided in section (5) of this
rule, when benefits in any Department program except a medical program and the
SNAP program will end or be reduced after a specific period of time, the
Department may issue a decision notice (see OAR
461-001-0000) informing the
benefit group (see OAR
461-110-0750) of the date
benefits will end or be reduced, and no further decision
notice is required.
(2)
Except as provided in section (5) of this rule, in any Department program
except a medical program and the SNAP program, if the benefit
group was informed in writing when the benefits began that the
benefit group would receive benefits only for a specific
period of time a basic decision notice (see OAR
461-001-0000) may be used to--
(a) Deny an application to start or continue
benefits after the completion of a certification period (see
OAR 461-001-0000) or to approve
benefits at a level lower than the prior certification
period.
(b) Indicate that
benefits have been ended or reduced when no timely application is
submitted.
(3) A
basic decision notice is used when a special need allowance
granted for a specific period of time is removed at the end of the specified
period and the benefit group was informed of this in writing
when the allowance began. A timely continuing benefit decision
notice (see OAR
461-001-0000) is required if
stopping the special need allowance results in benefit closure.
(4) In the JOBS Plus program, a basic
decision notice is used if--
(a) An
employer submits a wage reimbursement billing and the Department calculates a
supplement (see OAR 461-190-0416 about
supplements);
(b) The
benefit group received a timely continuing benefit
decision notice that the method of payment would be changed from cash
to employer-paid wages; and
(c) The
notice specified the period of time that benefits would be diverted.
(5) No additional decision
notice is required when:
(a)
Notwithstanding OAR 461-115-0010(6),
when a benefit group submits an application for a program from
which they currently are receiving benefits.
(b) In the OSIPM program:
(A) An individual's patient liability under
OAR 461-160-0610 or
participant fee (see OAR
461-001-0035) returns to the
previous amount after the Department sent the individual a basic
decision notice for a decrease in the patient liability or
participant fee due to a one-time allowable deduction and that
notice also specified when the deduction no longer would apply causing the
patient liability or participant fee to return to the previous
amount; or
(B) An individual's
benefits are being closed or reduced and the Department sent the individual a
basic decision notice of eligibility and a simultaneous
continuing benefit decision notice (see OAR
461-001-0000) because the
individual's circumstances changed between the date of the individual's
application and the date of the Department's eligibility decision and the
change caused the individual's benefits to be reduced or closed.
(c) A decision
notice that included the eligibility begin and end dates for the three
consecutive months of Employment Payments (see OAR
461-001-0025 and
461-135-1270) was given and the
three-month eligibility period ends.
(d) A decision notice that
informed the JPI benefit group in writing, when their benefits
began, that they would receive JPI (see OAR
461-135-1260) benefits only for
a specific period of time.
(e) A
decision notice that included the eligibility begin and end
dates was given for TA-DVS program benefits and the 90-day eligibility period
ends.
(6) In the SNAP
program:
(a) A basic decision
notice is used to close benefits if the benefit group
was informed in writing, when their benefits began, that they would receive
benefits only for a specific period of time.
(b) No
decision notice is
required if the individual is provided a
decision notice at
the time of application or redetermination that -
(A) The allotment of the benefit
group would vary from month to month and listed the anticipated
changes;
(B) In the case the
individual applied at the same time for both cash assistance and SNAP benefits,
the SNAP benefits would be reduced or closed upon approval of the cash
assistance; or
(C) In the case of a
benefit group receiving benefits under expedited services with
postponed verification:
(i) The expedited
services benefits would close if the Department did not receive the postponed
verification within the timeframe established under OAR
461-115-0690.
(ii) The expedited services benefits may be
adjusted beyond the timeframe established under OAR
461-115-0690 based on the
verified information provided to the Department without further
notice.
Statutory/Other Authority: ORS
183.417,
411.060,
411.070,
411.404,
411.706,
411.816,
412.006,
412.014,
412.049,
414.231,
414.826 &
412.072
Statutes/Other Implemented: ORS
183.417,
411.060,
411.070,
411.404,
411.706,
411.816,
412.006,
412.014,
412.049,
414.231,
414.826 &
412.072
