Current through Register Vol. 63, No. 9, September 1, 2024
This rule is used to determine the effective date when a change
in income or income deductions causes an increase in benefits. The effective
date is one of the following:
(1) In
the GA, REF, SFPSS, and TANF programs, the effective date for an anticipated
change reported before the payment month is the first of the payment month in
which it will occur. If the change is not reported until the month it occurs or
later, the effective date is the first of the month following the month in
which the change was reported.
(2)
In the SNAP program:
(a) The effective date
when verification is not requested is the first of the month following the date
the change was reported.
(b) The
effective date if verification is requested is:
(A) The first of the month following the date
the change was reported if verification is received no later than the due date
for the verification.
(B) The first
of the month following the date the verification is received by the Department,
if received after the verification due date.
(3) In the OSIPM and QMB programs, the
effective date for increases resulting from reported changes is determined as
follows:
(a) If, based on the reported change,
the individual is determined eligible for a new program with a higher benefit
level, the effective date for the new program is determined in accordance with
OAR 461-180-0090.
(b) For changes in income or increased
deductions due to changes to an individual's marital status or number of
eligible dependents that reduce patient liability under OAR
461-160-0610 or the OSIPM-EPD
participant fee (see OAR
461-001-0035), the effective
date is the first of the month in which the change is reported or
discovered.
(c) For medical costs
allowed in accordance with OAR
461-160-0030 that reduce the
patient liability or
participant fee:
(A) One-time and ongoing costs that have
already been paid when the change is reported are allowed in the month they are
reported.
(B) For one-time and
ongoing costs that have been incurred but not paid, the change is effective the
month the individual reports they paid the cost or began making
payments.
(d) When the
decrease in patient liability is caused by a higher maintenance standard due to
a change in service setting, the effective date is the date the individual
moves into the new service setting.
(e) When a decrease in patient liability is
caused by a change in income and a change in service setting that occurs in the
same month, the effective date is the day the individual moves into the new
service setting.
(f) When the
decrease in participant fee is caused by a higher maintenance
standard due to a change in service setting or a combination of a higher
maintenance standard and another change that is reported or discovered in the
same month, the effective date is the first of the month the individual moves
into the new service setting.
Statutory/Other Authority: ORS
409.050,
411.060,
411.070,
411.404,
411.706,
411.816,
412.014,
412.049,
413.085 &
414.685
Statutes/Other Implemented: ORS
409.010,
411.060,
411.070,
411.404,
411.706,
411.816,
412.014 &
412.049
