Current through Register Vol. 63, No. 9, September 1, 2024
(1) The effective date for a special need is
the later of the following:
(a) The date of
request (see OAR 461-115-0030) for the special
need item; or
(b) The effective
date for OSIPM.
(2) The
effective date for in-home services (see OAR
411-030-0020) and
independent choices program (ICP) benefits (see OAR
411-030-0020) is determined as
follows:
(a) For individuals currently
receiving Medicaid OHP Plus benefits, the effective date is the later of the
following:
(A) The date of
request for in-home services or
ICP.
(B) The date
the individual meets all eligibility requirements for in-home
services or ICP in accordance with OAR
411-030-0040.
(C) The expiration date of a disqualification
period resulting from a transfer of assets (see OAR
461-140-0296).
(b) For individuals not already
receiving Medicaid OHP Plus benefits, the effective date is the later of the
following:
(A) The effective date of the
Medicaid OHP Plus benefit package (see OAR
411-015-0015).
(B) The date of the initial
assessment.
(C) The date the
individual meets all eligibility requirements for in-home
services or ICP in accordance with OAR
411-030-0040.
(D) The expiration date of a disqualification
period resulting from a transfer of assets (see OAR
461-140-0296).
(3) The effective date
for Title XIX services in a licensed community-based setting or
Medicaid-certified nursing facility is the later of the following:
(a) The date of request for
services.
(b) The date the
individual begins residing in the community-based setting or nursing
facility.
(c) The effective date of
the Medicaid OHP Plus benefit package (see OAR
411-015-0015).
(d) The expiration date of a disqualification
period resulting from a transfer of assets (see OAR
461-140-0296).
(4) The effective date for a
reduction or termination in services is the later of the following:
(a) The end of the timely continuing
benefit decision notice (see OAR
461-001-0000) notice period
under OAR 461-175-0050; and
(b) The termination date of a service
plan.
(5) The effective
date for a reduction or termination of an on-going special need is the end of
the timely continuing benefit decision notice, notice period
under OAR 461-175-0050.
Statutory/Other Authority: ORS
411.060,
409.050,
411.404,
413.085 &
414.685
Statutes/Other Implemented: ORS
411.060,
409.010 &
411.404
