Current through Register Vol. 63, No. 9, September 1, 2024
(1) This
rule explains the effective date for closing or suspending benefits for the
entire benefit group (see OAR
461-110-0750) and the effective
date for ending JOBS and REP support service payments.
(2) In all programs, upon the death of the
only individual in a benefit group, the effective date of the
closure is:
(a) In the REF, SNAP, and TANF
programs, the last day of the month in which the death occurred.
(b) In all other programs, the date of the
death.
(3) For all
closures and suspensions not covered by section (2) of this rule, the effective
date is determined as follows:
(a) When
prospective eligibility is used, the effective date for closing or suspending
benefits is the last day of the month in which the notice period
ends.
(b) For a pregnant individual
receiving benefits of the OSIPM program, the effective date for closing
benefits is no earlier than the last day of the calendar month in which the
60th day after the last day of pregnancy falls, except at the individual's
request.
(c) For an individual who
is receiving medical assistance and becomes incarcerated with an expected stay
of a year or less, the effective date for suspending medical benefits is the
effective date on the decision notice (see OAR
461-001-0000).
(d) The effective date for ending support
service payments authorized under OAR
461-190-0211 is the earlier of
the following:
(A) The date the related JOBS
or REP activity is scheduled to end.
(B) The date the individual no longer meets
the requirements of OAR
461-190-0211.
(e) In the OSIP, OSIPM, and QMB programs,
notwithstanding any other provision in Chapter 461, benefits can be closed
retroactively under any of the conditions listed below:
(A) The individual has moved out of state,
requested closure of benefits prior to the move, but the Department failed to
take the action. The effective date is the end of the month prior to the month
in which the individual established residency in the new state.
(B) In the QMB programs, the individual
became disenrolled from Medicare. The effective date is the end of the month
prior to the month the individual was disenrolled.
(C) The effective date of a retroactive
closure described in paragraph (A) above cannot be before the end of the month
in which medical claims were incurred and paid.
Statutory/Other Authority: ORS
409.050,
411.060,
411.070,
411.404,
411.706,
411.816,
412.006 &
412.009
Statutes/Other Implemented: ORS
409.010,
411.060,
411.070,
411.404,
411.706,
411.816,
412.014 &
412.049
