461-170-0130    Effective 11/01/16
Acting on Reported Changes; OSIPM, QMB

  1. When an OSIPM or QMB client, who is required by this division of rules to report a change in circumstances, makes a timely report of a change that could reduce or end medical benefits, prior to reducing or ending medical benefits:

    1. The Department must review each individual in the filing group for eligibility for the other medical programs listed in this rule; and

    2. The Oregon Health Authority or the Department must review the individual for Medicaid eligibility under MAGI rules (OAR 410-200).

  2. If the Department needs additional information to act on the timely reported change, members of the benefit group (see OAR 461-110-0750) remain eligible from the date the change was reported until the Department determines their eligibility in accordance with the application processing time frames in OAR 461-115-0190.

Statutory/Other Authority: ORS 409.050, 411.060, 411.404
Statutes/Other Implemented: ORS 409.010, 411.060, 411.404

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