461-180-0040    Effective 04/01/21
Effective Dates; Special Needs and Services

  1. The effective date for a special need is the later of the following:

    1. The date of request (see OAR 461-115-0030) for the special need item; or

    2. 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:

    1. For individuals currently receiving Medicaid OHP Plus benefits, the effective date is the later of the following:

      1. The date of request for in-home services or ICP.

      2. The date the individual meets all eligibility requirements for in-home services or ICP in accordance with OAR 411-030-0040.

      3. The expiration date of a disqualification period resulting from a transfer of assets (see OAR 461-140-0296).

    2. For individuals not already receiving Medicaid OHP Plus benefits, the effective date is the later of the following:

      1. The effective date of the Medicaid OHP Plus benefit package (see OAR 411-015-0015).

      2. The date of the initial assessment.

      3. The date the individual meets all eligibility requirements for in-home services or ICP in accordance with OAR 411-030-0040.

      4. 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:

    1. The date of request for services.

    2. The date the individual begins residing in the community-based setting or nursing facility.

    3. The effective date of the Medicaid OHP Plus benefit package (see OAR 411-015-0015).

    4. 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:

    1. The end of the timely continuing benefit decision notice (see OAR 461-001-0000) notice period under OAR 461-175-0050; and
    2. 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 409.050, 411.060, 411.404, 413.085, 414.685
Statutes/Other Implemented: ORS 409.010, 411.060, 411.404

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