OAR 410-120-0006: Medical Eligibility Standards

Edition: Current OARD snapshotEffective: 2019-07-01Last verified: 2026-09-07

As the state Medicaid and CHIP agency, the Oregon Health Authority (Authority) is responsible for establishing and implementing eligibility policies and procedures consistent with applicable law. As outlined in OAR 943-001-0020, the Authority and the Department of Human Services (Department) work together to adopt rules to assure that medical assistance eligibility procedures and determinations are consistent across both agencies. (1) The Authority adopts and incorporates by reference the rules established in OAR Chapter 461 for all overpayment, personal injury liens, and estates administration for Authority programs covered under OAR chapter 410, division 200. (2) Any reference to OAR chapter 461 in contracts of the Authority are deemed to be references to the requirements of this rule and shall be construed to apply to all eligibility policies, procedures, and determinations by or through the Authority. (3) For purposes of this rule, references in OAR chapter 461 to the Department or to the Authority shall be construed to be references to both agencies.

Official history and status

Statutory/Other Authority: ORS 413.042

Statutes/Other Implemented: ORS 413.042 & 414.065

History: DMAP 25-2019, amend filed 06/26/2019, effective 07/01/2019 DMAP 7-2019, amend filed 03/27/2019, effective 04/01/2019 DMAP 90-2018, amend filed 09/11/2018, effective 09/30/2018 DMAP 72-2018, amend filed 06/21/2018, effective 07/01/2018 DMAP 54-2017, amend filed 12/26/2017, effective 01/01/2018 DMAP 47-2017, temporary amend filed 11/07/2017, effective 11/07/2017 through 03/31/2018 DMAP 24-2017, f. 6-29-17, cert. ef. 7-1-17 DMAP 8-2017(Temp), f. & cert. ef. 3-1-17 thru 8-27-17 DMAP 58-2016, f. 9-30-16, cert. ef. 10-1-16 DMAP 46-2016, f. 7-18-16, cert. ef. 8-1-16 DMAP 32-2016, f. 6-29-16, cert. ef. 7-1-16 DMAP 70-2015, f. 12-8-15, cert. ef. 1-1-16 DMAP 49-2015, f. 9-3-15, cert. ef. 10-1-15 DMAP 33-2015, f. 6-24-15, cert. ef. 7-1-15 DMAP 12-2015(Temp), f. 3-5-15, cert. ef. 3-19-15 thru 9-14-15 DMAP 54-2014, f. & cert. ef. 9-23-14 DMAP 41-2014, f. & cert. ef. 7-1-14 DMAP 18-2014, f. 3-28-14, cert. ef. 3-31-14 DMAP 9-2014(Temp), f. 1-31-14, cert. ef. 2-1-14 thru 3-31-14 DMAP 59-2013(Temp), f. 10-31-13, cert. ef. 11-1-13 thru 3-31-14 DMAP 55-2013(Temp), f. & cert. ef. 10-2-13 thru 3-31-14 DMAP 52-2013(Temp), f. & cert. ef. 10-1-13 thru 3-30-14 DMAP 51-2013, f. & cert. ef. 10-1-13 DMAP 44-2013(Temp), f. 8-21-13, cert. ef. 8-23-13 thru 1-28-14 DMAP 39-2013(Temp), f. 7-26-13, cert. ef. 8-1-13 thru 1-28-14 DMAP 32-2013, f. & cert. ef. 6-27-13 DMAP 24-2013, f. & cert. ef. 5-29-13 DMAP 17-2013, f. & cert. ef. 4-10-13 DMAP 12-2013, f. 3-27-13, cert. ef. 4-1-13 DMAP 7-2013(Temp), f. & cert. ef. 3-1-13 thru 6-29-13 DMAP 5-2013(Temp), f. & cert. ef. 2-20-13 thru 6-29-13 DMAP 3-2013(Temp), f. & cert. ef. 1-30-13 thru 6-29-13 DMAP 2-2013(Temp), f. & cert. ef. 1-8-13 thru 6-29-13 DMAP 65-2012(Temp), f. 12-28-12, cert. ef. 1-1-13 thru 6-29-13 DMAP 60-2012, f. 12-27-12, cert. ef. 1-1-13 DMAP 56-2012(Temp), f. 11-30-12, cert. ef. 12-1-12 thru 4-1-13 DMAP 53-2012(Temp), f. & cert. ef. 11-1-12 thru 4-29-13 DMAP 50-2012, f. 10-31-12, cert. ef. 11-1-12 DMAP 45-2012(Temp), f. & cert. ef. 10-5-12 thru 1-19-13 DMAP 35-2012(Temp), f. & cert. ef. 7-20-12 thru 1-15-13 DMAP 25-2012(Temp), f. & cert. ef. 5-1-12 thru 7-10-12 DMAP 21-2012(Temp), f. 3-30-12, cert. ef. 4-1-12 thru 7-10-12 DMAP 9-2012(Temp), f. & cert. ef. 3-1-12 thru 7-10-12 DMAP 4-2012(Temp), f. 1-31-12, cert. ef. 2-1-12 thru 7-10-12 DMAP 3-2012(Temp), f. & cert. ef. 1-31-12 thru 2-1-12 DMAP 2-2012(Temp), f. & cert. ef. 1-26-12 thru 7-10-12 DMAP 1-2012(Temp), f. & cert. e.f 1-13-12 thru 7-10-12 DMAP 36-2011, f. 12-13-11, cert. ef. 1-1-12 DMAP 25-2011(Temp), f. 9-28-11, cert. ef. 10-1-11 thru 1-11-12 DMAP 21-2011(Temp), f. 7-29-11, cert. ef. 8-1-11 thru 1-11-12 DMAP 18-2011(Temp), f. & cert. ef. 7-15-11 thru 1-11-12 DMAP 10-2011, f. 6-29-11, cert. ef. 7-1-11

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Cited by

Official source: https://secure.sos.state.or.us/oard/