OAR 410-200-0205: Concurrent and Duplicate Program Benefits

(1) An individual receiving HSD Medical Program benefits may not receive the following medical benefits at the same time except as described in section (3) of this rule: (a) Any other HSD Medical Program; (b) Office of Child Welfare Medical; (c) Oregon Youth Authority Medical; (d) Oregon Supplemental Income Program-Medical (OSIPM); or (e) Refugee Medical Assistance (REFM). (2) An individual may not receive HSD Medical Program benefits and medical benefits from another state unless the individual’s provider refuses to submit a bill to the Medicaid/CHIP agency of the other state and the individual would not otherwise receive medical care. (3) Individuals may receive the supplemental YSHCN program benefits as described in OAR 410-200-0455(2)(a) and (b) concurrent with the MAGI Medicaid/CHIP programs defined in OAR 410-200-0015(d) and 410-200-0015(f)(A)-(E), and OSIPM programs as defined in OAR 461-101-0010(18).