OAR 461-180-0040: Effective Dates; Special and Service Needs

(1) The effective date for a special need is the later of the following: (a) The date of request (see OAR 461-115-0030) for the special need item; or (b) 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: (a) For individuals currently receiving Medicaid OHP Plus benefits, the effective date is the later of the following: (A) The date of request for in-home services or ICP. (B) The date the individual meets all eligibility requirements for in-home services or ICP in accordance with OAR 411-030-0040. (C) The expiration date of a disqualification period resulting from a transfer of assets (see OAR 461-140-0296). (b) For individuals not already receiving Medicaid OHP Plus benefits, the effective date is the later of the following: (A) The effective date of the Medicaid OHP Plus benefit package (see OAR 411-015-0015). (B) The date of the initial assessment. (C) The date the individual meets all eligibility requirements for in-home services or ICP in accordance with OAR 411-030-0040. (D) 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: (a) The date of request for services. (b) The date the individual begins residing in the community-based setting or nursing facility. (c) The effective date of the Medicaid OHP Plus benefit package (see OAR 411-015-0015 ). (d) 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: (a) The end of the timely continuing benefit decision notice (see OAR 461-001-0000) notice period under OAR 461-175-0050; and (b) 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.