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1158 Chapter 7:Worker guides • Section 7: OSIPM worker guides (07/2026) received Medicaid for a year, and then was determined no longer eligible due to a great recovery. After the medical benefits closed, Stanley began working again and purchased a QPP for $200,000. At age 65, Stanley’s health deteriorated again and the QPP was exhausted. When determined eligible for Medicaid, the eligibility worker adds a case note in ONE that $200,000 is excluded due to the receipt of QPP payments and sends a MSC 0647 (indicating the amount of the QPP exclusion in the “Remarks” section) to Estate Administration. When the estate claim is made, only Medicaid benefits received after age 65 are protected from collection and not the Medicaid benefits received at age 55. Eligibility for residents of a public institution House Bill 3536 mandates ODHS|OHA suspend Medical benefits on any individual who is receiving Medicaid and who becomes incarcerated. This bill extends the process created under SB913, where benefits of individuals who have a severe mental impairment were suspended. 461-135-0950 A resident of an institution is an individual who is: • Confined involuntarily in a local, state or federal prison, jail, detention facility, or other penal facility, including a person being held involuntarily in a detention center awaiting trial or a person serving a sentence for a criminal offense; • Residing involuntarily in a facility under a contract between the facility and a public institution where, under the terms of the contract, the facility is a public institution; • Residing involuntarily in a facility that is under governmental control; • Receiving care as an outpatient while residing involuntarily in a public institution; • Released from the public institution during a temporary period of hospitalization in a medical institution outside of the correctional facility; or • Court ordered to live in a supervised community residential facility such as a halfway house or transition center. An individual is not considered to be a resident of a public institution when: • The person is released on parole, probation, or post-prison supervision; • The person is on home- or work-release, unless the person is required to report to a public institution for an overnight stay; or • The person is staying voluntarily in a detention center, jail, or county penal facility after their case has been adjudicated and while other living arrangements are being made for the individual. • The person is court ordered to reside at Northwest Regional Reentry Center on the Aid & Assist program. A public institution is any of the following: • A state hospital (as defined by ORS 162.135) such as the Oregon State Hospital and any other hospital established by law for similar purposes, including the “SAIP” means Secure Adolescent Inpatient Program (SAIP), and the Secure Children’s Inpatient Program (SCIP). See the Residents of State Hospitals and Training Centers Worker Guide for exceptions to ineligibility for individuals entering the state hospital.