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518 (07/2026) Chapter 2:Eligibility • Section 10: Long-Term Care (LTC) services someone is “filtered out” of the EDG for services, they cannot be put back in except in community spouse and parent of an applying child situations. Other resources Non-MAGI Medical Eligibility Determination Groups & Status QRG. Oregon Administrative Rule(s) 461-110-0210 — Household Group 461-110-0410 — Filing Group; MSP, OSIPM 461-110-0530 — Financial Group 461-110-0630 — Need Group 461-110-0750 — Benefit Group 461-135-0950 — Eligibility for Inmates and Residents of State Hospitals 410-200-0305 — Eligibility Determination Group—MAGI Medicaid/CHIP Effective date of benefits Medicaid eligibility For applicants who are eligible for medical benefits because of their eligibility for long-term care, the effective date for the initial month’s medical benefit is the first of the month in which the applicant becomes eligible for long- term care services. There is no retroactive service eligibility, so these individuals cannot receive retroactive OSIPM unless they are eligible without services in the three months prior to the date of request. Service eligibility APD/AAA case managers, Community Developmental Disability Program (CDDP) eligibility specialists, and community behavioral health services’ behavioral health specialists determine eligibility for services outside of ONE. Service eligibility, start/termination dates and service setting are coded on the legacy SELG screen, then added to the ONE case (if applicable) through an interface. Changes in liability Increase in liability For changes that increase liability, the effective date for reducing benefits is the first day of the month following the month in which the notice period ends. Reduction in liability For changes in income that reduce liability: • If the change was reported timely, the change is effective the first of the month the change occurred. • If not reported timely, the change is effective the first of the month the change was reported or discovered.