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520 (07/2026) Chapter 2:Eligibility • Section 10: Long-Term Care (LTC) services Click here for examples: Effective dates. Oregon Administrative Rule(s) 461-180-0020 — Effective Dates; Changes in Income or Income Deductions That Cause Increases 461-180-0030 — Effective Dates; Changes in Income or Income Deductions That Cause Reductions 461-180-0040 — Effective Dates; Special Needs and Services 461-180-0044 — Effective Dates; Income Cap Trust 461-180-0070 — Effective Dates; Initial Month Benefits 461-180-0090 — Effective Dates; Initial Month Medical Benefits 461-180-0140 — Effective Dates; Retroactive Medical Benefits 411-030-0040 — Eligibility Criteria Other resources Income Cap Trust Eligibility Guide Individual information Living arrangement An individual’s living arrangement and where they reside can affect several eligibility factors. This establishes what financial information is considered, which impacts the medical program or level of services individuals are determined eligible for. Whether the individual is in a nonstandard living arrangement (receiving LTC services) or a standard living arrangement (not receiving LTC services) may determine if they incur a monthly cost. The type of nonstandard living arrangement (nursing facility, community-based care facility or their own home) helps determine the amount of their monthly cost. State of residence in a medical facility Residency of an individual living in a state or private medical facility, such as a hospital, mental hospital, nursing home or convalescent center, is determined as follows: • An individual age 21 or older or an individual less than age 21 who is legally emancipated or married, who is capable of indicating intent to reside is considered to be a resident of the state where the individual is living with the intention to remain permanently or for an indefinite period. • An individual age 21 or older who became incapable of indicating intent to reside after age 21 is considered to be a resident of the state where the facility is located unless the individual was placed in the facility by a state agency of another state. When a state agency of another state places an individual, the individual is considered to be a resident of the state that makes the placement. • For an individual under age 21, who is incapable of forming an intent to reside, or an individual of any age who became incapable of forming that intent before age 21, the state of residence is one of the following:
The state of residence of the individual’s parent or legal guardian at either the time of application or placement if the individual is institutionalized in that state.
The state of residence of the party who applies for benefits on the individual’s behalf if: