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521 (07/2026) Chapter 2:Eligibility • Section 10: Long-Term Care (LTC) services » There is no living parent or the location of the parent is unknown, » There is no legal guardian, and » The individual is institutionalized in that state.
Oregon if the individual has been receiving medical assistance in Oregon continuously since November 1, 1981 or is from a state with which Oregon has an interstate agreement that waives the residency requirement. Oregon Administrative Rule(s) 461-120-0030 — State of Residence for an Individual in a Medical Facility Financial eligibility Income Individuals who are eligible for an OHP Plus medical benefit (HSD medical, OSIPM, Child Welfare medical) can also receive LTC services. Individuals needing services who are not eligible for OHP plus medical in a standard living arrangement are evaluated for OSIPM under the 300% SSI income standard and must meet the requirements below: • The individual is eligible under one of the following service eligibility standards:
The criteria regarding eligibility for APD’s nursing facility or Home and Community-Based Services,
The level-of-care criteria for an intermediate care facility for individuals with intellectual disabilities (ICF- IID), or
The service eligibility standards for the Children’s Intensive In-Home Services (CIIS) programs. • The individual resides or will reside in one of the following locations for a continuous period of care and receives long-term care services authorized by ODHS|OHA:
A Medicaid-certified nursing facility
An intermediate care facility for individuals with intellectual disabilities (ICF-IID), although we currently have none in Oregon
A home and community-based care setting covered by: » A waiver under Title XIX of the Social Security Act, or » The Independent Choices Program (OSIPM-IC). Reminder: This does not include individuals receiving 1915(i) behavioral health services. Note: Children who receive SSI, SSDI or have a presumptive determination and meet the services eligibility criteria are considered a benefit group of one. Only the child’s income is counted (income could be child support, trust disbursements, etc.). Note: If the individual’s countable income is over the 300% of SSI, an income cap trust needs to be established. Income cap trust (ICT)