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568 (07/2026) Chapter 2:Eligibility • Section 11: Medical Related Payments (MRP) Oregon Administrative Rule(s) 461-155-0630 — Special Need; Community-Based Care; OSIPM Accommodation allowance An OSIPM recipient who is 18 or older and either receives SSI, has adjusted income less than the OSIPM income standard, or is eligible to receive or is receiving in-home services is potentially eligible for an accommodation allowance if the individual: • Is temporarily absent from their home, • Has a documented increase in housing costs associated with access by a person with a disability, or • Has a documented increase in housing costs associated with a need for a home with an additional bedroom for an in-home service provider. An individual whose primary residence is a nursing facility is not eligible for an accommodation allowance. An individual living in a nonstandard living arrangement is not eligible for an accommodation allowance unless they are receiving, or are eligible to receive after a temporary absence, home and community-based care in-home services. Note: This is one of the factors that distinguish this special need from the deduction to maintain a home authorized under OAR 461-160-0630. Temporary absence of individual from home A temporary accommodation allowance may be authorized, where permitted above, if an individual meets the following criteria: • The individual must own, rent or lease a primary residence and leave their home or rental property and temporarily enter an adult foster home, assisted living facility, group care home, hospital, nursing facility, residential care facility, specialized living facility or state psychiatric institution. • The individual must be unable to afford to keep the home without the allowance. • The individual must be able to return home within six months of leaving, according to a written statement from a primary practitioner, RN or PAS (pre-admission screening) RN, and • When the individual returns home, the individual must be eligible to receive in-home services under OAR chapter 411 division 030 and the home must accommodate the individual’s service plan. The allowance may be authorized for six months. If the individual continues to meet the criteria after six months, an extension may be approved in writing by a supervisor. The accommodation allowance equals the total of the individual’s housing cost, including taxes and homeowners insurance, plus the limited standard utility allowance for the SNAP program provided in 461-160-0420. Note: Update the LUA amount annually during the financial redetermination. Additional cost accommodation based on increased rent due to a disability An additional cost accommodation may be authorized, where permitted above, if: