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619 Chapter 3:Processes and procedures • Section 1: Acting on reported changes (07/2026) A mass-change notice is automatically sent when applicable. If benefits are reduced or closed to reflect cost-of-living adjustments or another mass change under a program operated by a federal agency or a mass change to payments in a program operated by ODHS|OHA: • Instead of specifying the action ODHS|OHA intends to take and the effective date of the action, the decision notice may state all of the following:
The general nature of the change,
Examples of how the change affects an individual’s benefits, and
The month in which the change will take place. • The decision notice must also state the individual’s right to continue receiving benefits. No additional decision notice is required if: (a) The individual was sent a continuing benefit decision notice to decrease their liability for an allowable deduction, if that decision notice specified when the deduction would no longer apply, or (b) The individual was sent a basic decision notice of eligibility and a simultaneous continuing benefit decision notice to reduce or end the program due to a change in the individual’s circumstances between the date of application and the date of the eligibility determination, or (c) The individual completes an MSC 0457D form or ONE-121 to reduce or end benefits or when the individual withdraws an application. HSD A basic decision notice is sent whenever an application for HSD medical program benefits is approved or denied. A timely continuing benefit decision notice is sent whenever HSD medical program benefits are reduced or closed with the following exceptions. A basic decision notice in sent in the following situations: • For a beneficiary who becomes a resident of a public institution or a correctional facility, • For a beneficiary who has been placed in skilled nursing care, intermediate care, or long-term hospitalization, • When individual ceases to be an Oregon resident and is eligible for benefits in the other state, • When a request to withdraw or end benefits is made by a beneficiary, another adult member of the EDG or the authorized representative and the request includes a written signature or a recorded verbal signature, • When an individual who is not a recipient of any Medicaid/CHIP benefits makes a request to withdraw an application for benefits, or • When returned postal mail is received without a forwarding address and the beneficiary’s whereabouts are unknown. No decision notice is required in the following situations: • The only individual in the EDG dies, or • A hearing was requested after a notice was received and either the hearing request is dismissed or