Page 95
95 (07/2026) Chapter 2:Eligibility • Section 1: Application HSD The DOR is: 1. For new applicants, the DOR is established: (a) When the request for medical benefits is received by the Agency, the Federally Facilitated Marketplace (FFM), or a community partner, or (b) The date the applicant received a medical service, if the request for medical benefits is received by midnight of the following business day. 2. For current beneficiaries, the DOR is: (a) The date the beneficiary or someone authorized to act on the beneficiary’s behalf reports a change requiring a redetermination of eligibility, or (b) The month an individual ages off a medical program. 3. For automated renewals which do not generate a Request for Information (RFI), the DOR is the date the Agency initiates the automated renewal. 4. For active renewals and for automated renewals which result in the generation of an RFI, the DOR is the date the ODHS|OHA receives a response to the active renewal or to the RFI. 45 days for initial request An eligibility determination will be made and a decision notice sent by the 45th calendar day after the date of request if: • All information necessary to determine eligibility is present, • An RFI is issued and a response has not been received by the deadline provided, or • A completed application is not received by the agency within 45 days after the date of request. The 45-day processing time may be extended if: • ODHS|OHA must request additional information or verification, and the due date of that request extends beyond the 45th day, or • If there is an administrative or other emergency beyond the control of the ODHS|OHA. 30 days for eligibility renewal If additional information or verification is required, the ODHS|OHA will provide the beneficiary at least 30 days from the date of the renewal form to respond and provide necessary information. Click here for examples: Date of request. Oregon Administrative Rule(s) 461-115-0030 — Date of Request 461-115-0010 — Application Process; General 414-175-0005 — Application for ERDC Benefits 461-115-0190 — Application Processing Time Frames; Not Pre-TANF or SNAP 410-200-0110 — Application and Renewal Processing and Timeliness Standards