Individuals Applying for or Receiving Long-Term Care or Home and Community-Based Care
In the OSIPM program, an individual who does not meet the income requirements for OSIPM under sections (3) or (5) of OAR 461-155-0250 and who meets the following requirements is subject to the OSIPM income limit specified in OAR 461-155-0250(2):
(1) The individual meets at least one of the following eligibility standards:
(a)The criteria in OAR 411-015-0100 (except subsection…#
(a) The criteria in OAR 411-015-0100 (except subsection (1)(b)) regarding eligibility for nursing facility care or home and community-based care
(see OAR 461-001-0030).
(b)The level-of-need criteria for an ICF-ID.#
(b) The level-of-need criteria for an ICF-ID.
(c)The service eligibility standards for the CIIS…#
(c) The service eligibility standards for the CIIS (Children's Intensive In-Home Services) programs in OAR 411-300-0100 to 411-300-0220.
(2) The individual resides in or will reside in one of the following locations for a continuous period of care
(see OAR 461-001-0030) and is applying for or receiving long-term care services authorized by the Department:
(a) A Medicaid-certified nursing facility.
(b) An intermediate care facility for individuals with intellectual disabilities (ICF-ID).
(c) A home and community-based care setting.
(3) For an individual who resides or will reside in a home and community-based care setting, the individual receives Title 1915(c) waivered services.