461-160-0800 Effective 07/08/20
Determining Participant Fee; OSIP-EPD, OSIPM-EPD (Including In-Home Services)Retroactively effective July 6, 2020:
- Individuals who receive OSIP-EPD and OSIPM-EPD program benefits will have a participant fee (see OAR 461-001-0035).
- For individuals in a standard living arrangement (see OAR 461-001-0000), the participant fee is the amount calculated under section (2) of this rule.
- For individuals in a nonstandard living arrangement (see OAR 461-001-0000), the participant fee is the amount calculated under section (2) of this rule or the client liability as discussed in OAR 461-160-0620, whichever is less.
- The participant fee is calculated using the Federal Poverty Level (FPL) (see OAR 461-155-0290) and the individual's total countable (see OAR 461-001-0000) income as follows:
- For individuals with countable income less than 75 percent of the FPL, the participant fee is $0.
- For individuals with countable income equal to or greater than 75 percent but less than 100 percent of the FPL, the participant fee is $50 per month.
- For individuals with countable income equal to or greater than 100 percent but less than 250 percent of the FPL, the participant fee is $100 per month.
- For individuals with countable income equal to or greater than 250 percent of the FPL, the participant fee is $150 per month.
- The participant fee must be paid each month as a condition of eligibility for as long as the individual is receiving OSIP-EPD or OSIPM-EPD.
- OSIP-EPD and OSIPM-EPD individuals in a licensed community-based care facility must pay room and board costs in addition to their participant fees.
- The local office may waive unpaid participant fees if the individual provides verification (OAR 461-115-0610) of significant economic difficulty, such as, but not limited to, homelessness, divorce, domestic violence (see OAR 461-001-0000), or illness.
Statutory/Other Authority: ORS 411.060, 411.070, 411.404, 411.706
Statutes/Other Implemented: ORS 411.060, 411.070, 411.404, 411.706