461-175-0230 Effective 07/08/20
Notice Situation; Nonstandard Living SituationsRetroactively effective July 6, 2020:
- In the SNAP program:
- A timely continuing benefit decision notice (see OAR 461-001-0000) is sent to terminate, suspend, or reduce benefits if the notice occurs as a result of any of the following situations:
- A An individual has been admitted or committed to an institution.
- An individual has been placed in foster care, skilled nursing care, intermediate care, or long-term hospitalization.
- An individual is placed in official custody or a correctional facility.
- An individual enters a drug or alcohol residential treatment facility.
- An individual leaves a drug or alcohol residential treatment facility without reapplying for SNAP benefits.
- No decision notice (see OAR 461-001-0000) is required if the Department determines that a resident of a group living (see OAR 461-001-0015) facility or a drug or alcohol treatment center is ineligible as a result of one of the following actions taken against the center or facility:
- Disqualification by Food and Nutrition Services (FNS) as an authorized representative.
- Loss of certification with the Department.
- A resident of a facility that is disqualified or loses its certification as described in subsection (b) of this section may still qualify for SNAP benefits through a separate application.
- Except as provided in section (3) of this rule, for all programs except the SNAP program, a basic decision notice (see OAR 461-001-0000) is sent to terminate, suspend, or reduce benefits in each of the following situations:
- The individual has been admitted or committed to an institution, or the individual loses Medicaid eligibility while in the institution.
- The individual has been placed in skilled nursing care, intermediate care, or long-term hospitalization.
- The individual is placed in official custody or a correctional facility.
- Except as provided in OAR 461-175-0300, in the OSIPM program, an individual receiving home and community-based care (see OAR 461-001-0030) or long-term care services is sent --
- A timely continuing benefit decision notice in each of the following situations:
- A reduction or closure of services occurs as the result of a process of reevaluating both the functional impairment levels of an individual and the requirements of an individual for assistance in performing activities of daily living.
- Services are closing because the individual has not paid the client liability (see OAR 461-160-0610) or participant fee (see OAR 461-001-0035 ).
- The individual receives benefits in the OSIP-IC or OSIPM-IC program, and benefits will end under OAR 411-030-0100.
- There is a change in special needs as described in OAR 461-180-0040.
- Except as provided in subsection (b) of this section, when there is an increase in the client liability or participant fee as described in OAR 461-160-0610 and OAR 461-160-0620.
- A continuing benefit decision notice (see OAR 461-001-0000) when there is an increase in a client liability or participant fee as a result of any of the following:
- A cost-of-living adjustment (COLA).
- A mass change under a program operated by a federal agency.
- A mass change to payments in a program operated by the Department.
- A basic decision notice when there is a decrease in the client liability or participant fee.
Statutory/Other Authority: ORS 329A.500, 409.050, 411.060, 411.101, 411.404, 411.816, 412.014, 412.049, 413.085, 414.685
Statutes/Other Implemented: ORS 411.060, 411.085, 411.095, 411.099, 411.101, 411.103, 411.816, 412.014, 412.049