Release 74: Effective July 1, 2014

Generic Program Information -
G.  Standards


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  1. Prorated standards; adjusted number in household

    Prorated standards are used only in the no-adult tables and the non-SSI/OSIP table. Prorated standards should not be applied to OSIPM waivered cases. The no-adult tables are used when there are no adults in TANF benefit groups. Prorated standards are based on the number of people in the benefit group, compared to the adjusted number in the household. To determine the adjusted number in the household to apply to the tables, use the total number in the household minus the following:

    Additionally for OSIP and OSIPM, do not count the biological and adoptive children of either spouse or recipients of GA, GAM, OSIP, OSIPM, QMB or TANF.

    Prorated Standards; Adjusted Number in Household: 461-155-0020


  2. Income and payment standards

    1. Income and payment standards; REF and TANF

      The Countable Income Limit Standard is the amount set as the maximum countable income limit.

      For need groups containing an adult, use the following table:

      Countable Income Limit for Eligible
      Members in the Need Group

      No. of Eligible Members Amount
      1 $ 345
      2 499
      3 616
      4 795
      5 932
      6 1,060
      7 1,206
      8 1,346
      9 1,450
      10 1,622
      Each additional person 172

      Calculate the No-Adult Countable Income Limit Standard as follows:

      • #1 Refer to the Countable Income Limit Standard for need groups with adults whose needs are included. Use the standard for the number of people in the household.

      • #2 Divide the standard in #1 by the number of people in the household. Round this figure down to the next lower whole number if the figure is not a whole number.

      • #3 Multiply the figure from #2 by the number of people in the benefit group. The result is the standard.

      The Adjusted Income Limit is used as the adjusted income limit for benefit groups with an adult.

      Adjusted Income Limit
      Benefit Group - With Adult

      No. in Need Group Amount
      1 $ 326
      2 416
      3 485
      4 595
      5 695
      6 796
      7 886
      8 976
      9 1,039
      10 1,150
      Each additional person 110

      Calculate the No-Adult Adjusted Income Limit as follows:

      • #1 Refer to the Adjusted Income Standard for need groups containing adults whose needs are included. Use the standard for the number of people in the household.

      • #2 Divide the standard in #1 by the number of people in the household. Round this figure down to the next lower whole number if the figure is not a whole number.

      • #3 Multiply the figure from #2 by the number of people whose needs are included in the need group.

      • #4 Add $12 to the figure calculated in #3.

      Income and Payment Standards; JOBS, REF, TANF: 461-155-0030

    2. Payment standard for AFC and RCF; REF, TANF

      For REF and TANF, the payment standard for one person in AFC or RCF is the same as the adjusted income standard for a benefit group with one adult per OAR 461-155-0030. The payment, minus a $30 personal allowance for clothing and personal incidentals, is for room and board.

      Payment Standard for AFC and RCF; TANF: 461-155-0050

    3. Income and payment standard; EA

      1. The income limit for EA is:

        • The TANF Adjusted Income/Payment Standard for benefit groups receiving services from CAF SSP.

        Example: For TANF clients, the TANF Adjusted Income/Payment Standard is the maximum amount of TANF benefits they can get in the payment month. For example, a client received $175 of TANF benefits in 1/99 based on his earned income in 12/98. The income limit for EA for this client is $175 if he applies for EA in 1/99, because that is the maximum amount of TANF benefits he can get in 1/99.

        • One hundred percent of the federal poverty level for benefit groups receiving services from Community Action Agencies (CAAs).

      2. EA benefits are limited to the following:

        • The minimum amount necessary to meet the emergent need.

        • Except for clients listed in the sections below, the maximum EA benefit amount for the 30-day eligibility period is $100.

        • The maximum EA benefit amount for the 30-day eligibility period is:

          • - $7,200 for services provided by Community Action Agencies to stabilize homeless benefit groups.

          • - Child Welfare provides emergency service payments for families that need child welfare intervention. These payments do not affect the client's eligibility for EA.

        • The amount of help needed to return a family to their state of former residence. Allow a reasonable amount for mileage, meals and lodging; however, the actual costs cannot exceed the EA maximum benefit amount. Document the allowance in the case record.

        • Payments for food cannot exceed the maximum SNAP allotment by household group size.

      Income and Payment Standard; EA: 461-155-0070

    4. Child care payment rates and ERDC copay standard

      These child care payment rates apply to ERDC, JOBS, JOBS Plus and TANF. The following definitions apply to the child care rates:

      • Infant: A child age:

        • - Newborn to 1 year (12 months) for nonlicensed care; or

        • - Newborn to 18 months for licensed care, registered or certified.

      • Toddler: A child age:

        • - 1 year (12 months) to 3 years for nonlicensed care; or

        • - 18 months to 3 years for licensed care, registered or certified.

      • Preschool: A child age 3 years to 6 years;

      • School: A child age 6 years or older;

      • Special Needs: A child who meets the age requirement of the program (TANF or ERDC) and who requires a level of care over and above the norm for their age due to a physical, behavioral or mental disability.

      The disability must be verified by one of the following:

      • A physician, nurse practitioner, licensed/certified psychologist or clinical social worker;

      • Eligibility for Early Intervention and Early Childhood Special Education Programs or school-age Special Education Programs, or SSI.

      The need for a higher level of care must be determined by the provider, and verified by using the Special Need Child Care Rate Request (DHS 7486) form. The client must get the DHS 7486 from their worker and attach verification.

      Child care rate charts definitions:

      Standard rates:

      Family: Child care provided in the provider's own home. This rate also applies when care is provided in the home where the child lives.

      Center: Child care provided in a facility that is not located in a residential dwelling. The facility must be exempt per OAR 414-300-0000.

      Enhanced rates:

      Family: The provider has to meet established training requirements. Child care is provided in the provider's own home or the home of the child.

      Center: The child care is provided in a facility that is exempt from regulation with the Child Care Division and whose staff meet training requirements of the Oregon Registry entry level established by the Oregon Center for Career Development in Childhood Care and Education.

      Licensed rates:

      Registered
      Family:
      The provider has to meet training requirements established by the Child Care Division.

      Certified
      Family:
      The facility must be certified by the Child Care Division. Child care is provided in a facility that is not located in a residential dwelling.

      Certified
      Center:
      The facility must be certified by the Child Care Division. Child care is provided in a residential dwelling. To earn this designation, both the provider and the facility are required to meet certain standards not required of a family provider.

      The monthly limit for child care payments is the lesser of the following:

      1. The DHS monthly rate for the type of care and area per item (4) below; or

      2. The allowed child care hours in the Child Care program chapter F 3 & 4 (CC‑F.3 and CC-F.4), multiplied by the DHS hourly rate for the type of care and area per item (4) below; or

      3. Additionally for ERDC and TANF:

        • Work hours multiplied by 125 percent multiplied by the hourly rate for the type and area of care; or

        • For clients in employment that does not pay an hourly wage or salary, and are past the start-up phase per the Child Care program chapter F3 (CC-F.3), the limit is one hour of child care for each hourly equivalent of the state minimum wage anticipated to be earned, multiplied by 125 percent, multiplied by the hourly rate for the type and area of care.

          Employment covered under the above paragraph includes working on commission, and job-related training that is a condition of employment (e.g., being hired by a company that makes employment contingent on completing required safety training).

          The system automatically multiplies the figure in CC Work Hrs by 125 percent to allow for meal and commuting time.

      4. The allowed child care rate is the lesser of the following:

        1. The actual rate charged by the child care provider; OR

        2. The DHS rate for the type of care provided.

        3. In addition, providers must bill at an hourly rate for children usually in care less than 158 hours a month for the standard rate or 62 hours a month for the enhanced and licensed rate.

      Child care rates: The rates are based on the type of provider, the location of the provider (shown by zip code), the age of the child and the type of billing used (i.e., hourly or monthly).

      DHS Child Care Maximum Rates

      Group Area A
      STANDARD RATE MAXIMUMS (Not Licensed)

        Standard Family Rate (FAM) Standard Center Rate (NQC)
        1-157
      Hourly
      158-215
      Monthly
      1-157
      Hourly
      158-215
      Monthly
      Infant $2.64 $493 $3.53 $675
      Toddler $2.64 $466 $3.41 $671
      Preschool $2.64 $440 $2.89 $529
      School $2.64 $436 $3.23 $524
      Special Needs $2.64 $493 $3.53 $675

      Group Area A
      ENHANCED RATE MAXIMUMS (Not Licensed)
        Enhanced Family Rate (QFM) Enhanced Center Rate (QEC)
        1-62
      Hourly
      63-135
      Part-
      time
      136-215
      Monthly
      1-62
      Hourly
      63-135
      Part-
      time
      136-215
      Monthly
      Infant $2.85 $399 $532 $3.83 $574 $765
      Toddler $2.85 $378 $504 $3.65 $570 $760
      Preschool $2.85 $356 $475 $3.27 $449 $599
      School $2.85 $353 $470 $3.66 $445 $593
      Special Needs $2.85 $399 $532 $3.83 $574 $765

      Group Area A
      LICENSED RATE MAXIMUMS
        Registered Family Rate
      (RFM)
      Certified Family Rate
      (CFM)
      Certified Center Rate
      (CNT)
        1-62
      Hourly
      63-135
      Part-
      time
      136-215
      Monthly
      1-62
      Hourly
      63-135
      Part-
      time
      136-215
      Monthly
      1-62
      Hourly
      63-135
      Part-
      time
      136-215
      Monthly
      Infant $3.00 $420 $560 $4.25 $645 $860 $4.50 $675 $900
      Toddler $3.00 $398 $530 $4.00 $559 $745 $3.90 $671 $894
      Preschool $3.00 $375 $500 $4.00 $516 $688 $3.85 $529 $705
      School $3.00 $371 $495 $4.00 $450 $600 $4.30 $524 $698
      Special
      Needs
      $3.00 $420 $560 $4.25 $645 $860 $4.50 $675 $900

      Zip Codes for Group Area A:
      Portland, Eugene, Corvallis, Springfield, Bend, Monmouth and Ashland areas

      97004 97005 97006 97007 97008 97009 97010 97013 97015 97019 97022 97023
      97024 97027 97028 97030 97031 97034 97035 97036 97041 97045 97055 97060
      97062 97064 97068 97070 97080 97086 97106 97109 97112 97113 97116 97119
      97123 97124 97125 97132 97133 97135 97140 97149 97201 97202 97203 97204
      97205 97206 97209 97210 97211 97212 97213 97214 97215 97216 97217 97218
      97219 97220 97221 97222 97223 97224 97225 97227 97229 97230 97231 97232
      97233 97236 97239 97242 97258 97266 97267 97268 97292 97330 97331 97333
      97339 97351 97361 97371 97376 97401 97402 97403 97404 97405 97408 97454
      97455 97477 97478 97482 97520 97525 97701 97702 97707 97708 97709  

      Group Area B
      STANDARD RATE MAXIMUMS (Not Licensed)
        Standard Family Rate (FAM) Standard Center Rate (NQC)
        1-157
      Hourly
      158-215
      Monthly
      1-157
      Hourly
      158-215
      Monthly
      Infant $2.20 $400 $2.96 $473
      Toddler $2.20 $396 $2.91 $467
      Preschool $2.20 $374 $2.34 $356
      School $2.20 $352 $2.34 $345
      Special Needs $2.20 $400 $2.96 $473

      Group Area B
      ENHANCED RATE MAXIMUMS (Not Licensed)
        Enhanced Family Rate (QFM) Enhanced Center Rate (QEC)
        1-62
      Hourly
      63-135
      Part-
      time
      136-215
      Monthly
      1-62
      Hourly
      63-135
      Part-
      time
      136-215
      Monthly
      Infant $2.38 $324 $432 $3.17 $380 $506
      Toddler $2.38 $321 $428 $3.11 $375 $500
      Preschool $2.38 $303 $404 $2.65 $303 $404
      School $2.38 $285 $380 $2.65 $293 $391
      Special
      Needs
      $2.38 $324 $432 $3.17 $380 $506

      Group Area B
      LICENSED RATE MAXIMUMS
        Registered Family Rate
      (RFM)
      Certified Family Rate
      (CFM)
      Certified Center Rate
      (CNT)
        1-62
      Hourly
      63-135
      Part-
      time
      136-215
      Monthly
      1-62
      Hourly
      63-135
      Part-
      time
      136-215
      Monthly
      1-62
      Hourly
      63-135
      Part-
      time
      136-215
      Monthly
      Infant $2.50 $341 $455 $3.00 $371 $495 $3.60 $446 $595
      Toddler $2.50 $338 $450 $3.00 $345 $460 $3.52 $431 $575
      Preschool $2.50 $319 $425 $3.00 $338 $450 $3.12 $356 $475
      School $2.50 $300 $400 $2.65 $375 $500 $3.12 $345 $460
      Special Needs $2.50 $341 $455 $3.00 $371 $495 $3.60 $446 $595

      Zip Codes for Group Area B:
      Salem, Medford, Roseburg, Brookings and areas outside the metropolitan areas in Eugene and Portland

      97002 97011 97014 97017 97038 97042 97044 97048 97049 97051 97053 97056
      97058 97067 97071 97103 97107 97108 97110 97111 97114 97115 97117 97118
      97122 97127 97128 97131 97134 97138 97141 97143 97146 97148 97301 97302
      97303 97304 97305 97306 97307 97309 97310 97317 97321 97322 97325 97326
      97327 97336 97338 97341 97343 97344 97348 97352 97355 97357 97362 97365
      97366 97367 97370 97372 97374 97377 97378 97380 97381 97383 97385 97386
      97389 97391 97415 97420 97423 97424 97426 97431 97444 97446 97448 97452
      97456 97465 97470 97487 97489 97501 97502 97503 97504 97524 97534 97535
      97756 97759 97760 97801 97812              

      Group Area C
      STANDARD RATE MAXIMUMS (Not Licensed)
        Standard Family Rate (FAM) Standard Center Rate (NQC)
        1-157
      Hourly
      158-215
      Monthly
      1-157
      Hourly
      158-215
      Monthly
      Infant $2.20 $374 $2.64 $421
      Toddler $1.98 $352 $2.28 $421
      Preschool $1.76 $348 $1.93 $312
      School $1.76 $348 $1.93 $312
      Special Needs $2.20 $374 $2.64 $421

      Group Area C
      ENHANCED RATE MAXIMUMS (Not Licensed)
        Enhanced Family Rate (QFM) Enhanced Center Rate (QEC)
        1-62
      Hourly
      63-135
      Part-
      time
      136-215
      Monthly
      1-62
      Hourly
      63-135
      Part-
      time
      136-215
      Monthly
      Infant $2.38 $303 $404 $2.99 $351 $468
      Toddler $2.14 $285 $380 $2.55 $344 $458
      Preschool $1.90 $281 $375 $2.13 $252 $336
      School $1.90 $281 $375 $2.13 $251 $334
      Special Needs $2.38 $303 $404 $2.99 $351 $468

      Group Area C
      LICENSED RATE MAXIMUMS
        Registered Family Rate (RFM) Certified Family Rate (CFM) Certified Center Rate (CNT)
        1-62
      Hourly
      63-135
      Part-
      time
      136-215
      Monthly
      1-62
      Hourly
      63-135
      Part-
      time
      136-215
      Monthly
      1-62
      Hourly
      63-135
      Part-
      time
      136-215
      Monthly
      Infant $2.50 $319 $425 $2.50 $375 $500 $3.52 $413 $550
      Toddler $2.25 $300 $400 $2.50 $300 $400 $3.00 $404 $539
      Preschool $2.00 $296 $395 $2.25 $300 $400 $2.50 $296 $395
      School $2.00 $296 $395 $2.40 $300 $400 $2.50 $270 $360
      Special
      Needs
      $2.50 $319 $425 $2.50 $375 $500 $3.52 $413 $550

      Zip Codes for Group Area C: Balance of State, Other State Zips

      97001 97016 97018 97020 97021 97026 97029 97032 97033 97037 97039 97040
      97050 97054 97057 97063 97065 97101 97102 97121 97130 97136 97137 97144
      97145 97147 97324 97329 97335 97342 97345 97346 97347 97350 97358 97360
      97364 97368 97369 97375 97384 97388 97390 97392 97394 97396 97406 97407
      97409 97410 97411 97412 97413 97414 97416 97417 97419 97425 97427 97428
      97429 97430 97432 97434 97435 97436 97437 97438 97439 97441 97442 97443
      97447 97449 97450 97451 97453 97457 97458 97459 97461 97462 97463 97464
      97466 97467 97469 97472 97473 97476 97479 97480 97481 97484 97486 97488
      97490 97491 97492 97493 97494 97495 97496 97497 97498 97499 97522 97523
      97526 97527 97530 97531 97532 97533 97536 97537 97538 97539 97540 97541
      97543 97544 97601 97603 97604 97620 97621 97622 97623 97624 97625 97626
      97627 97630 97632 97633 97634 97635 97636 97637 97638 97639 97640 97641
      97710 97711 97712 97720 97721 97722 97730 97731 97732 97733 97734 97735
      97736 97737 97738 97739 97741 97750 97751 97752 97753 97754 97758 97761
      97810 97813 97814 97817 97818 97819 97820 97823 97824 97825 97826 97827
      97828 97830 97833 97834 97835 97836 97837 97838 97839 97840 97841 97842
      97843 97844 97845 97846 97848 97850 97856 97857 97859 97861 97862 97864
      97865 97867 97868 97869 97870 97873 97874 97875 97876 97877 97880 97882
      97883 97884 97885 97886 97901 97902 97903 97904 97905 97906 97907 97908
      97909 97910 97911 97913 97914 97918 97920          

      Determining the copay

      The copay is calculated by a mathematical formula that gradually increases the copay as family income increases. The maximum income limit is 185 percent of the Federal Poverty Level (see chart below). This calculation is available on the Children, Adults and Families - Self Sufficiency Programs Web page and can be accessed by going to http://www.oregon.gov/DHS/children/childcare/parents.shtml and then clicking on "Copay estimate ."

      To determine the copay amount, enter the number of persons in the ERDC need group in the Choose Family Size field. Make sure to include all adult members of the need group as well as older children who do not need child care.

      Enter the monthly income amount (as described in Section E) in the Enter Monthly Income field. Click on Calculate. The copay amount will appear in the Estimated Copay Amount field. If the client is over the income standard, the screen will display Income Exceeds Eligibility for Child Care Services.

      Hint: Once you have brought up the copay calculation program page, you can add it to your Internet Explorer Favorites list: click on "Favorites" in the upper toolbar, then click on "Add to Favorites," then click on which folder to put it in and then click on "OK."

      ERDC Gross Monthly Income Limit
      # in ERDC Group Gross Income Limit
      (185% of 2012 FPL)
      2 $2,426
      3 $3,051
      4 $3,677
      5 $4,303
      6 $4,929
      7 $5,555
      8 or more $6,181

      Child Care Eligibility Standard, Payment Rates, and Copayments: 461-155-0150(9)
      Poverty Related Income Standards; Not OSIP, OSIPM, QMB: 461-155-0180
      Use of Income to Determine Eligibility and Benefits for ERDC: 461-160-0300

    5. Income and payment standards; SNAP

      SNAP Countable and Adjusted Income Limits:

      Eligible Members
      Group Size
      Countable
      Income Limit
      Adjusted
      Income Limit
      1 $1,245 $  958
      2   1,681  1,293
      3   2,116  1,628
      4   2,552  1,963
      5   2,987  2,298
      6   3,423  2,633
      7   3,858  2,968
      8   4,294  3,303
      Each additional person     436     335

      SNAP payment standard (Thrifty Food Plans):

      SNAP Payment Standard (TFP)
      No. in Eligible
      Members Group
      Amount
      1 $189
      2  347
      3  497
      4  632
      5  750
      6  900
      7 995
      8 1,137   
      Each additional person  142

      Income and Payment Standards; SNAP: 461-155-0190

    6. Basic standard; GA, GAM

      There is no countable income standard for GA or GAM.

      The standard includes shelter, food and energy assistance. The Basic Standard is $309 for a one-person benefit group (including clients in room and board) and $618 for a two-person benefit group.

      The basic standard for all GA and GAM clients in Adult Foster Care (AFC), Assisted Living Facilities (ALF), a Residential Care Facility (GCH/RCF), satellite apartments or MHDDSD Substitute Homes is $292 for room and board, plus $40 personal allowance for clothing and personal incidentals.

      For GA and GAM clients in nursing facilities, $30 is allowed for clothing and personal incidentals.

      Payment Standard; GA, GAM: 461-155-0210

    7. Income and payment standard; OSIP, OSIPM

      For OSIP and OSIPM (except OSIP-EPD, OSIPM-EPD) in long-term care and in waivered nonstandard living arrangements, the Countable Income Limit Standard is 300 percent of the SSI standard. Use the one-person SSI standard for an individual who has no income and is living alone in the community to compute the Countable Income Limit. Other OSIP and OSIPM cases do not have a countable income limit.

      The non-SSI OSIP and OSIPM (except OSIP-EPD, OSIPM-EPD) adjusted income standard takes into consideration the need for housing, utilities, food, clothing, personal incidentals and household supplies.

      The payment standard is used as the adjusted income limit and to calculate cash benefits for non-SSI OSIP cases. The OSIP-AB Adjusted Income/Payment Standard includes a transportation allowance.

      The total standard is:

      Non-SSI/OSIP and OSIPM
      Adjusted Income Standards
        One Person in Need Group Two People in Need Group
      Adjusted No. in
      Household
      One Two or
      More
      Two Three or
      More
      AD/OAA 675.70 451.03 1011.00 674.00
      AB 700.70 476.03 1036.00 699.00

      The payment standard for SSI/OSIP cases living in the community is the SIP amount. The SIP (Supplemental Income Payment) is a need amount added to any other special or service needs to determine the actual payment.

      For clients whose unearned income minus any
      SSI or Veterans Nonservice-Connected
      Disability Benefits is less than $20:

      SSI/OSIP and OSIPM Payment Standard
      (Unearned Income Less Than $20)
      No. in Need
      Group
      AD/OAA AB
        SIP
      (need)
      SIP
      (need)
      1 1.70 26.70
      2 0.00 25.60

      For clients whose unearned income minus any
      SSI or Veterans Nonservice-Connected
      Disability Benefits is $20 or more:

      SSI/OSIP and OSIPM Payment Standard
      (Unearned Income $20 or More)
      No. in Need
      Group
      AD/OAA AB
        SIP
      (need)
      SIP
      (need)
      1 0.00 18.70
      2 0.00 17.60

      The SSI/OSIP-AB standard includes a transportation allowance. The standard for two assumes one individual is blind and the other is not. If both are blind, $20 is added to the SIP amount.

      For SSI couples in AFC, ALF or RCF, an amount is added to each person's SIP entry that equals the difference between the individual's income (including SSI and other income) and the OSIP standard for a one-person need group.

      For SSI couples in AFC, ALF, or RCF, create a separate CMS record for each person.

      In the OSIP and OSIPM programs, individuals in long-term care, a nursing facility, or an ICF-MR are allowed the following amounts for clothing and personal incidentals:

      • For clients who receive a VA pension based on unreimbursed medical expenses (UME), $90 is allowed;

      • For all other clients, $30 is allowed.

      For OSIP-EPD and OSIPM-EPD, the Adjusted Income Limit is 250 percent of the Federal Poverty Level for a family of one. For the current income standards for OSIP-EPD and OSIPM-EPD, see the APD Worker Guide on EPD: http://www.dhs.state.or.us/spd/tools/program/osip/wg11.htm

      Income and Payment Standards; OSIPM: 461-155-0250

    8. Payment standard for NSLA; OSIP, OSIPM

      For all OSIP and OSIPM cases in a waivered nonstandard living arrangement (see OAR 461-001-0000), the OSIP/OSIPM Income Standard is allocated as follows:

      1. Room and board allowance is $523.70 amounts listed in OAR 461-155-0270.

      2. Personal needs allowance:

         NON-SSI/SSB Combo Cases SSI/SSB Combo Cases
      Program
      AD/OAA $152.00 $172.00
      AB $177.00 $189.00

      Room and Board Standard; OSIPM: 461-155-0270

    9. Income standard; QMB-BAS

      The Adjusted Income Standard for QMB-BAS is as follows. It is 100 percent of the 2009 federal poverty level.

      QMB-BAS Adjusted Income Standard
      No. in Need Group Amount
      1 $ 903
      2 1,215
      3 1,526
      4 1,838
      5 2,150
      6 2,461
      7 2,773
      8 3,085
      9 3,396
      10 3,708
      Each additional person 312

      Income Standard; QMB-BAS: 461-155-0290

    10. Income standard; QMB-DW

      The Adjusted Income Standard for QMB-DW is as follows. It is 200 percent of the 2009 federal poverty level.

      QMB-DW Adjusted Income Standard
      No. in Need Group Amount
      1 $1,805
      2 2,429
      3 3,052
      4 3,675
      5 4,299
      6 4,922
      7 5,545
      8 6,169
      9 6,792
      10 7,415
      Each additional person 624

      Income Standards; QMB-DW: 461-155-0291

    11. Income standard; QMB-SMB

      The Adjusted Income Standard for QMB-SMB is as follows. It is 120 percent of the 2009 federal poverty level.

      QMB-SMB Adjusted Income Standard
      (Case Descriptor SMB)
      Income greater than 100% but not less than 120% of the Federal Poverty Level
      No. in Need Group Amount
      1 $1,083
      2 1,457
      3 1,831
      4 2,205
      5 2,579
      6 2,953
      7 3,327
      8 3,701
      9 4,075
      10 4,449
      Each additional person 374

      QMB-SMB Adjusted Income Standard
      (Case Descriptor SMF)
      Income greater than 120% but less than 135% of the Federal Poverty Level
      No. in Need Group Amount
      1 $ 1,219
      2 1,640
      3 2,060
      4 2,481
      5 2,902
      6 3,323
      7 3,743
      8 4,164
      9 4,585
      10 5,006
      Each additional person 421

      Income Standard; QMB-SMB, QMB-SMF: 461-155-0295

    12. Shelter-in-Kind Standard

      For OSIP, OSIPM, and QMB, the Shelter-in-Kind Standard is:

      For a single person:

      • Living alone, $415 for total shelter or $250 for housing costs only;

      • Living with others, $193 for total shelter or $115 for housing costs only;

      For a couple:

      • Living alone, $513 for total shelter or $308 for housing costs only;

      • Living with others, $190 for total shelter or $114 for housing costs only.

      Shelter-in-Kind Standard: 461-155-0300

    13. Special Shelter Allowance; REF, TANF

      The Special Shelter Allowance is included in the REF and TANF Payment. It is an advance of the ERA refund per ORS 412.155.

      Special Shelter Allowance
      No. in Eligible
      Members Group
      Amount
      1 $22.35
      2 22.35
      3 21.14
      4 20.34
      5 19.53
      6 18.73
      7 17.92
      8 17.12
      9 16.32
      10 or more 14.71

      Special Shelter Allowance; REF, TANF: 461-155-0310

    14. Minimum Contribution Standard

      The Minimum Contribution Standard is used to determine which portion of a lodger's income is excluded for REF and TANF.

      Minimum Contributions
      (Amount each nonrecipient pays)
       
      Number in
      Benefit Group
      One
      Nonrecipient
      Each of two
      Nonrecipients
       
      1 $214 $152
      2  164  146
      3  146  130
      4  130  124
      5  124  121
      6  121  118
      7  118  109
      8  109  105
      9  105  102
      10+  105  102
       
      *Use $98 for each nonrecipient over two.

      Minimum Contribution Standard: 461-155-0350

    15. Cost-effective health insurance premiums

      For GAM, OSIPM and REFM, use the following to determine if an employer-sponsored health plan is cost-effective:

      • Determine the premium amount for employer-sponsored health insurance paid by a member of the household;

      • Based on the number in the benefit group, determine the maximum cost-effective premium amount for members of the benefit group from the following tables:

      GAM/REFM
      # in Benefit
      Group covered
      by insurance
      Cost-effective
      premium amount
      (Employee cost)
      1 $ 82
      2 $164
      3 $246
      4 $328
      5 $410
      6 $492
      7 $574
      8 $656
      9+ $738

      OSIPM-AB
      # in Benefit
      Group covered
      by insurance
      Cost-effective
      premium amount
      (Employee cost)
      1 $145
      2 $289

      OSIPM-AD
      # in Benefit
      Group covered
      by insurance
      Cost-effective
      premium amount
      (Employee cost)
      1 $167
      2 $334

      OSIPM-OAA
      # in Benefit
      Group covered
      by insurance
      Cost-effective
      premium amount
      (Employee cost)
      1 $147
      2 $294

      • The insurance is cost effective if the employee's share of the premium is equal to or less than the amount in second subparagraph of this rule;

      • If the health-insurance premium is cost effective, the department will reimburse the actual amount of the premium, not to exceed the cost-effective amount for the number of persons in the benefit group who are covered by the insurance.

Pursuit of Cost-Effective Employer Sponsored Health Insurance: 461-155-0360


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