Oregon Administrative Code

461-150-0020 Prospective Eligibility and Budgeting For prospective eligibility (see OAR 461-001-0000) and budgeting (see OAR 461-001-0000): (1) The budget month (see OAR 461-001-0000) and payment month (see OAR 461-001-0000) are the same. (2) The client's anticipated income, hous…

461-150-0042 Prospective Eligibility and Budgeting; EA In the EA program, the Department uses prospective eligibility (see OAR 461-001-0000) and budgeting (see OAR 461-001-0000) as follows: (1) For the month of application, prospective eligibility is used, including for a client …

461-150-0050 Prospective Eligibility and Budgeting; OSIP, OSIPM, and QMB In the OSIP, OSIPM, and all QMB programs, the Department uses prospective eligibility (see OAR 461-001-0000) and budgeting (see OAR 461-001-0000) as follows: (1) In the OSIP, OSIPM (except OSIPM-ICP), and al…

461-150-0060 Prospective or Retrospective Eligibility and Budgeting; REF, REFM, SNAP, TANF In the REF, REFM, SNAP, and TANF programs, the Department determines how and when to use prospective or retrospective eligibility (see OAR 461-001-0000) and budgeting (see OAR 461-001-0000)…

461-150-0070 Prospective Budgeting of Stable Income (1) Stable income (see OAR 461-001-0000) in prospective budgeting (see OAR 461-001-0000) and eligibility (see OAR 461-001-0000) is treated so that the monthly amount is used to anticipate the income of the financial group (see O…

461-150-0080 Prospective Budgeting of Variable Income Variable income (see OAR 461-001-0000) is used as follows in prospective budgeting (see OAR 461-001-0000) and eligibility (see OAR 461-001-0000) so that the anticipated amount is the same for each month, except as specified in…

461-150-0090 Prospective Budgeting: Annualizing and Prorating Contracted or Self-employment Income; Not OSIPM or QMB (1) Income from self-employment, including contract income while self-employed, is treated in accordance with OAR 461-145-0910 unless the income meets the provisio…

461-150-0095 Prospective Budgeting: Averaging and Estimating Self-employment Income; OSIP, OSIPM, QMB (1) Net earnings from self-employment are counted on a taxable year basis by dividing the total earnings by twelve to arrive at a monthly amount. (2) Only net losses from self-em…

461-150-0100 Initial Month Prospective Budgeting for Destitute Filing Groups; SNAP For a destitute (see OAR 461-135-0575) filing group, only the following income is used to determine eligibility (see OAR 461-001-0000) and benefit level in the initial month (see OAR 461-001-0000) …

461-155-0010 Use of Payment Standards to Establish Need (1) “Need” is the amount at the Department's payment standards that represents the individual’s need for items covered by the benefit. (2) “Special needs” are costs in addition to standard allowances. (3) In the OSIP and OSI…

461-155-0020 Prorated Standards; Adjusted Number in Household; TANF In the TANF program: (1) Prorated standards are used only in the no-adult tables. (2) The no-adult tables are used when there are no adults in the TANF benefit group (see OAR 461-110-0750). (3) Prorated standards…

461-155-0030 Income and Payment Standards; REF, TANF Retroactively effective July 6, 2020: (1) In the REF and TANF programs, the standards in this rule are applied to determine eligibility (see OAR 461-001-0000) and benefit amount as provided in OAR 461-160-0100. (2) The Countabl…

461-155-0040 Nonrecurrent Short-Term Payment; TANF The Department may issue nonrecurrent, short-term payments to deal with an episode of need as provided in this rule. (1) One nonrecurring short-term payment per TANF benefit group (OAR 461-110-0750) may be issued for back-to-scho…

461-155-0050 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 need group with one adult per OAR 461-155-0030. The payment, minus a $30 personal allowance for clothing …

461-155-0070 Income and Payment Standard; EA (1) The income limit in the EA program is the TANF adjusted income or payment standard found in OAR 461-155-0030. A client is ineligible for emergency assistance in any month he or she is eligible for the TANF program unless the grant …

461-155-0180 Income Standards; Not OSIPM or Medicare Savings Programs (1) A Department program may cite this rule if the program uses a monthly income standard based on the federal poverty level. (2) A monthly income standard set at 100 percent of the 2025 federal poverty level, …

461-155-0190 Income and Payment Standards; SNAP and DSNAP (1) The monthly Supplemental Nutrition Assistance Program (SNAP) Countable Income Limit is set at 130 percent of the federal poverty level under OAR 461-155-0180 for the number of individuals in the need group (see OAR 461…

461-155-0210 Payment Standards and Methods of Issuance; GA In the General Assistance (GA) program: (1) For purposes of this rule, "eligible spouse" means a spouse (see OAR 461-001-0000) who is eligible for and receiving OSIPM under OAR 461-125-0370(c). (2) The GA payment standard…

461-155-0225 Income Standard; REFM In the REFM program, the adjusted income standard is 200 percent of the federal poverty level, as listed in OAR 461-155-0180, based on the size of the need group (see OAR 461-110-0630). Statutory/Other Authority: ORS 409.050, 411.060, 411.070, 4…

461-155-0250 Income and Payment Standard; OSIPM In the Oregon Supplemental Income Program Medical (OSIPM): (1) An individual who is assumed eligible per OAR 461-135-0010 is presumed to meet the income limits for the OSIPM program. (2) An individual meeting the requirements of OAR…

461-155-0270 Room and Board Standard; Community-Based Care For an individual residing in a community-based care facility (see OAR 461-155-0630(1)), the room and board standard is $773. An individual residing in a community-based care facility must pay room and board. Statutory/Ot…

461-155-0290 Income Standard; QMB The adjusted income standard for the Qualified Medicare Beneficiary (QMB) program is 100 percent of the 2026 federal poverty level. QMB Adjusted Income Standard No. in Need Group .............................. Amount 1 ...........................…

461-155-0291 Income Standard; QDWI The adjusted income standard for the Qualified Disabled and Working Individual (QDWI) program is 200 percent of the 2026 federal poverty level (see OAR 461-155-0290). No. in Need Group .............................. Amount 1 ....................…

461-155-0295 Income Standard; SLMB, QI (1) Eligibility for the Specified Low Income Medicare Beneficiary (SLMB) program requires income greater than 100 percent (see OAR 461-155-0290) but less than 120 percent of the federal poverty level. The adjusted income standard for SLMB is…

461-155-0310 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 Need Group — Amount 1 — $22.35. 2 — 22.35. 3 — 21.14. 4 — 20.34. 5 — 19.5…

461-155-0320 Payment Standard; SFPSS In the State Family Pre-SSI/SSDI (SFPSS) program the following payment standards apply: (1) When one adult (see section (5) of this rule) in the benefit group (see OAR 461-110-0750) is applying for Supplemental Security Income (SSI): [see atta…

461-155-0350 Minimum Contribution Standard The Minimum Contribution Standard is used to determine which portion of a lodger's income is excluded for REF, REFM, and TANF. [Table not included. See ED. NOTE.] [ED. NOTE: Tables referenced are available from the agency.] Statutory/Oth…

461-155-0500 Special Needs; Overview (1) Ongoing special needs are needs that last several months at a consistent cost. Examples are special diets and accommodation allowances. OAR 461-155-0010 is used to determine how special needs are considered for each program. (2) To be elig…

461-155-0510 Special Need in Combined OSIP/REF/TANF Cases (1) For OSIP and OSIPM families who receive other cash program benefits, any special need that can be met through the other benefit payment will not be met in the OSIP benefit. (2) When a special need item is for an indivi…

461-155-0526 Special Need; Community Transition Services; OSIP and OSIPM In the OSIP and OSIPM programs: (1) When an individual who has been admitted as an inpatient is leaving a psychiatric hospital or is being transitioned out of a nursing facility: (a) The Department may autho…

461-155-0530 Special Need; Food for Guide Dogs and Special Assistance Animals (1) For an OSIP or OSIPM program client receiving SSI, having an adjusted income less than the OSIPM program standard under OAR 461-155-0250, or receiving home and community-based care (see OAR 461-001-…

461-155-0575 Special Need; In-home Supplement; OSIPM In the OSIPM program: (1) The Department may provide a monthly supplementary payment for an individual who meets the requirements of all of the following subsections: (a) The individual must receive SSI as his or her only sourc…

461-155-0580 Special Need; Laundry Allowances (1) OSIP and OSIPM clients who are receiving SSI or home and community-based care (see OAR 461-001-0030) or have adjusted income less than the OSIPM program income standard under OAR 461-155-0250 are eligible for a laundry allowance i…

461-155-0600 Special Need; Home Repairs; OSIPM In the Oregon Supplemental Income Program Medical (OSIPM), for an individual eligible to receive in-home services under OAR chapter 411 division 030, the Department (see OAR 461-001-0000) may authorize a special need payment for home…

461-155-0610 Special Need; Moving Costs; OSIP and OSIPM For clients who are 18 years of age or older in the OSIP and OSIPM programs: (1) The Department will authorize payment for the cost of moving a client's household effects as a one-time special need if the requirements of at …

461-155-0620 Special Need; Property Taxes (1) OSIP and OSIPM clients who are homeowners or buyers are allowed a special need of one year in an amount equal to the cost of delinquent real property taxes, penalties and interest, if needed to prevent imminent foreclosure (see sectio…

461-155-0630 Special Need; Community-Based Care; OSIPM In the Oregon Supplemental Income Program Medical (OSIPM) program: (1) An individual is considered living in a community-based care (see OAR 461-001-0000) facility if the individual resides at one of the following care settin…

461-155-0660 Special Need; Accommodation Allowance Retroactively effective July 6, 2020, an OSIPM recipient may receive an accommodation allowance as follows: (1) Temporary absence of individual from home. (a) A temporary accommodation allowance may be authorized if an individual…

461-155-0670 Special Need; Special Diet Allowance (1) In the OSIPM program, an individual receiving any of the following is ineligible for a special diet allowance: (a) Room and board. (b) Residential care facility services or assisted living facility services. (c) Nursing facili…

461-155-0680 Special Need — Supplemental Communication Allowance; OSIPM In the OSIPM program: (1) The Department provides a communication allowance to clients meeting the requirements of at least one of the following subsections if the client is 18 years of age or older and unabl…

461-155-0688 Prescription Drug Co-pay Coverage In the OSIPM program for a client who is receiving SSI: (1) The Department will provide a payment for all Medicare Part D or Veteran's Administration Health Care prescription co-pays if a client's co-pays exceed $10 per month. (2) Pa…

461-155-0700 Special Need; Personal Incidentals and Room and Board Allowances; OSIPM In the Oregon Supplemental Income Program Medical (OSIPM) program: (1) In the following circumstances, personal incidentals and room and board allowances may be paid for an individual to reside i…

461-155-0710 Special Need; Diversion Services; OSIP and OSIPM In the OSIP and OSIPM programs: (1) The Department may authorize one-time payments for expenses that the Department has determined are necessary to divert individuals who might otherwise be served in nursing facilities…

461-160-0010 Use of Resources in Determining Financial Eligibility Countable (see OAR 461-001-0000) resources are used to determine eligibility (see OAR 461-001-0000) as follows: (1) In the EA program, the countable resources of a financial group (see OAR 461-110-0530) are used t…

461-160-0015 Resource Limits (1) In the Emergency Assistance (EA) program, all countable (see OAR 461-001-0000) resources must be used to meet the emergent need. (2) In the Oregon Supplemental Income Program (OSIP) and Oregon Supplemental Income Program Medical (OSIPM), the resou…

461-160-0030 Overview of Costs (1) Costs incurred by the filing group that the filing group has a legal responsibility to pay are deductible from income in accordance with the rules in this division of rules. (2) The following costs are not deductible: (a) A cost paid by someone …

461-160-0040 Dependent Care Costs Deduction; SNAP In the SNAP Program: (1) Dependent care is deductible (see OAR 461-160-0430) when all of the following are true: (a) The dependent is a member of the filing group (see OAR 461-110-0310 and OAR 461-110-0370) and is in the care, con…

461-160-0055 Medical Costs That Are Deductible; OSIP, OSIPM, and SNAP (1) This rule applies to SNAP filing group (see OAR 461-110-0370) members who are elderly (see OAR 461-001-0015) or who have a disability (see OAR 461-001-0015), and to clients in the OSIP and OSIPM programs. (…

461-160-0060 Use of Rounding in Calculating Benefit Amount (1) In the REF and TANF programs, a benefit amount not a whole number of dollars is rounded down to the next lower whole dollar. (2) In the GA, OSIP, OSIPM, and QMB programs, rounding is not used. (3) In the SNAP program:…

461-160-0070 Benefits for Less Than a Full Month In the GA, OSIP, REF, SNAP and TANF programs, if in a month a benefit group is eligible for less than a full month's benefits (such as the initial and closing months), benefits for that month are determined as follows: (1) The bene…