Or. Admin. Code § 410-200-0410 - Specific Requirements; MAGI CHIP
In addition to eligibility requirements applicable to MAGI CHIP in other rules in chapter 410 division 200, this rule describes specific eligibility requirements for the MAGI CHIP program.
(1) Individuals may not be eligible for MAGI
CHIP with an effective date prior to October 1, 2013.
(2) To be eligible for MAGI CHIP, an
individual must:
(a) Be under 19 years of
age; and
(b) Meet the budgeting
requirements of OAR 410-200-0315.
(3) To be eligible for MAGI CHIP,
an individual may not:
(a) Be eligible for
MAGI Child, MAGI Pregnant Woman, MAGI Parent or Caretaker Relative, or
Substitute Care programs;
(b) Be
receiving or deemed to be receiving SSI benefits; and
(c) Be covered by minimum essential coverage.
For the purposes of this rule, a child is not considered to have minimum
essential coverage if it is not accessible for one or more of the following
reasons:
(A) The travel time or distance to
available providers within the minimum essential coverage network exceeds:
(i) In urban areas: 30 miles, 30 minutes, or
the community standard, whichever is greater; or
(ii) In rural areas: 60 miles, 60 minutes, or
the community standard, whichever is greater;
(B) Accessing the minimum essential coverage
would place a member of the household at risk of harm.
(4) For the Authority to enroll a
child in MAGI CHIP based on a determination made by an Express Lane Agency
(ELA), the child's parent or guardian shall give consent in writing, by
telephone, orally, or through electronic signature.
Notes
Statutory/Other Authority: ORS 411.402, 411.404 & 413.042
Statutes/Other Implemented: ORS 411.400, 411.402, 411.404, 411.406, 413.032, 413.038, 414.025, 414.231 & 414.706
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.