Or. Admin. Code § 413-100-0420
Current through Register Vol. 63, No. 12, December 1, 2024
Section 413-100-0420 - Child Welfare Title XIX Medicaid Program Eligible PopulationsOnly the following children and young adults may be eligible for Child Welfare Title XIX Medicaid:
(1) A child or young adult in substitute care, which may include: (a) A child or young adult in foster care. (b) A child or young adult receiving Supplemental Security Income (SSI). (c) A child or young adult held temporarily in a county or state juvenile detention facility. (d) A child or young adult in a subsidized Independent Living Program. (e) A child or young adult who returned home in a trial reunification for up to six months. (f) A child or young adult in a pre-adoptive placement. (g) A child or young adult on runaway status who would otherwise be in substitute care, as long as the Department retains custody of the child or young adult and the child or young adult would continue to be in substitute care and Child Welfare Title XIX Medicaid eligible if not on runaway status. (h) A child or young adult hospitalized while under the Department's protective custody is eligible, if at the time of hospitalization, the Department's intent was to place the child or young adult in substitute care. (i) A child or young adult from Oregon placed in substitute care in another state through ICPC and the receiving state has denied the child or young adult medical coverage. (j) A child or young adult admitted to the hospital prior to entering substitute care and a newborn released from the hospital into substitute care. Eligibility for a child or young adult is effective on the date the Department finds the child or young adult is eligible but not earlier than the date the Department obtains custody of the child or young adult. (k) Newborns in the following situations: (A) A baby born to a mother receiving medical benefits under Title XIX Medicaid from the Oregon Health Authority is eligible for Title XIX Medicaid due to the mother's coverage. (B) A baby born to a mother not receiving medical benefits under Title XIX Medicaid from the Oregon Health Authority, to ensure coverage of birth expenses if: (i) The Department obtains custody of the baby during its hospitalization; and (ii) Child Welfare Title XIX Medicaid coverage is entered in the Department's electronic information system effective the date of birth. (2) A child or young adult who is the subject of an effective adoption assistance agreement administered by the Department. (3) A child or young adult who is the subject of an effective guardianship assistance agreement administered by the Department.Or. Admin. Code § 413-100-0420
SCF 6-1995, f. 12-22-95, cert. ef. 12-29-95; CWP 12-2004, f. & cert. ef. 7-1-04; CWP 16-2013(Temp), f. 12-31-13, cert. ef. 1-1-14 thru 6-30-14; CWP 12-2014, f. & cert. ef. 6-12-14; CWP 26-2015, f. & cert. ef. 12/21/2015Stat. Auth.: ORS 418.005
Stats. Implemented: ORS 418.005