Or. Admin. Code § 461-135-0780

Current through Register Vol. 64, No. 1, January 1, 2025

Section 461-135-0780 - Pickle Amendment Clients; OSIPM

In the Oregon Supplemental Income Program Medical (OSIPM):

(1) The countable (see OAR 461-001-0000) Social Security Benefits (SSB) income of an individual is determined according to sections (2) to (4) of this rule if the individual meets all of the following requirements:

(a) Is receiving SSB;

(b) Was eligible for and receiving Supplemental Security Income (SSI) or state supplements but became ineligible for those payments after April 1977; and

(c) Would be eligible for SSI or state supplement if the SSB Cost-of-Living Adjustments (COLA) increases paid under section 215(i) of the Social Security Act, after the last month the individual was both eligible for and received SSI or a supplement and was entitled to SSB, were deducted from current SSB.

(2) The SSB amount received by the individual when the individual became ineligible for SSI or OSIP is used as the individual's countable SSB income, for the purposes of the Pickle Amendment. If the spouse (see OAR 461-001-0000) of the individual also had Social Security benefits at the time the individual lost SSI benefits, SSB amount at that time of the spouse is considered the countable income of the spouse. If the amount cannot be determined using the information provided by the Social Security Administration (SSA), it is calculated in accordance with section (3) of this rule.

(3) The Department determines the month in which the individual was entitled to SSB and received SSI in the same month. The Department uses the table in section (4) of this rule to find the percentage that applies to that month. The Department multiplies the present amount of the SSB of the individual by the applicable percentage. If the spouse of the individual also had SSB at the time the individual lost SSI benefits, the Department adjusts the SSB of the spouse using the same multiplier that was used for the individual's calculation under this section. This amount, rounded down to the next lower whole dollar, is the individual's countable SSB income.

(4) The following guide contains the calculations used to determine the SSB for prior years (the Department uses this table only if the prior year's amount using information provided by SSA):

If SSI was Last Received During ........................................ Multiply Current SSB by

January 2024 - December 2024....................................................... .976

January 2023 - December 2023........................................................ .945

January 2022 - December 2022....................................................... .870

January 2021 - December 2021........................................................ .821

January 2020 - December 2020...................................................... .811

January 2019 - December 2019....................................................... .798

January 2018 - December 2018....................................................... .776

January 2017 - December 2017....................................................... .761

January 2015 - December 2016........................................................ .759

January 2014 - December 2014........................................................ .746

January 2013 - December 2013........................................................ .735

January 2012 - December 2012........................................................ .723

January 2009 - December 2011........................................................ .698

January 2008 - December 2008........................................................ .659

January 2007 - December 2007........................................................ .645

January 2006 - December 2006........................................................ .624

January 2005 - December 2005........................................................ .599

January 2004 - December 2004........................................................ .584

January 2003 - December 2003........................................................ .572

January 2002 - December 2002........................................................ .564

January 2001 - December 2001......................................................... .549

January 2000 - December 2000....................................................... .531

January 1999 - December 1999......................................................... .518

January 1998 - December 1998........................................................ .512

January 1997 - December 1997........................................................ .501

January 1996 - December 1996........................................................ .487

January 1995 - December 1995........................................................ .475

January 1994 - December 1994........................................................ .462

January 1993 - December 1993........................................................ .450

January 1992 - December 1992........................................................ .437

January 1991 - December 1991........................................................ .421

January 1990 - December 1990........................................................ .400

January 1989 - December 1989........................................................ .382

January 1988 - December 1988........................................................ .367

January 1987 - December 1987........................................................ .352

January 1986 - December 1986........................................................ .348

January 1985 - December 1985........................................................ .337

January 1984 - December 1984........................................................ .326

July 1982 - December 1983............................................................. .315

July 1981 - June 1982...................................................................... .293

July 1980 - June 1981...................................................................... .264

July 1979 - June 1980...................................................................... .231

July 1978 - June 1979...................................................................... .210

July 1977 - June 1978...................................................................... .197

May or June 1977............................................................................. .186

Or. Admin. Code § 461-135-0780

AFS 80-1989, f. 12-21-89, cert. ef. 2-1-90; AFS 30, f. 12-31-90, cert. ef. 1-1-91; AFS 25-1991, f. 12-30-91, cert. ef. 1-1-92; AFS 35-1992, f. 12-31-92, cert. ef. 1-1-93; AFS 29-1993, f. 12-30-93, cert. ef. 1-1-94; AFS 29-1994, f. 12-29-94, cert. ef. 1-1-95; AFS 41-1995, f. 12-26-95, cert. ef. 1-1-96; AFS 42-1996, f. 12-31-96, cert. ef. 1-1-97; AFS 24-1997, f. 12-31-97, cert. ef. 1-1-98; AFS 3-2000, f. 1-31-00, cert. ef. 2-1-00; AFS 6-2001, f. 3-30-01, cert. ef. 4-1-01; SSP 14-2003(Temp), f. & cert. ef. 6-18-03 thru 9-30-03; SSP 23-2003, f. & cert. ef. 10-1-03; SSP 33-2003, f. 12-31-03, cert. ef. 1-4-04; SSP 17-2004, f. & cert. ef. 7-1-04; SSP 24-2004, f. 12-30-04, cert. ef. 1-1-05; SSP 4-2005, f. & cert. ef. 4-1-05; SSP 19-2005, f. 12-30-05, cert. ef. 1-1-06; SSP 15-2006, f. 12-29-06, cert. ef. 1-1-07; SSP 14-2007, f. 12-31-07, cert. ef. 1-1-08; SSP 17-2008, f. & cert. ef. 7-1-08; SSP 26-2008, f. 12-31-08, cert. ef. 1-1-09; SSP 41-2010, f. 12-30-10, cert. ef. 1-1-11; SSP 35-2011, f. 12-27-11, cert. ef. 1-1-12; SSP 39-2012(Temp), f. 12-28-12, cert. ef. 1-1-13 thru 6-30-13; SSP 8-2013, f. & cert. ef. 4-1-13; SSP 37-2013, f. 12-31-13, cert. ef. 1-1-14; SSP 4-2015, f. & cert. ef. 1/1/2015; SSP 5-2016, f. & cert. ef. 2/3/2016; SSP 44-2016, f. 12-7-16, cert. ef. 1/1/2017; SSP 23-2017, f. 9-11-17, cert. ef. 10/1/2017; SSP 33-2017, amend filed 12/08/2017, effective 1/1/2018; SSP 4-2018, temporary amend filed 01/04/2018, effective 01/04/2018 through 03/31/2018; SSP 11-2018, amend filed 03/09/2018, effective 4/1/2018; SSP 34-2018, amend filed 12/04/2018, effective 1/1/2019; SSP 18-2019, temporary amend filed 07/23/2019, effective 7/23/2019through 12/31/2019; SSP 26-2019, amend filed 12/27/2019, effective 1/1/2020; SSP 45-2020, amend filed 12/22/2020, effective 1/1/2021; SSP 77-2021, temporary amend filed 12/20/2021, effective 1/1/2022 through 6/29/2022; SSP 5-2022, amend filed 02/02/2022, effective 2/2/2022; SSP 58-2022, amend filed 12/22/2022, effective 1/1/2023; SSP 52-2023, amend filed 12/18/2023, effective 1/1/2024; SSP 61-2024, amend filed 12/30/2024, effective 1/1/2025

To view attachments referenced in rule text, click here to view rule.

Statutory/Other Authority: 411.060, 411.070, 411.083, 411.404, ORS 409.050, 413.085 & 414.685

Statutes/Other Implemented: ORS 409.010, 411.060, 411.070, 411.083, 411.404, 411.704, 413.085, 414.685, 42 CFR 435.135 & P.L. 92-336