Or. Admin. R. 333-022-1090

Current through Register Vol. 63, No. 6, June 1, 2024
Section 333-022-1090 - Client Eligibility Review
(1) The Authority must verify a client's eligibility every six months, but may conduct an eligibility review at any time and as many times as necessary within an eligibility period.
(2) The Authority must provide CAREAssist clients with a Client Eligibility Review (CER) form and instructions within 60 days of the expiration of their current eligibility period.
(3) A client must submit the CER and any other required documentation within the timeframe established by the Authority in the instructions. A deadline for submitting the CER or requested documentation may be extended at the discretion of the Authority.
(4) The Authority shall review a client's application and supporting documentation and verify the information in accordance with OAR 333-022-1040.
(5) The Authority must notify a client in writing whether his or her benefits continue and whether there are any changes. Notification shall include the effective date for the client's new enrollment status. If a client is not found eligible for continued benefits the client shall have a right to a hearing in accordance with ORS 183.415.
(6) A CAREAssist client who fails to submit the required renewal documents by the requested deadline shall be placed on a restricted status in accordance with OAR 333-022-1120. If the Authority has not received a complete CER at the end of three months, the client is no longer eligible to receive benefits. The Authority must inform the client that he or she is no longer eligible for benefits because the required information was not submitted, eligibility could not be verified and explain that benefits shall end effective the first day of the following month. An individual may reapply for benefits at any time under OAR 333-022-1030.

Or. Admin. R. 333-022-1090

PH 30-2014, f. 11-10-14, cert. ef. 12-1-14; PH 23-2016, f. & cert. ef. 8/2/2016

Stat. Auth.: ORS 413.042, 431.250, 431.830

Stats. Implemented: ORS 431.250, 431.830