OAR 461-115-0430. Periodic Redeterminations or Renewal; Not EA, SNAP, or TA-DVS

The Department periodically reviews eligibility (see OAR 461-001-0000) of individuals receiving benefits and assigns a redetermination or renewal date by which the next review of eligibility is required. The Department selects the redetermination or renewal date based on the individual's circumstances and according to the following requirements: (1) In the General Assistance (GA) program, the Department redetermines eligibility at least once every 12 months. (2) For Medicare Savings Programs (see OAR 461-001-0000) and Oregon Supplemental Income Program Medical (OSIPM), the Department shall review eligibility at renewal, when changes are reported, and whenever an individual's eligibility becomes questionable. (a) The Department must complete a renewal at the following intervals: (A) For cases on which at least one individual is receiving OSIPM under OAR 461-135-0745 or 461-135-0750, at least every 12 months. (B) For cases with all individuals only receiving benefits with continuous eligibility (see OAR 461-135-0010), the renewal date is one of the following: (i) For cases with only one individual receiving benefits, the end of the continuous eligibility period. (ii) When there are multiple individuals receiving medical benefits with continuous eligibility on the same case, the end of the earliest continuous eligibility end date. (b) When renewing or redetermining benefits, the Department shall, to the extent feasible, determine eligibility using information found in the individual's electronic account and electronic data accessible to the Department. (c) At renewal, if the Department is unable to process an automated renewal or if the information available to the Department would result in either a reduction or termination in benefits, the Department shall provide a pre-populated renewal form, referred to as an active renewal, to the individual containing information known to the Department; a statement of any additional information needed to renew eligibility; and the date by which the beneficiary must provide the required information in accordance with subsection (e) of this section. (d) The Department shall assist individuals seeking assistance to complete the pre-populated renewal form or gather information necessary to renew eligibility. (e) If the Department provides the individual with a pre-populated renewal form to complete the renewal process, the individual must do all of the following: (A) Complete and sign the form in accordance with subsection (g) of this section; (B) Submit the form via the internet, by telephone, via mail, in person, or through other commonly available electronic means; and (C) Provide necessary information to the Department within the timeframe established in subsection (f) of this section. (f) At renewal, if additional information or verification is required, the Department shall provide the individual at least 30 days from the date the renewal form was mailed to respond and provide necessary information. (g) Renewal signature requirements are as follows: (A) Renewal signatures accepted by the Department may be: (i) Handwritten; (ii) Electronic; or (iii) Telephonic. (B) A renewal form must be signed by one of the following: (i) A member of the filing group (see OAR 461-110-0310); (ii) For individuals receiving long-term care (see OAR 461-001-0000) services, the individual’s community spouse (see OAR 461-001-0030) who lives with the individual or who was living with the individual immediately prior to the continuous period of care (see OAR 461-001-0030); or (iii) The authorized representative (see OAR 461-115-0090). (h) If the individual was receiving an Oregon Health Plan (OHP) level benefit and does not return the signed pre-populated renewal form or provide requested information by the due date, but the Department has sufficient information to determine that the individual is eligible for Medicare Savings Program benefits, the individual’s OHP benefits will be closed but the individual will be approved for Medicare Savings Program benefits. (3) The Refugee Assistance (REF) and Refugee Assistance Medical (REFM) programs are time-limited programs; therefore, no periodic redeterminations are made. (4) In the State Family Pre-SSI/SSDI (SFPSS) program, the Department redetermines eligibility at least once every 12 months. The Department redetermines program eligibility by redetermining eligibility for the Temporary Assistance for Needy Families (TANF) program. (5) In the TANF program, benefits will end the last day of the certification period (see OAR 461-001-0000). The Department redetermines eligibility according to the following schedule: (a) At least once every six months if the citizenship or noncitizen status requirements of OAR 461-120-0110(1) were waived for a caretaker (see OAR 461-001-0000) in the benefit group (see OAR 461-110-0750) based on a risk of further or future domestic violence (see OAR 461-001-0000). (b) At least once every 12 months for all other individuals.