Source: https://law.onecle.com/oregon/414-medical-assistance/414.025.html
Timestamp: 2020-07-09 05:51:41
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Oregon Statutes - Chapter 414 - Medical Assistance - Section 414.025 - Definitions. - Legal Research
Oregon Statutes - Chapter 414 - Medical Assistance - Section 414.025 - Definitions.
(1) �Category of aid� means assistance provided by the Oregon Supplemental Income Program, aid granted under ORS 412.001 to 412.069 and 418.647 or federal Supplemental Security Income payments.
(2) �Categorically needy� means, insofar as funds are available for the category, a person who is a resident of this state and who:
(L) Is a member of a family that received aid under ORS 412.006 or 412.014 in at least three of the six months immediately preceding the month in which the family became ineligible for aid due to increased hours of or increased income from employment. As long as the member of the family is employed, such families will continue to be eligible for medical assistance for a period of at least six calendar months beginning with the month in which such family became ineligible for assistance due to increased hours of employment or increased earnings.
(n) Is an individual or is a member of a group who is required by federal law to be included in the state�s medical assistance program in order for that program to qualify for federal funds.
(o) Is an individual or member of a group who, subject to the rules of the department and within available funds, may optionally be included in the state�s medical assistance program under federal law and regulations concerning the availability of federal funds for the expenses of that individual or group.
(p) Is a pregnant woman who would be eligible for aid granted under ORS 412.001 to 412.069 and 418.647, whether or not the woman is eligible for cash assistance.
(s) Would be eligible for a category of aid but for the receipt of qualified long term care insurance benefits under a policy or certificate issued on or after January 1, 2008. As used in this paragraph, �qualified long term care insurance� means a policy or certificate of insurance as defined in ORS 743.652 (6).
(3) �Income� has the meaning given that term in ORS 411.704.
(4) �Investments and savings� means cash, securities as defined in ORS 59.015, negotiable instruments as defined in ORS 73.0104 and such similar investments or savings as the Department of Human Services may establish by rule that are available to the applicant or recipient to contribute toward meeting the needs of the applicant or recipient.
(5) �Medical assistance� means so much of the following medical and remedial care and services as may be prescribed by the Department of Human Services according to the standards established pursuant to ORS 414.065, including payments made for services provided under an insurance or other contractual arrangement and money paid directly to the recipient for the purchase of medical care:
(e) Physicians� services, whether furnished in the office, the patient�s home, a hospital, a skilled nursing facility or elsewhere;
(6) �Medical assistance� includes any care or services for any individual who is a patient in a medical institution or any care or services for any individual who has attained 65 years of age or is under 22 years of age, and who is a patient in a private or public institution for mental diseases. �Medical assistance� includes �health services� as defined in ORS 414.705. �Medical assistance� does not include care or services for an inmate in a nonmedical public institution.
(7) �Medically needy� means a person who is a resident of this state and who is considered eligible under federal law for medically needy assistance.
(8) �Resources� has the meaning given that term in ORS 411.704. For eligibility purposes, �resources� does not include charitable contributions raised by a community to assist with medical expenses. [1965 c.556 §2; 1967 c.502 §3; 1969 c.507 §1; 1971 c.488 §1; 1973 c.651 §10; 1974 c.16 §1; 1977 c.114 §1; 1981 c.825 §3; 1983 c.415 §3; 1985 c.747 §9; 1987 c.872 §1; 1989 c.697 §2; 1989 c.836 §19; 1991 c.66 §6; 1995 c.343 §42; 1995 c.807 §1; 1997 c.581 §22; 1999 c.59 §107; 1999 c.350 §1; 1999 c.515 §1; 2003 c.14 §188; 2005 c.381 §13; 2007 c.70 §190; 2007 c.486 §11; 2007 c.861 §18]
Note: The amendments to 414.025 by section 18a, chapter 861, Oregon Laws 2007, become operative October 1, 2008. See section 25, chapter 861, Oregon Laws 2007. The text that is operative on and after October 1, 2008, is set forth for the user�s convenience.
414.025. As used in this chapter, unless the context or a specially applicable statutory definition requires otherwise:
(L) Is a member of a family that received aid in the preceding month under ORS 412.006 or 412.014 and became ineligible for aid due to increased hours of or increased income from employment. As long as the member of the family is employed, such families will continue to be eligible for medical assistance for a period of at least six calendar months beginning with the month in which such family became ineligible for assistance due to increased hours of employment or increased earnings.
(8) �Resources� has the meaning given that term in ORS 411.704. For eligibility purposes, �resources� does not include charitable contributions raised by a community to assist with medical expenses.
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