411-440-0080 Ongoing Enrollments for the Children's Extraordinary Needs (CEN) Program (1) The Department shall maintain a waitlist for the CEN Program if the maximum number of children allowed on the approved CEN Waiver are enrolled in the CEN Program. Children on the waitlist may access other Medicaid or General Fund services for which the child is eligible. (2) After the initial waitlist is established as described in OAR 411-440-0070, additional applicants for the CEN Program shall be moved to the end of the waitlist based on the completed application date for the CEN Program. The Department will not accept an application for a child to be added to the waitlist before November 1, 2024. (3) A child may be removed from the waitlist if: (a) The child is enrolled in the CEN Program. (b) The child moves out of Oregon. (c) The parent of the child requests their removal in writing to the Department or the child’s case management entity. (d) The child is determined ineligible for services provided by the Department. (e) The child is deceased. (f) The child turns 18 years old. (4) A child who is removed from the waitlist must reapply to be added to the waitlist. (5) When a child exits the CEN Program, the Department must offer enrollment to the CEN Program to the child next on the waitlist. If the parent of the child highest on the waitlist declines or does not respond to an offer to enroll in the CEN Program, or the child does not meet the eligibility criteria for the program under these rules, access to the CEN Program must be offered to the next child on the waitlist. This process must continue until 155 children are enrolled in the CEN Program. (6) The parent of a child selected for enrollment must affirm to the child’s case management entity their decision to participate in the CEN Program no later than 60 calendar days from the date the parent was notified of the offer to enroll in the CEN Program. (7) If a parent declines to participate in the CEN Program: (a) The child does not retain their number on the waitlist. (b) The Department shall offer the parent a choice to be moved to the end of the waitlist or removed from the waitlist. If the parent of the child does not indicate a choice, the child is removed from the waitlist. (8) If a parent or does not respond to the offer to participate in the CEN Program within 60 calendar days from the date the parent was notified of the offer to enroll in the CEN Program: (a) The child does not retain their number on the waitlist. (b) The child is moved to the end of the waitlist. (9) The Department shall confirm a child selected for enrollment to the CEN Program meets the eligibility requirements in OAR 411-440-0030(3). If a child is determined ineligible at the time of the offer to enroll in the CEN Program, the Department shall provide a written advance Notification of Planned Action (form 0947) as described in OAR 411-318-0020. (10) If a child is not eligible for the CEN Program when offered enrollment: (a) The child does not retain their number on the waitlist. (b) The Department shall offer the parent a choice to be moved to the end of the waitlist or removed from the waitlist. If the parent of the child does not respond, the child is removed from the waitlist. Statutory/Other Authority: ORS 409.050, 427.104, 427.191 & 430.662 Statutes/Other Implemented: ORS 409.010, 427.007, 427.101, 427.104, 427.191, 430.215, 430.610 & 430.662 History: APD 60-2024, adopt filed 10/25/2024, effective 10/25/2024 APD 19-2024, temporary adopt filed 04/30/2024, effective 05/01/2024 through 10/27/2024