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APD MAGI Manual

1. Background and Overview
   1. The Affordable Care Act and MAGI
   2. Due Process
   3. Screening for MAGI
2. New Applications
   1. Overview
   2. Procedure - New Applicant 65 or Older or Under 65 with Medicare - No SSI
   3. Procedure - New Applicant Under 65 - No Medicare or SSI
   4. Procedure - Individual Applies for Services
   5. Procedure - Existing MAGI Clients Visits APD/AAA Office to Apply for Benefits
   6. Procedure - Existing MAGI Client Wants to Apply for General Assistance
3. Due Process – TEMPORARILY SUSPENDED DURING THE COVID-19 EMERGENCY PERIOD
   1. Important Information About Due Process and the OHP 7210
   2. Procedure - APD Medical Benefit Reduction - No Services
   3. Procedure - Closure of OSIPM/OSIPM and MSP - No Services
   4. Procedure - Closure of OSIPM - Service Client
   5. Procedure - Reduction of OSIPM to QMB/SMB/SMF - Service Client
   6. Procedure - Closure of MSP-Only Case
4. MAGI Service Cases
   1. Overview
   2. Procedure - MAGI Client Applies for Services
   3. Procedure - MAGI Service Client Dies or Leaves the State
5. MAGI Hospital Presumptive Information
   1. General Information
   2. Procedure - Hospital Presumptive Recipient Applies for Services
6. Other MAGI and APD Medical Interactions
   1. Procedure - Existing MSP Client Becomes Pregnant or Becomes a Parent/Caretaker Relative
   2. Procedure - Child Born to OSIPM Mother
   3. Procedure - MAGI Client Reports a Change to APD/AAA

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Oregon Department of Human Services
500 Summer St. NE E02, Salem, OR 97301-1073
Phone: (503) 945-5811
Toll-free: (800) 282-8096 (V/TTY)