Oregon Health Plan (Medicaid/SCHIP)

Centers for Medicare & Medicaid Services (CMS) in

Medicaid/Medicare


December 19, 2018

Overview

Oregon Health Plan program pays for health care and other service needs of its clients. To get this help, individuals must meet certain income and asset requirements and other non-financial eligibility requirements such as residency and citizenship/alien status.
Oregon Health Plan services are delivered through managed care and are based on a prioritized list of medical conditions and treatments, the world's first such priority list for medical services. The Oregon Health Plan is a Medicaid expansion program authorized by the Oregon Legislature and approved under Federal waivers of Medicaid rules.

Administration

Oregon Health Plan (Medicaid/SCHIP) is administered by Centers for Medicare & Medicaid Services (CMS).

Program Requirements:

In order to qualify for medical assistance under the Oregon Health Plan, an individual must meet the following eligibility requirements: Oregon residency; citizenship or alien status requirements; provide an SSN or apply for one; assign rights to medical payments; assist in establishing paternity for each child; pursue cost-effective health insurance coverage; income and resource requirements. Other specific program requirements exist for various categories of medical assistance such as being pregnant, aged, blind, or disabled.

In order to qualify, you must have an annual household income (before taxes) that is below the following amounts:

Household Size* Maximum Income Level (Per Year)
1 $16,146
2 $21,892
3 $27,637
4 $33,383
5 $39,129
6 $44,874
7 $50,620
8 $56,365

*For households with more than eight people, add $5,746 per additional person. Always check with the appropriate managing agency to ensure the most accurate guidelines.

Application Details

None

Contact:

1-800-359-9517

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