Oregon Medicaid Eligibility Requirements

If you are looking to apply for Medicaid in Oregon** then read the information below. Though we try to provide accurate information please note this is for informational purposes. We recommend you contact your Oregon Medicaid Office to verify these eligibility requirements.

Oregon Medicaid Overview
Oregon Health Plan (OHP) is Oregon's Medicaid which serves low-income individuals and families. It contains three programs: OHP Standard, OHP Plus, OHP with Limited Drug Benefit.

Oregon Medicaid Eligibility
For all programs: Enrollees must be Oregon residents and U.S. citizens or qualified non-citizens.

Medicaid Income Requirements In Oregon
This information is based on the Federal Poverty Level (FPL). These income guideline standards were effective starting January 1st, 2014.
Children
Age 0-1 185% FPL
Age 1-5 133% FPL
Age 6-18 133% FPL

Pregnant Women
185% FPL

Adults
Parents 133% FPL
Other Adults 133% FPL
Is Medicaid Expanding? Yes

Documents You May Need
Proof of income
Proof of Social Security number application
Proof you live in Oregon

Medicaid Coverage In Oregon
OHP Standard: It covers acupuncture, chemical dependency, dental, emergency/urgent hospital care, hospice and hospital care, immunizations, labor and delivery, laboratory and x-ray, medical equipment and supplies, medical transportation, mental health, physician care, podiatry prescription drugs, vision care.

OHP Plus: It includes OHP Standard benefits, plus hearing aids and hearing aid exams, home health, naturopathy, therapy (occupational, physical and speech) and private duty nursing.

OHP with Limited Drug: It has the same benefits as OHP Plus, but no coverage for prescription drugs that Medicare Part D covers.

**The information provided above is a general guideline when applying for Oregon Medicaid. These guidelines can change from time to time, because of that we recommend that you contact your local Medicaid office in Oregon to verify the latest eligibility requirments for Medicaid coverage in Oregon.