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
OHP Standard: Enrollees must be parents and childless adults 19 years or older with an asset limit of $2,000, earning up to 100% FPL, and not getting Medicare. They must be uninsured for 6 months prior to enrollment (the six-month waiting period is waived in some cases), and paid all previously billed OHP premiums.
OHP Plus: Aged and disabled singles earning 75% FPL, blind singles earning 78% FPL. Aged and disabled couples earning 83% FPL, blind couples earning 85% FPL. Asset limit for aged, blind and disabled singles is $4,000, and for couples $6,000. Pregnant women earning 185% FPL. Patients receiving TANF or Extended Medical Assistance.
OHP with Limited Drug Benefit: Must be eligible for both Medicaid and Medicare Part D.
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.