Oregon Medicaid
Last verified: June 2026
Informational resource — not affiliated with Oregon
Federal changes to Oregon Health Plan are being implemented in 2025 and 2026
What is the Oregon Health Plan?
The Oregon Health Plan (OHP) is Oregon's Medicaid and Children's Health Insurance Program combined into a single system. The Oregon Health Authority (OHA) administers OHP. Unlike most states, Oregon runs one integrated program rather than separate Medicaid and CHIP systems — a child and a parent apply through the same portal and receive coverage under the same umbrella.
Oregon expanded Medicaid under the ACA in 2014. Starting July 1, 2023, OHA extended full OHP benefits to people of any age or immigration status — one of the broadest eligibility expansions in the country. Undocumented adults age 19 to 25 were included first, followed by a phased expansion to all ages. This means Oregon is among a small number of states offering full Medicaid-equivalent coverage regardless of immigration status.
OHP covers physical health, dental, behavioral health, vision, prescriptions, and transportation to care — all at no cost to most members. An enrollment figure of approximately 1.4 million Oregonians was reported by OHA, representing roughly one in three state residents.
OHP coverage types
OHP Plus
The main coverage type for adults ages 19–64 and children ages 0–18. Covers physical health, dental, behavioral health, vision, and prescriptions at no cost. No co-pays for most services.
OHP Plus Supplemental
For pregnant adults age 21 and older. Provides full OHP Plus coverage during pregnancy and for 12 months postpartum.
OHP with Limited Drug
For adults who qualify for both Medicaid and Medicare Part D. Provides OHP Plus medical, dental, and behavioral health benefits with limited drug coverage.
OHP Bridge
A state-funded program for adults with income above the standard 138% FPL threshold who don't qualify for federally funded Medicaid. Provides similar benefits. Contact OHA for current Bridge eligibility thresholds.
Who qualifies for OHP?
Per OHA's eligibility rules, most people who meet Oregon's income and residency requirements now qualify. Key eligibility groups include:
- Adults ages 19–64: at or below 138% of the Federal Poverty Level for OHP Plus
- Children ages 0–18: covered through OHP Plus at higher income thresholds than adults
- Pregnant people: up to 185% FPL for full OHP Plus coverage; 12 months continuous postpartum coverage
- Seniors 65 and older: income and asset rules differ from MAGI-based programs — contact the ADRC at 1-855-673-2372
- People with disabilities: SSI recipients automatically qualify; others may qualify through separate non-MAGI rules
- People of any age or immigration status: since July 1, 2023, immigration status is not a barrier to full OHP eligibility in Oregon
Source: OHA Oregon Health Plan eligibility rules, Oregon Administrative Rules 410-200; OHA announcement effective July 1, 2023. Verify current income thresholds at one.oregon.gov or call 1-800-699-9075.
How care is delivered: Coordinated Care Organizations
Oregon does not use traditional managed care organizations (MCOs). Instead, OHP delivers care through Coordinated Care Organizations (CCOs) — regional organizations that hold contracts with OHA to provide physical health, behavioral health, and dental benefits for OHP members in a defined geographic area.
CCOs have more flexibility than typical insurance plans. They can provide flexible services — items or services not in the standard OHP benefit package that help members stay healthy, like housing assistance, nutrition support, or safety items. A CCO might pay for a ramp installation for a member with mobility issues or healthy food for someone managing diabetes. These flexible services are authorized by OHA under Oregon's Section 1115 demonstration waiver.
After enrollment, OHA assigns new members to a CCO based on county of residence. Members can request a different CCO or primary care provider. Find your CCO's contact information at oregon.gov/oha/HSD/OHP/Pages/CCO-Plans.aspx. Members not enrolled in a CCO call OHA directly at 1-800-273-0557.
Oregon Medicaid topics
How to apply
Income limits
Dental coverage
Seniors and long-term care
Medicaid renewal
CHIP
What does Oregon Health Plan (OHP) cover?
Medicaid covers a broad range of health services. Federal law mandates certain benefits — inpatient and outpatient hospital care, physician services, lab work, X-rays, and nursing facility services, among others. States add optional services on top of those. Dental, vision, and long-term home care coverage vary by state.
The national benefits overview lists required and commonly optional services. Check the Oregon Health Plan (OHP) website for the current state-specific benefit package.
How to apply
Most people can apply online through Oregon's Medicaid portal, by phone, or in person at a local eligibility office. The how to apply page walks through each method, what documents you'll need, and what to expect during the review period.
Under 42 CFR 435.912, states must process most standard Medicaid applications within 45 days (90 days for disability-based applications). Oregon must follow that federal timeline.