How to renew your Oregon Medicaid coverage

Last verified: June 2026

How Oregon renews OHP coverage

OHA reviews OHP eligibility every 12 months through a redetermination process. Oregon first attempts ex parte renewal — using state wage records, federal tax data, and Social Security Administration databases to verify continued eligibility without requiring members to take action.

When ex parte verification confirms you still qualify, OHA renews coverage automatically and sends a notice. Nothing more is required from you. When the data is inconclusive or shows a change in circumstances, OHA sends a renewal packet to your address on file.

Failure to respond to a renewal packet results in coverage termination at the end of your eligibility period. Keep your mailing address current at ONE.Oregon.gov — outdated contact information is the most common reason members miss renewal notices and lose coverage unnecessarily.

How to complete your OHP renewal

Documents you may need for renewal

• Proof of Oregon residency — utility bill, lease, bank statement, or official mail at current address
• Income documentation — recent pay stubs, employer letter, or self-employment records
• Social Security numbers for household members (not required for COFA or undocumented applicants)
• Changes in household composition — new family members, people who moved out, births or deaths
• Any changes in other health insurance coverage held by household members

OHP Bridge and the renewal process

OHP Bridge members — those covered by Oregon's state-funded program for adults above 138% FPL — go through a similar annual renewal process. Bridge renewal also runs through ONE.Oregon.gov. Because Bridge relies on state funding rather than federal Medicaid dollars, OHA reviews Bridge eligibility carefully at each renewal. Members whose income has dropped below 138% FPL during the year should report the change promptly — they may qualify for full federally funded OHP Plus, which has a different benefit structure.

If your OHP coverage is terminated

If OHP terminates your coverage, you have the right to request a fair hearing. Oregon requires ODHS to provide advance notice before termination. Request a hearing before the termination date and your coverage may continue during the appeal process. Oregon Legal Services (oregonlawhelp.org) provides free legal assistance for Medicaid appeals.

Oregonians who lose OHP eligibility due to income above 138% FPL may qualify for ACA marketplace coverage at healthcare.gov. Income between 138% and 400% FPL qualifies for premium tax credits. Those above the OHP limit but below Bridge thresholds should also check whether OHP Bridge applies.

How to complete your renewal

When Oregon Health Plan (OHP) sends a renewal notice, here's what to do:

1. 1

   Read the notice carefully

   Identify exactly what the agency is asking for and the deadline to respond. Renewal packets may ask you to confirm your current income, household size, or address.

2. 2

   Update your information

   If anything has changed — income, address, phone number, household members — report it now. Outdated contact information is the leading cause of missed renewal notices.

3. 3

   Submit the renewal online, by phone, or by mail

   Oregon Health Plan (OHP)'s online portal is typically the fastest way to complete a renewal. You may also call the enrollment line or mail in your completed packet.

4. 4

   Confirm your coverage continued

   After submitting, confirm you receive a notice that coverage was renewed. If you don't hear back within a few weeks, call Oregon Health Plan (OHP) to verify your status.

If your renewal is denied

A denial must state the reason in writing and explain your right to appeal. You have 90 days from the date of the notice to request a fair hearing. File the appeal quickly — if you appeal before your coverage ends, you may be able to continue coverage during the appeal period, though this depends on timing and the reason for denial.

Common renewal denials include: income that increased above the threshold, failure to respond to the renewal packet, a change in household size that affects eligibility, or immigration status questions. Some of these can be addressed by reapplying with updated information rather than appealing.

Contact Oregon Health Plan (OHP) within the 90-day window. A reconsideration or new application filed promptly can often restore coverage retroactively to the date it was lost.

Keeping your account information up to date

The most effective way to avoid renewal problems is to report changes promptly. Federal rules require Medicaid enrollees to report changes that may affect eligibility within a specified period — typically 10 to 30 days depending on the state.

Changes to report: new job or income change, move to a new address, change in household size (new baby, someone moves in or out), gaining or losing other health coverage. Contact Oregon Health Plan (OHP) or update your information through the online portal at https://www.oregon.gov/oha/HSD/OHP.