Oregon Health Authority gains flexibility in its Medicaid program to better serve low-income Oregonians during COVID-19 pandemic

This information can change, please double-check sources for information, and continue to monitor sources or back here for updates.

The Oregon Health Authority has received flexibility from the federal Centers for Medicare and Medicaid Services (CMS) to remove barriers for Oregonians to qualify for, enroll in, and stay enrolled in the Oregon Health Plan (OHP). Oregon has also received flexibility for providers to provide care to members as the state responds to the COVID-19 pandemic. Nearly one in four Oregonians currently receives health coverage through OHP. The key areas of flexibility that Oregon will gain from this waiver include:

  • All members who are currently enrolled in the Oregon Health Plan will not lose coverage during this crisis. This includes coverage that is only state-funded (i.e., Cover all Kids).
  • Individuals can sign up for OHP without having to verify their income (submit a pay stub) with their application. They will be able to self-attest, which will help Oregonians get access to OHP coverage more quickly.
  • Federal stimulus payments and increased unemployment payments will not affect OHP eligibility. They will not be counted during the application process or when members report a change in their household.
  • Oregon will have additional flexibility to add to its healthcare workforce, provide treatment in temporary sites, and for paying providers during this public health emergency.
  • Additional information and guidance related to COVID-19 for coordinated care organizations (CCOs) and providers serving OHP members is available on the OHA website.

At this moment (October 2022) Oregon Health Authority (OHA) and the Oregon Department of Human Services (ODHS) are working together to prepare for the end of the national COVID-19 Public Health Emergency (PHE) with the goal of preserving benefits for individuals and families. Please continue to check back here or on OHA'S COVID-19 Guidance for CCOs and Oregon Health Plan providers page here.