Oregon Medicaid
Updated August 2026
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 Health Plan changes are being phased in from late 2026 through 2028
H.R. 1 (signed July 4, 2025) requires OHP to roll out several federal changes over time: more frequent eligibility renewals begin in late 2026, work or activity requirements for many adults ages 19–64 begin in 2027, and small copayments for some members begin in October 2028. Most members will keep their benefits, and OHA says it will notify members before any change affects their case. Details at oregon.gov/oha/hsd/ohp/pages/federal-changes.aspx. Make sure OHA has your current phone number and address on file at ONE.Oregon.gov.
What is the Oregon Health Plan?
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 Health Plan (OHP)
Visit the official Oregon Medicaid website Check your Oregon Health Plan (OHP) eligibilityRelated guides
What Is Medicaid?
An overview of how the program works, who runs it, and who it covers.
Read more →Eligibility Requirements
The income, household, age, and state rules that determine who qualifies.
Read more →How to Apply
A step-by-step walkthrough of the application process and what you'll need.
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