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Oregon's 1115 Medicaid Demonstration - Oregon Health Plan

Section 1115 of the Social Security Act gives the federal Department of Health and Human Services' (HHS) Centers for Medicare and Medicaid Services (CMS) the authority to approve state-level experimental, pilot, or demonstration projects that promote the objectives of the Medicaid and Children's Health Insurance Program (CHIP) programs. Medicaid Demonstrations give states flexibility to design and improve programs and to show how new policy approaches such as eligibility expansion, service expansion or using innovative service delivery systems can improve care, increase efficiency, and reduce costs.

Oregon's initial 1115 Medicaid Demonstration waiver established Medicaid and CHIP services through the original ground-breaking Oregon Health Plan (OHP) in 1994. Since then, the Demonstration has given Oregon numerous opportunities to expand and improve health care throughout the state, has been recently renewed on January 12, 2017 and is currently renewed through June 30, 2022.

This site contains Demonstration requests, reports and attachments going back to the beginning of the current Demonstration approval period, as well as evaluations, history and future plans for the OHP.

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Announcements & News

  
Waiver renewal approved January 12, 2017
CMS Interim Response to Waiver Request Renewal, 9-20-2016
Stakeholder Webinar on the 1115 Waiver, March 15, 2017
1115 Waiver Renewal PowerPoint Presentation March 15, 2017

Post Award Forum - 6/28/2017

Public Comment for Medicaid 1115 Demonstration Waiver Renewal

The Centers for Medicare & Medicaid Services (CMS) approved Oregon's Medicaid 1115 Demonstration waiver renewal on January 12, 2017.  This was a huge step forward in Oregon's health system transformation.  It will allow the state to continue its innovative model of health care for OHP members and providers.  The approval preserves more than two decades of work that have gone into building and improving the Oregon Health Plan.

On June 28, 2017 the Medicaid Advisory Committee and the Oregon Health Authority hosted a public forum (Presentation) for Oregonians to provide input on the 1115 Medicaid waiver's progress.  The OHA is providing an extended opportunity to the public to provide public comment on the progress of the 1115 Medicaid waiver.

Public comment or written testimony can be submitted from June 28, 2017 to July 28, 2017

Please submit your comments by completing this survey: 
https://www.surveymonkey.com/r/PMHTX67.

Please submit all written comments by email or mail to:
Margie Fernando
Oregon Health Authority
500 Summer Street NE, E-65
Salem, OR 97301

Email: Margie.fernando@state.or.us

Current Medicaid 1115 Waiver

  
Quarterly & Annual Reports
Waiver Amendments
Special Terms & Conditions
Demonstration Evaluations

2017 Medicaid 1115 Waiver Renewal

  
Overview of Oregon's Approved Waiver Renewal
Waiver Renewal Application
Public Process


Additional Resources

  
Oregon's Medicaid Waiver Jan 2016 Presentation
Section 1115 - Social Security Act
List of Tribes in Oregon
List of Oregon's CCOs
Additional CCO Information

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