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Oregon's Hospital Presumptive Medical Eligibility process

How to apply to become an HPE determination site

First, please review the HPE roles and responsibilities.

If you agree with the obligations outlined for hospitals who participate in the HPE process, fill out the Declaration of Intent and Agreement to Serve as a Hospital Presumptive Eligibility Site and return to OHA by mail, email or fax.

Tools for hospitals

DHS-OHA secure email instructions
Hospital Presumptive Eligibility Roles and Responsibilities Manual
HPE Contacts and Resources
HPE Fact Sheet for Pharmacies
HPE Fax Cover Sheet
HPE Flow Chart
HPE Reporting Guidelines
HPE Reporting Template
Quick guide to citizenship and immigration status for HPE determinations
Quick Guide to Income Eligibility for HPE Determinations
Webinar Slides - Hospital Presumptive Eligibility Process

HPE determination forms


Quick links

On-demand training

Post-training quiz

All qualified signers must complete this quiz with a score of 40 points or higher as part of annual training.

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