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2022-2027 Medicaid 1115 Waiver Application

Final Application

The Oregon Health Authority (OHA) submitted the final application in February 2022 to CMS, whose approval was needed to implement policies reflected in the application. If approved, Oregon would make changes to OHP during the 2022 – 2027 demonstration period. 

You can also read about the policy concepts that are the basis of the application in plain language. These summaries are in the "Policy concepts" section below.

Draft Application and Public Comment

OHA developed the draft application with proposals for changes to OHP as part of our effort to advance health equity. The public was invited to submit written and verbal comments on the draft application from Dec. 7, 2021 through Jan. 7, 2022. 

Policy Concepts

These concepts were the basis of OHA’s upcoming application to CMS, whose approval was needed to implement policies reflected in these concept papers.

  • OHA conducted extensive public engagement leading to the development of these concepts. You can view the dates, times of public meetings in OHA's calendar of 2021 meetings
  • At these meetings, OHA shared information about the waiver policies and sought feedback from community members, OHP members and other interested parties.

Read OHA's Engagement Feedback Analysis and Summary Report

Note: OHA has released final concept papers. Please see the box above entitled "Final Policy Concepts."


2022-2027 Waiver page

Application Basics - Section 1115 Demonstrations

Read OHA's fact sheet:

Application Timeline

January 2021

Governor and OHA identify vision for waiver renewal. See the Governor’s letter to OHPB.

January – October 2021

Community engagement and development of waiver components: See the "Policy concepts" section of this page.

Summer – Fall 2021

CMS review of proposed waiver components

Tribal consultation process

December 2021

Public comment process began Dec. 7.

January 2022

Public comment closed Jan. 7.

Incorporated feedback from tribal consultation and public comment.

February 2022

Submitted final application to CMS: See Final application section of this page.

CMS confirms completeness of the application

June 2022

CMS extends 2017-2022 1115 Waiver through Sept 30, 2022: CMS extension letter