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2022-2027 Medicaid 1115 Waiver Application

Final Application

The Oregon Health Authority (OHA) submitted the final application for the 2022-2027 Oregon Health Plan (OHP) 1115 demonstration in February 2022. The Centers for Medicaid & Medicare Services (CMS) must approve the application for OHA to make changes to OHP as reflected in the application. 

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. OHA invited the public to submit written and verbal comments on the draft application from Dec. 7, 2021, through Jan. 7, 2022. 

​Beginning December 7, 2021, written comments can be emailed to, via this ​form at​, or sent via physical mail to:

Health Policy and Analytics Medicaid Waiver Renewal Team
Attn: Michelle Hatfield
500 Summer St. NE, E65
Salem, OR 97301

​Members of the public were invited to provide verbal comment at any of the following public hearings:

Oregon Health P​olic​y Board 

Dec. 7, 2021 | 8:30 a.m.- 12 p.m.

Health Equi​ty Co​​mmittee 

Dec. 9, 2021 | 12 p.m. – 2 p.m.

Community Partner meeting (en e​spañ​​​ol) 

Dec. 9, 2021 | 3:30 p.m. – 5:30 p.m. 

​Medicaid A​​dvisory Comm​ittee 

Dec. 15, 2021 | 9 a.m. – 12 p.m. 

Design​ing the future of OHP - ​Workshop 3

Dec. 16, 2021 | 5:30 PM-7:30 PM

Community Par​tner meeting

Dec. 17, 2021 | 10:30 a.m. – 12:30 p.m.

Oregon Health Poli​​cy Board

Jan. 4, 2022 | 8:30 a.m. – 12 p.m. 

Policy Concepts

These concepts were the basis of OHA’s application to CMS.

  • 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."

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