Oregon Health Plan (OHP) Reentry Health Care

After careful consideration and review, Oregon Health Authority (OHA) will not be offering the 1115 Waiver Reentry Demonstration benefits. OHA is still working on expanding benefits for incarcerated Oregon Health Plan members through the Federal Consolidated Appropriations Act (FCAA).

Health Care Benefits for Incarcerated Youth

Oregon is working to provide limited Oregon Health Plan (OHP) benefits to youth transitioning out of carceral facilities. These include:

Juvenile detentions
County jails
Oregon Youth Authority facilities
Oregon Department of Corrections facilities
Federal prison
Tribal jails

These benefits are known as Reentry Health Care benefits. They cover services that fall under Section 5121 of the 2023 Federal Consolidated Appropriation Act (FCAA).

Questions and Answers

Post-release services will begin Jan. 1, 2026. Pre-release services will begin no earlier than 2027.

Reentry Health Care benefits will cover 30 days of pre-release services and 30 days of post-release services to support successful reentry into the community.

Preventive health screenings and diagnostics in alignment with Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) benefits
Targeted Case Management:

Assessment of needs
Development of a person-centered care plan based on assessment
Referrals to services identified in care plan
Follow-up to ensure care plan is implemented
30 days post-release care coordination (finding healthcare providers, scheduling appointments, etc.)

To qualify for these benefits, youth must be:

Eligible for Medicaid or Children's Health Insurance Programs (CHIP)
Under age 21 or under age 26 for those who have aged out of the foster care system
Post adjudicated (sentenced)
Within 30 days before release from a carceral facility or within 30 days post-release from a carceral facility