An official website of the State of Oregon
How you know »
(how to identify a Oregon.gov website)
An official website of the State of Oregon »
You are here:
Where we are born, live, learn, work, play, and age can affect our health and quality of life. Access to continuous health coverage promotes better health. Supporting social needs through OHP coverage helps Oregon:
Achieving health equity will help Oregon to:
OHP now covers all health care children on OHP need for their health and development, from birth to age 21. This is true even if the care is not covered according to the Prioritized List of Health Services. OHP must cover all medically necessary and medically appropriate care.
Learn more about EPSDT.
Children with OHP have coverage from birth until their sixth birthday. This means families do not need to renew OHP benefits to keep children covered. They can also get the health care their child needs in their most formative years.
People age six and older have two full years of OHP coverage. This helps people have better health over the long-term.
Learn more about continuous eligibility.
OHP will provide housing, climate and nutrition support for people in challenging situations, such as:
Health-related social needs services are expected to begin in 2024-2025.
Learn more about health-related social needs.
Youth with special health care needs will have more vision and dental services.
These services help eligible youth transition better from pediatric to adult health care. This results in:
By January 1, 2027, Oregon will no longer use the Prioritized List to determine the amount, duration and scope of covered benefits. Oregon will submit a phase-out plan to CMS about how this change will happen. The plan is due June 30, 2026.
Oregon's Quality Incentive Program pays bonuses to coordinated care organizations (CCOs) for:
OHP members and communities will have a greater voice in this program. This way, the program will rewards CCOs for activities that:
Oregon will also have “upstream" and “downstream" metrics.
View Frequently Asked Questions about Oregon's 1115 Medicaid Waiver. Also read the FAQ in:
Sign up to receive updates by text or email
View past waiver newsletters and webinars
Health-related social needs
Waiver documents and reports
Read how Oregon developed the 2022-2027 waiver
Media questions: Amy Bacher, OHA Communications
Other questions: Email us
A .gov website belongs to an official government organization in the United States.
A lock icon ( ) or https:// means you’ve safely connected to the .gov website.
Only share sensitive information on official, secure websites.
Your browser is out-of-date! It has known security flaws and may not display all features of this and other websites. Learn how