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2022-2027 Medicaid 1115 Demonstration Application

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Oregon is applying to the Centers for Medicare & Medicaid Services (CMS) for a new five-year Medicaid waiver. The waiver is also known as the 1115 Demonstration. The purpose of the waiver is to reform our state’s Medicaid program. Medicaid is a state and federal program. The Oregon Health Plan (OHP) is the name of Oregon’s Medicaid program. OHP delivers health care to people who have low income.

A federal waiver creates an opportunity for OHP to:

  • Build on our state’s health care transformation success, and 
  • Create a more equitable system.

Oregon will apply for a new waiver for the years 2022 through 2027. 

In 2021, to continue to transform OHP, the Oregon Health Authority (OHA) is developing:
  • The vision
  • The goals
  • The strategies
  • The application
Oregon’s 2022-2027 waiver will seek to build on Oregon’s strong history of innovation in health care, and make progress toward:
  • Creating a more equitable, culturally- and linguistically- responsive health care system,
  • Helping contain costs by providing quality health care,
  • Investing in equitable and culturally appropriate health care, and
  • Ensuring everyone can get the coverage they need.

Policy concepts

The Oregon Health Authority has developed a set of policy concepts which outline changes OHA proposes to make to the Oregon Health Plan as part of our effort to advance health equity. These concepts are the basis of OHA’s upcoming application to CMS, whose approval is needed to implement policies reflected in these concept papers. If approved, Oregon would make changes to OHP during the 2022 – 2027 demonstration period. 

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

Public input process

Let us hear from you and tell us your thoughts! This waiver can further improve the Oregon Health Plan. Information about key phases in the waiver process is below. This includes opportunities to take part in the process.

You can also email your input at any time to

Read OHA's Engagement Feedback Analysis and Summary Report

Draft application

  • OHA expects to post the draft application by December 2021.
  • Once the draft is posted, you can make comments during a 30-day public comment period. Exact dates for this public comment period will be announced and posted in advance. .

Public meetings

You can view the dates, times and where public meetings are taking place below or in OHA's calendar of 2021 meetings. OHA will share information about the waiver, or notes from past discussions.

​OHA will present a series of workshops focusing on Oregon’s upcoming Medicaid waiver application to continue to transform the OHP in coming years.

The workshops will be divided into a three-part series in which participants will learn about the waiver process, our state’s goals for this waiver and give input and feedback on the various policy options being considered.

Wor​​kshop 1:

Work​​shop 2

Worksho​​p 3

Visit the OHPB website​ for meeting dates and material.

Next meeting:

​View previous meetings in the OHPB me​eti​ng archive:

Visit the HEC website​ for meeting dates and material.​

Next meeting: 

  • Dec. 9, 2021, 12 to 2 p.m. 

View previous meetings in the HEC meeting archive

​Visit the MAC w​ebsite for meeting dates and material.

Next meeting: 

  • December 15, 2021, 9:0​0 a.m. to noon
View previous meetings and material in the MAC meeting archive​.

Meeting accommodation

Everyone has a right to know about and use Oregon Health Authority (OHA) programs and services. OHA provides free help. Some examples of the free help OHA can provide are:

  • Sign language and spoken language interpreters
  • Written materials in other languages
  • Braille
  • Large print
  • Audio and other formats

If you need help or have questions, please email us.


Email us

Waiver basics

Read OHA's fact sheet:

Project timeline

January 2021

Governor and OHA to identify vision for waiver renewal 

January – October 2021

Stakeholder engagement and development of waiver components

Summer – Fall 2021

CMS review of proposed waiver components

Tribal consultation process begins. Tribes may initiate consultation sooner if desired.

December 2021

Public comment process begins

January 2022

Incorporate feedback from tribal consultation and public comment

February 2022

Submit final application to CMS

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