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Oregon's 1115 Medicaid Demonstration - Oregon Health Plan

Section 1115 of the Social Security Act gives the federal Department of Health and Human Services' (HHS) Centers for Medicare and Medicaid Services (CMS) the authority to approve state-level experimental, pilot, or demonstration projects that promote the objectives of the Medicaid and Children's Health Insurance Program (CHIP) programs. Medicaid Demonstrations give states flexibility to design and improve programs and to show how new policy approaches such as eligibility expansion, service expansion or using innovative service delivery systems can improve care, increase efficiency, and reduce costs.

Oregon's initial 1115 Medicaid Demonstration waiver established Medicaid and CHIP services through the original ground-breaking Oregon Health Plan (OHP) in 1994. Since then, the Demonstration has given Oregon numerous opportunities to expand and improve health care throughout the state, has been recently renewed on January 12, 2017 and is currently renewed through June 30, 2022.

This site contains Demonstration requests, reports and attachments going back to the beginning of the current Demonstration approval period, as well as evaluations, history and future plans for the OHP.

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Oregon's current 1115 Medicaid Demonstration

Announcements & News

Duals Automated Enrollment, January 1, 2019
CMS Interim Response to Waiver Request Renewal, 9-20-2016
Waiver renewal approved January 12, 2017
1115 Waiver Renewal PowerPoint Presentation March 15, 2017
Stakeholder Webinar on the 1115 Waiver, March 15, 2017

2017 - 2022 (Current) Medicaid 1115 Waiver

Overview of Oregon's Approved Waiver Renewal
Quarterly & Annual Reports
Public Process
Waiver Renewal Application

2012 - 2017 Medicaid 1115 Waiver

Quarterly & Annual Reports
Waiver Amendments
Special Terms & Conditions
Demonstration Evaluations

Additional Resources

Oregon's Medicaid Waiver Jan 2016 Presentation
Section 1115 - Social Security Act
List of Tribes in Oregon
List of Oregon's CCOs
Additional CCO Information

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