What is Presumptive Medical Eligibility?
The Affordable Care Act allows states to qualify certain entities to determine “presumed” (or “likely”) eligibility for some Oregon Health Plan (OHP) programs based on a quick screening of primary eligibility factors.
OHP coverage approved through Presumptive Eligibility is temporary. Approved applicants must complete a full application if they want benefits to continue beyond the temporary period. For eligible individuals, the Presumptive Eligibility process can sometimes allow coverage to start more quickly than waiting for a full application to be processed.
Resources for Presumptive Eligibility Sites
Note: Community partners who are employed or contracted by a qualified hospital should refer to the "Presumptive Eligibility for Hospitals" page.