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Helping Oregonians Maintain Coverage After the Public Health Emergency Ends

Oregon is committed to helping Oregon Health Plan members helping maintain coverage. Continuous enrollment policies during the Public Health Emergency (PHE) have allowed more people to maintain coverage, and Oregon has been working on several policies to ensure continuous enrollment once the PHE ends.

Provisions under House Bill 4035

HB 4035 Report to the Legislature: Unwinding the Federal Public Health Emergency

Creating a “Bridge Program”


About the Joint Task Force On the Bridge Health Care Program

House Bill 4035 requires OHA to create a new “bridge program” to provide an affordable, comprehensive source of health coverage to adults in Oregon with income between 138-200% of the Federal Poverty Level. Implementing this program will prevent coverage loss among some people who would otherwise lose OHP during the unwinding of the Federal Public Health Emergency and will improve coverage continuity by reducing instances of "churn" due to small and/or temporary income gains among OHP members. HB 4035 directs OHA to work with the Legislative Policy and Research Office (LPRO) to convene a Task Force to inform development of this program. Oregon will seek Centers for Medicare & Medicaid Services (CMS) approval before implementation of the program.

Click here for membership details, upcoming meeting dates and times, and links to meeting recordings.


SUD 1115 Waiver Bridge to the Bridge Amendment - Draft Application and Public Comment
OHA developed the draft application with proposals for changes to OHP as part of the public health emergency ending. The public is invited to submit written and verbal comments on the draft application from Aug 1, 2022 through Sep 7, 2022.
Public Notice
Draft Application
Submit Public Comment »
Meeting Info and Resources
Date
PurposeMaterials
August 31, 2022
9-12 pm
SUD 1115 Waiver Bridge to the Bridge Amendment Public Hearing (Medicaid Advisory Committee)
Join this meeting to learn more about the draft amendment and provide your input.

Public Notice
Draft Application
Slide Deck
Video of Meeting
August 24, 2022
10-11 am
SUD 1115 Waiver Bridge to the Bridge Amendment Public Hearing (Standalone Meeting)
Join this meeting to learn more about the draft amendment and provide your input
July 21, 2022
5-7 pm
Hear from consumers, particularly individuals who have experienced churn between coverage provided by the Oregon Health Plan (OHP) and other health insurance or no insurance based on changes in income. Questions of specific interest to the Task Force and registration details will be provided at least a week in advance of the meeting.
Listening Session - English
Listening Session - Spanish

Outreach and Communication Strategies with Community Partners


About the Community and Partner Workgroup

As established in HB 4035, the Community and Partner Workgroup (CPWG) advises OHA, ODHS, and DCBS on the development of outreach and enrollment assistance and communications strategies to communicate and assist medical assistance program members in navigating the redetermination process and any transitions to coverage through the health insurance exchange. This work has the dual goals of:

  1. Maintaining the most individuals covered possible so that benefits are not lost, and
  2. Ensuring additional protective measures for identified vulnerable populations, priority populations, and populations and individuals facing health inequities during this transition and process.

The CPWG brings together representatives from impacted health systems, community partners, organized labor, individuals enrolled in medical assistance programs, and members of Oregon’s Medicaid Advisory and Health Insurance Exchange Advisory committees to advise the state and the departments on the development of outreach and enrollment assistance and communication strategies to communicate and assist OHP members in navigating the redetermination process or transition to coverage through the health insurance exchange.

Read the charter here

Members

Members were selected based on their availability and willingness to attend CPWG sessions, lived experience and subject matter expertise, and in a manner to ensure diversity of perspective and representation of the state. Members representing intersecting identities and Oregon’s priority populations were given preference.


Provisions in the 1115 Demonstration Waiver

Oregon’s demonstration application, submitted to CMS on March 3rd, would be the largest expansion of continuous eligibility in the country. If approved, Oregon would provide some form of multi-year continuous eligibility to all Medicaid beneficiaries beginning as soon as mid-2023. For children under the age of six, Oregon proposes continuous eligibility from the time of a child’s enrollment through the end of the month in which their sixth birthday falls. For children six and up and adults, the state waiver requests approval to provide two-year continuous eligibility. These changes would double the current period of continuous eligibility for beneficiaries ages 6-18 and offer continuous eligibility for the first time to adult beneficiaries in Oregon.

State Plan Amendment for Postpartum Individuals

Oregon’s request to expand Medicaid and Children’s Health Insurance Program (CHIP) coverage, known as Oregon Health Plan (OHP), to one year postpartum was approved by CMS in May of 2022. The change will allow individuals to maintain continuous OHP coverage and access medically necessary physical, oral and behavioral health services for 12 months after childbirth.

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