2022-2027 Medicaid 1115 Demonstration Application Development Process

Final Application

The Oregon Health Authority (OHA) submitted the final application in February 2022 to CMS, whose approval was needed to implement policies reflected in the application. If approved, Oregon would make changes to OHP during the 2022 – 2027 demonstration period. 

• Final Waiver Application (submitted 2/18/2022)
• OHA summary of the application - Also in Spanish | Russian | Vietnamese | Traditional Chinese | Simplified Chinese | Somali | Arabic | Hmong | Portuguese | Chuukese | Marshallese | Korean
• Changes from draft application to final application - Also in Spanish | Russian | Vietnamese | Traditional Chinese | Simplified Chinese | Somali | Arabic | Hmong | Portuguese | Chuukese | Marshallese | Korean |
• Waiver impact issue briefs: Learn how the waiver, if approved, will impact Behavioral Health, Children's Health and Oral Health.

You can also read about the policy concepts that are the basis of the application in plain language. These summaries are in the "Policy concepts" section below.

Draft Application and Public Comment

OHA developed the draft application with proposals for changes to OHP as part of our effort to advance health equity. The public was invited to submit written and verbal comments on the draft application from Dec. 7, 2021 through Jan. 7, 2022. 

• Draft application
• Public notice - Also in Spanish | Russian | Vietnamese | Traditional Chinese | Simplified Chinese | Somali | Arabic | Hmong | Portuguese | Chuukese | Marshallese | Korean
• How public input was collected
  
• OHA summary of public comment input - Also in Spanish | Russian | Vietnamese | Traditional Chinese | Simplified Chinese | Somali | Arabic | Hmong | Portuguese | Chuukese | Marshallese | Korean
  
• View all public comment received by OHA (zip file, 45 MB)

Policy Concepts

These concepts were the basis of OHA’s upcoming application to CMS, whose approval was needed to implement policies reflected in these concept papers.

• OHA conducted extensive public engagement leading to the development of these concepts. You can view the dates, times of public meetings in OHA's calendar of 2021 meetings. 
• At these meetings, OHA shared information about the waiver policies and sought feedback from community members, OHP members and other interested parties.

Read OHA's Engagement Feedback Analysis and Summary Report