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Overview
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.
About the 2022-2027 Waiver
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.
Draft application and public comment
The Oregon Health Authority (OHA) has developed a draft application with proposals for changes to the Oregon Health Plan as part of our effort to advance health equity. The application will be submitted in February 2022 to CMS, whose approval is needed to implement policies reflected in the application. If approved, Oregon would make changes to OHP during the 2022 – 2027 demonstration period.
You can also read about the policy concepts that are the basis of the application in plain language. These summaries are in "Policy Concepts" section below.
OHA is still open to feedback from interested parties. Input can be emailed to
1115Waiver.Renewal@dhsoha.state.or.us.
Policy concepts
These concepts are the basis of OHA’s upcoming application to CMS, whose approval is 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
Other public meetings
You can view the dates, times and where other 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.
OHP 1115 Medicaid Waiver Workshops
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.
Workshop 1:
Workshop 2
Workshop 3
Meeting accommodation
Everyone has a right to know about and use 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.