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2022-2027 Medicaid 1115 Demonstration Application

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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.

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.

Final application

The Oregon Health Authority (OHA) submitted the final application 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 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. 

OHA is still open to feedback from interested parties.

Email feedback to OHA

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

Note: OHA has released final concept papers. Please see the box above entitled "Final Policy Concepts."

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.

​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.

Wor​​kshop 1:

Work​​shop 2

Worksho​​p 3

Visit the OHPB website​ for meeting dates and material.

Next meeting:

​View previous meetings in the OHPB me​eti​ng archive:

Visit the HEC website​ for meeting dates and material.​

Next meeting: 

  • Dec. 9, 2021, 12 to 2 p.m. 

View previous meetings in the HEC meeting archive

​Visit the MAC w​ebsite for meeting dates and material.

Next meeting: 

  • December 15, 2021, 9:0​0 a.m. to noon
View previous meetings and material in the MAC meeting archive​.

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.


Email us

Waiver basics - Section 1115 Demonstrations

Read OHA's fact sheet:

Project timeline

January 2021

Governor and OHA to identify vision for waiver renewal 

January – October 2021

Community engagement and development of waiver components

  • Status: Complete. See the "Policy concepts" section of this page.

Summer – Fall 2021

CMS review of proposed waiver components

  • Status: Complete.

Tribal consultation process.

  • Status: Complete.

December 2021

Public comment process began Dec. 7.

  • Status: Completed.

January 2022

Public comment closed Jan. 7.

Incorporated feedback from tribal consultation and public comment

February 2022

Submitted final application to CMS. See Final application section of this page.

CMS confirms completeness of the application

June 2022

CMS extends 2017-2022 1115 Waiver through Sept 30, 2022.