Oregon Administrative Rules
Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS
Division 200 - ELIGIBILITY FOR HEALTH SYSTEMS DIVISION MEDICAL PROGRAMS
Section 410-200-0240 - Healthier Oregon and Citizenship Waived Medical and Citizenship Waived Medical Plus Benefits

Universal Citation: OR Admin Rules 410-200-0240

Current through Register Vol. 63, No. 9, September 1, 2024

(1) Healthier Oregon:

(a) Healthier Oregon benefits include Cover All Kids as of July 1, 2022 and are equal to OHP Plus benefits as defined in OAR 410-120-1210.

(b) Effective July 1, 2023, individuals are eligible for Healthier Oregon benefits if they:
(A) Meet all eligibility requirements for an HSD Medical Program, except the MAGI Expanded Adult program; and

(B) Do not meet the Citizenship and Non-Citizen Status Requirements set forth in OAR 410-200-0215;

(c) Through June 30, 2023, individuals were eligible for Healthier Oregon benefits if they were;
(A) Age 0 through 25 or age 55 and older;

(B) Met all eligibility requirements for an HSD Medical Program, other than the MAGI Expanded Adult program; and

(C) Did not meet the Citizenship and Non-Citizen Status Requirements set forth in OAR 410-200-0215;

(2) Citizenship Waived Medical (CWM) and Citizenship Waived Medical Plus (CWM Plus):

(a) Individuals eligible for CWM and CWM Plus through June 30, 2023 received benefits as defined in OAR 410-134-0005(2).

(b) To be eligible for CWM benefits, an individual must have:
(A) Been age 26 or older and under age 55;

(B) Met all eligibility requirements for an HSD Medical Program, other than the MAGI Expanded Adult program; and

(C) Did not meet the Citizenship and Non-Citizen Status Requirements set forth in OAR 410-200-0215.

(c) To be eligible for CWM Plus benefits, an individual must have met the CWM eligibility requirements described in section (b) of this rule and must have been pregnant or in their protected postpartum eligibility period as described in OAR 410-200-0135(3)(b)(B).

Statutory/Other Authority: ORS 411.060, 411.402, 411.404, 413.042, 414.025 & 414.534

Statutes/Other Implemented: ORS 411.400, 411.402, 411.404, 411.406, 411.439, 411.443, 413.032, 414.025, 414.231, 414.534, 414.536 & 414.706

Disclaimer: These regulations may not be the most recent version. Oregon may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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