Or. Admin. R. 410-200-0240 - Healthier Oregon and Citizenship Waived Medical and Citizenship Waived Medical Plus Benefits

(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).

Notes

Or. Admin. R. 410-200-0240
DMAP 54-2013(Temp), f. & cert. ef. 10-1-13 thru 3-30-14; DMAP 4-2014(Temp), f. & cert. ef. 1-15-14 thru 3-30-14; DMAP 20-2014, f. & cert. ef. 3-28-14; DMAP 67-2014(Temp), f. 11-14-14, cert. ef. 11-15-14 thru 5-13-15; DMAP 3-2015, f. & cert. ef. 1/30/2015; DMAP 78-2015(Temp), f. & cert. ef. 12-22-15 thru 6-18-16; DMAP 24-2016, f. & cert. ef. 6/2/2016; DMAP 44-2017, temporary amend filed 11/01/2017, effective 11/01/2017 through 04/29/2018; DMAP 23-2018, amend filed 04/27/2018, effective 4/29/2018; DMAP 24-2018, temporary amend filed 04/27/2018, effective 04/29/2018 through 10/25/2018; DMAP 86-2018, amend filed 08/23/2018, effective 9/11/2018; DMAP 23-2020, amend filed 05/07/2020, effective 5/8/2020; DMAP 30-2022, minor correction filed 02/16/2022, effective 2/16/2022; DMAP 42-2022, temporary amend filed 03/29/2022, effective 4/1/2022 through 9/27/2022; DMAP 65-2022, amend filed 06/30/2022, effective 7/1/2022; DMAP 83-2022, amend filed 11/29/2022, effective 11/29/2022; DMAP 55-2023, temporary amend filed 06/30/2023, effective 7/1/2023through 12/27/2023; DMAP 89-2023, amend filed 12/19/2023, effective 12/20/2023

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

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