(1) This rule
outlines income thresholds for Health System Division (HSD) Medical Programs.
See OAR
410-200-0310 for eligibility and
budgeting.
(2) The income standard
for the Modified Adjusted Gross Income (MAGI) Parent or Caretaker-Relative
program is set as follows: See attached table.
(3) Effective March 1, 2025, the income
standard for the MAGI Child Program and the MAGI Adult Program is set at 133
percent of the 2025 Federal Poverty Level (FPL) as follows: See attached
table.
(4) Effective March 1, 2025,
the income standard for the MAGI Pregnant Woman Program and for MAGI Child
Program recipients under the age of one year is set at 185 percent of the 2025
FPL as follows: See attached table.
(5) Effective March 1, 2025, the income
standard for MAGI Children's Health Insurance Program (CHIP) is set at 300
percent of the 2025 FPL as follows: See attached table.
(6) Effective July 1, 2025, the income
standard for OHP Bridge - Basic Health Program and OHP Bridge - Basic Medicaid
is set at 200 percent of the 2025 Federal Poverty Level (FPL) as follows: See
attached table.
(7) Effective March
1, 2025, the income standard for the Compact of Free Association (COFA) Dental
Program is set at 133 percent of the 2025 FPL as follows: See attached
table.
(8) Effective March 1, 2025,
the income standard for the Veteran Dental Program is set at 400 percent of the
2025 FPL as follows: See attached table.
(9) Effective March 1, 2025, the income
standard for the Young Adults with Special Health Care Needs Program is set at
200 percent of the 2025 FPL as follows: See attached table.
Notes
Or. Admin. Code
§
410-200-0315
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 25-2014(Temp), f. & cert. ef. 4-14-14 thru 10-11-14; DMAP 53-2014, f.
& cert. ef. 9-23-14; 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 6-2015(Temp), f. 2-13-15, cert.
ef. 3-1-15 thru 8-27-15;
DMAP
27-2015, f. 4-21-15, cert. ef.
4/22/2015; DMAP 12-2016(Temp), f. 2-25-16,
cert. ef. 3-1-16 thru 8-27-16;
DMAP
22-2016, f. & cert. ef.
5/18/2016; DMAP 6-2017(Temp), f.
2-28-17, cert. ef. 3-1-17 thru 8-27-17;
DMAP
15-2017, f. 4-28-17, cert. ef.
5/1/2017; DMAP 10-2018, temporary amend filed
02/14/2018, effective 02/14/2018 through 08/12/2018;
DMAP
21-2018, amend filed 04/12/2018, effective
4/12/2018; DMAP 1-2019, temporary
amend filed 02/28/2019, effective 03/01/2019 through 08/27/2019;
DMAP
34-2019, amend filed 08/23/2019, effective
8/27/2019; DMAP 5-2020, temporary
amend filed 02/25/2020, effective 03/01/2020 through 08/27/2020;
DMAP
23-2020, amend filed 05/07/2020, effective
5/8/2020; DMAP 7-2021, temporary
amend filed 02/23/2021, effective 03/01/2021 through 08/27/2021;
DMAP
34-2021, amend filed 08/24/2021, effective
8/24/2021; DMAP 35-2022, temporary
amend filed 02/18/2022, effective 3/1/2022 through 8/27/2022;
DMAP
73-2022, amend filed 09/07/2022, effective
9/7/2022;
DMAP
89-2022, amend filed 12/16/2022, effective
1/1/2023;
DMAP
6-2023, amend filed 02/23/2023, effective
3/1/2023;
DMAP
11-2023, amend filed 03/30/2023, effective
4/1/2023;
DMAP
43-2024, temporary amend filed 02/16/2024, effective
3/1/2024 through
8/13/2024;
DMAP
78-2024, temporary amend filed 03/15/2024, effective
3/15/2024 through
8/13/2024;
DMAP
94-2024, amend filed 05/29/2024, effective
6/1/2024;
DMAP
138-2024, amend filed 11/26/2024, effective
1/1/2025;
DMAP
29-2025, amend filed 02/26/2025, effective
3/1/2025;
DMAP
30-2025, temporary amend filed 03/10/2025, effective
3/10/2025 through
9/5/2025
To view attachments referenced in rule text, click here for
PDF copy.
Statutory/Other Authority:
42 CFR
435.110, ORS 435.112, 435.115, 435.116,
435.118, 435.403, 435.940, 435.1200, 457.80, 457.340,
458.350, 435.3, 435.4, 435.406,
435.407, 435.940, 435.952, 435.956, 435.1008,
457.320, 457.380, 435.608,
433.138,
433.145, 433.146, 433.147,
433.148, 435.117, 435.119, 435.1200, 435.1205, 435.170,
435.190, 435.222, 435.610,
435.916, 435.917, 447.56, 457.350, 457.360, 457.805, ORS
411.402,
411.404,
413.042 &
414.534
Statutes/Other Implemented: ORS
411.402,
411.404, ORS
411.060,
411.095,
411.400,
411.406,
411.439,
411.443,
413.032,
413.038,
414.025,
414.231,
414.440,
414.534,
414.536 &
414.706
