Oregon


Eligibility1

Children's
Medicaid2
Separate
Children's
CHIP2
Pregnant
Women3
Parents4
0-5: 133%

6-19: 100%
300%
185%
32%


ICHIA Option5

Children
Pregnant
Women
Yes
No


Enrollment Procedures for Children6

Program
Type7
Joint Application
Face-to-Face Interview
Asset Test8
Administrative
Verification of Income9
Presumptive Eligibility
S-CHIP
Yes
No
No
No
No


Renewal Procedures for Children6

Frequency of Renewal
(in months)
12-month
Continuous Eligibility
Joint Renewal Form
Face-to-Face Interview
Administrative
Verification of Income9
12 Yes10
Yes
No
No


Waiting Period

Waiting
Period
Length
Yes
2 months


Enrollment Procedures for Parents11

Family Application
Face-to-Face Interview
Asset Test8
Yes
No
$2,500


Renewal Procedures for Parents11

Frequency of Renewal
(in months)
Face-to-Face Interview
1212
No


Enrollment Procedures for Pregnant Women13

Presumptive
Eligibility
Asset Test14
No
No



Source: D. Cohen Ross, et al., "A Foundation for Health Reform," Kaiser Commission on Medicaid and the Uninsured, (December 2009); updated by the Center for Children and Families.

Notes:
1: Income eligibility levels noted are in effect as of January 2010 and expressed as a percentage of the Federal Poverty Level (FPL), without regard to income disregards or deductions.
2: Income eligibility levels for children's Medicaid includes CHIP-funded Medicaid expansions; separate CHIP programs are shown under children’s CHIP. As of February 1, 2010, Oregon began providing subsidized coverage through private health exchanges for children with family income between 200% and 300% of the FPL and offering a full-cost buy-in for children with family income above 300% of the FPL.
3: Pregnant women's income eligibility levels are shown for regular Medicaid and CHIP (through the unborn child option).
4: Parents' income eligibility levels are shown for parents without earned incomes (i.e., does not reflect earnings disregards used to determine income eligibility for working parents) applying for comprehensive Medicaid coverage based on a family size of three. Parents are eligible for more limited coverage up to 100% under the Oregon Health Plan and premium assistance is provided to parents up to 185%. Enrollment in both programs is currently closed.
5: The "ICHIA" option in CHIPRA allows states to use federal funds to cover lawfully residing immigrant children and pregnant women in Medicaid/CHIP without imposing a five-year waiting period. This indicates whether the state has submitted a State Plan Amendment to adopt this option.
6: Data as of January 2010. Information applies to both Medicaid and CHIP, if applicable, unless otherwise noted.
7: Program type as approved by the Centers for Medicare and Medicaid Services, reported in V. Smith, et al., "CHIP Enrollment: June 2008 Data Snapshot," Kaiser Commission on Medicaid and the Uninsured (September 2009), updated by the Center for Children and Families.
8: Asset limits noted are for a family of three.
9: In states with administrative verification, families do not have to provide verification of income, and such states generally verify this information by accessing data from other government agencies.
10: In Oregon, children in CHIP receive 12 months continuous coverage unless the family's income exceeds the eligibility threshold, the family leaves the state, the child ages out, or the family chooses to end coverage.
11: Data as of January 2010. Information for parents refer to enrollment/renewal procedures under regular Medicaid; some states have expanded Medicaid for parents (through waivers or state funds) and procedures under the expansion may be different than the procedures for regular Medicaid.
12: The renewal period for parents coverage under Section 1931 in Oregon is "up to 12 months," though most families not receiving other benefits have a six-month eligibility period.
13: Data as of January 2010.
14: With the exception of Arkansas, all states with an asset test for pregnancy coverage rely on a standard limit regardless of family size.