1. (1) The Healthier Oregon and Healthier Oregon Cover All Kids benefit package description, benefits package identifier, eligibility criteria, and coverage is described in this Rule.

2. (2) Healthier Oregon and Healthier Oregon Cover All Kids benefit package descriptions:

   1. (a) Benefit Package identifiers:

      1. (A) BMH: for non-pregnant adults 21 and over and Cover All Kids; or
      2. (B) BMP: for pregnant adults or individuals within their post-partum period, who are age 21 and over;
   2. (b) Eligibility criteria: Eligible recipients are individuals who meet the financial and non-financial eligibility requirements for an Health Systems Division (HSD) or Oregon Supplemental Income Program Medical (OSIPM) Program, except they do not meet the citizenship or non-citizen status requirements pursuant to OAR 410-200-0215;

   3. (c) Coverage and limitations:

      1. (A) Oregon Health Plan services defined in OAR 410-120-1210;
      2. (B) Oregon Health Plan limitations defined in OAR 410-120-1210.

Statutory/Other Authority

ORS 413.042, 414.065 & 414.231

Statutes/Other Implemented

ORS 413.042, 414.065, 414.231, ORS 414.025, 414.312, 414.430, 414.432, 414.706 & 414.710

History

DMAP 89-2023, amend filed 12/19/2023, effective 12/20/2023
DMAP 55-2023, temporary amend filed 06/30/2023, effective 07/01/2023 through 12/27/2023
DMAP 65-2022, adopt filed 06/30/2022, effective 07/01/2022