1. (1) Healthier Oregon:

   1. (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.

   2. (b) Effective July 1, 2023, individuals are eligible for Healthier Oregon benefits if they:

      1. (A) Meet all eligibility requirements for an HSD Medical Program; and
      2. (B) Do not meet the Citizenship and Non-Citizen Status Requirements set forth in OAR 410-200-0215;

   3. (c) Through June 30, 2023, individuals were eligible for Healthier Oregon benefits if they were;

      1. (A) Age 0 through 25 or age 55 and older;
      2. (B) Met all eligibility requirements for an HSD Medical Program; and
      3. (C) Did not meet the Citizenship and Non-Citizen Status Requirements set forth in OAR 410-200-0215;

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

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

   2. (b) To be eligible for CWM benefits, an individual must have:

      1. (A) Been age 26 or older and under age 55;
      2. (B) Met all eligibility requirements for an HSD Medical Program; and
      3. (C) Did not meet the Citizenship and Non-Citizen Status Requirements set forth in OAR 410-200-0215.
   3. (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

History

DMAP 63-2025, amend filed 08/28/2025, effective 09/01/2025
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 83-2022, amend filed 11/29/2022, effective 11/29/2022
DMAP 65-2022, amend filed 06/30/2022, effective 07/01/2022
DMAP 42-2022, temporary amend filed 03/29/2022, effective 04/01/2022 through 09/27/2022
DMAP 30-2022, minor correction filed 02/16/2022, effective 02/16/2022
DMAP 23-2020, amend filed 05/07/2020, effective 05/08/2020
DMAP 86-2018, amend filed 08/23/2018, effective 09/11/2018
DMAP 24-2018, temporary amend filed 04/27/2018, effective 04/29/2018 through 10/25/2018
DMAP 23-2018, amend filed 04/27/2018, effective 04/29/2018
DMAP 44-2017, temporary amend filed 11/01/2017, effective 11/01/2017 through 04/29/2018
DMAP 24-2016, f. & cert. ef. 6-2-16
DMAP 78-2015(Temp), f. & cert. ef. 12-22-15 thru 6-18-16
DMAP 3-2015, f. & cert. ef. 1-30-15
DMAP 67-2014(Temp), f. 11-14-14, cert. ef. 11-15-14 thru 5-13-15
DMAP 20-2014, f. & cert. ef. 3-28-14
DMAP 4-2014(Temp), f. & cert. ef. 1-15-14 thru 3-30-14
DMAP 54-2013(Temp), f. & cert. ef. 10-1-13 thru 3-30-14