Or. Admin. R. 410-200-0315 – Standards and Determining Income Eligibility

(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, 2026, the income standard for the MAGI Child Program and the MAGI Adult Program is set at 133 percent of the 2026 Federal Poverty Level (FPL) as follows: See attached table.
(4) Effective March 1, 2026, 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 2026 FPL as follows: See attached table.
(5) Effective March 1, 2026, the income standard for MAGI Children’s Health Insurance Program (CHIP) is set at 300 percent of the 2026 FPL as follows: See attached table.
(6) Effective July 1, 2026, the income standard for OHP Bridge - Basic Health Program and OHP Bridge – Basic Medicaid is set at 200 percent of the 2026 Federal Poverty Level (FPL) as follows: See attached table.
(7) Effective March 1, 2026, the income standard for the Compact of Free Association (COFA) Dental Program is set at 133 percent of the 2026 FPL as follows: See attached table.
(8) Effective March 1, 2026, the income standard for the Veteran Dental Program is set at 400 percent of the 2026 FPL as follows: See attached table.
(9) Effective March 1, 2026, the income standard for the Young Adults with Special Health Care Needs Program is set at 200 percent of the 2026 FPL as follows: See attached table.
[ED. NOTE: 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, 42 CFR 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, 42 CFR 435.1200, 42 CFR 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

History