In addition to eligibility requirements applicable to the MAGI Pregnant Woman program in other rules in chapter 410 division 200, this rule describes specific eligibility requirements for the MAGI Pregnant Woman program.

1. (1) To be eligible for the MAGI Pregnant Woman program, an individual must be pregnant at least one day in the month for which eligibility is being determined, including months they are being evaluated for Retroactive Medical (OAR 410-200-0130).

2. (2) To be eligible for the MAGI Pregnant Woman program, an individual must:

   1. (a) Have household income that is at or below 185 percent of the federal poverty level (OAR 410-200-0315); or
   2. (b) Be eligible for protected eligibility according to the policy described in OAR 410-200-0135.
3. (3) To be eligible for the MAGI Pregnant Woman program, an individual must not be receiving Supplemental Security Income (SSI).

Statutory/Other Authority

ORS 411.402, 411.404 & 413.042

Statutes/Other Implemented

ORS 411.400, 411.402, 411.404, 411.406, 411.439, 411.443, 413.032, 414.025, 414.231, 414.447 & 414.706

History

DMAP 63-2025, amend filed 08/28/2025, effective 09/01/2025
DMAP 23-2020, amend filed 05/07/2020, effective 05/08/2020
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