Changes Coming to Oregon Health Plan and Medicaid

While things are changing, there are some things you can do that will help: 

• Keep your contact information up to date to receive updates on your coverage 
• Read and respond to any notices you might receive about your coverage
• Stay informed about new changes from trusted sources, like our website 
• Bring any letters you receive to your appointments or have them on hand when you call
• Ask questions! We’re here to help

Starting in October 2027 many adults will have to renew every six months, while other members may need to renew once a year. 

Starting in October 2027, many Oregon Health Plan and Medicaid recipients will have new requirements when they renew their benefits. They may have to show they work, volunteer, go to school, or meet an exemption. However, it does not have to be a full-time job. These are some of the activities that may qualify: 

• School
• In job training or looking for work
• Seasonal or part time work
• Self employed or own your business
• Taking care of someone, including a child under the age of 14 or another person who has a disability
• Community service

Yes, some Medicaid recipients can be exempt from work and other activity rules. Here’s examples of those who may qualify: 

• People who have a disability or taking care of someone who has a disability
• People with serious or complex medical needs 
• People who have chronic substance use disorders or are currently in substance use treatment 
• People taking care of children who are under the age of 14 years old 
• People who are American Indian/Alaska Native. 
• People who are pregnant and for one year after the pregnancy ends 
• Former foster youth who are under the age of 26

If you qualify for an exemption, it means you have a reason you don't need to meet the work or activity rules.

For the rule changes in 2027, you can simply tell us you qualify for an exemption.

In 2028, proof will be required for more exemptions. We will share more about proof that will be accepted in 2028 after the federal government provides more guidance.