Medicaid OHP Eligibility Information
The State of Oregon uses federal Medicaid dollars and State funds to provide health insurance and assistance for a variety of groups of people.
The OHP Plus program serves:
- age 65 or over
- blind
- disabled
- under age 19
- pregnant or receiving Temporary Assistance for Needy Families benefits
The OHP Standard program serves:
- low-income adults who don’t qualify for traditional Medicaid.
The Children’s Health Insurance Program serves:
- children and adolescents younger than 19 living in households with incomes below 185 percent of the federal poverty level
Eligibility requirements for the various Medicaid programs vary and there are some specific programs that serve groups of people in addition to those listed above. Therefore, everyone is encouraged to apply for state Medicaid programs (such as the Oregon Health Plan).
OHP Application
You may fill out the OHP application online at: https://apps.state.or.us/mbs/
The following link will direct you to the OHP application for download (under “How to Apply”): http://www.oregon.gov/DHS/healthplan/app_benefits/ohp4u.shtml
Applications are also available at local CAF Offices or you may call the OHP Application Center at 800-359-9517.
Medicaid Related Legal Services
Low-income people can seek legal advice, brief services, and possible representation regarding Medicaid issues by calling the Public Benefits Hotline at 1.800.520.5292. The Public Benefits Hotline is a joint project of Legal Aid Services of Oregon and the Oregon Law Center. (Hours of Operation: Monday – Thursday 1pm – 4pm; and Wednesday & Friday mornings 9am – 12pm)
Oregon Helps
Oregon Helps Use this website to to calculate whether your family is eligible for help from 28 different services, including OHP.
M.E.T.S. – Medicaid Eligibility Team Specialists
The M.E.T.S. mission is to assist the community in participating in the Oregon Health Plan as well as provide access to other available health and human services.
Eligibility Specialists screen uninsured/under-insured individuals for the Oregon Health Plan and related health programs and assist applicants/clients in:
- Completing application forms
- Choosing medical and dental plans
- Explaining OHP benefits
- Following up with the application status with the State
- Advocating client needs
- Assisting in the reapplication process every 6 months.
- The staff also works closely with Portland Public Schools and with the Multnomah Education Service District to reach uninsured children and families.
For more information please view the M.E.T.S. brochures attached below or visit the website: http://www.mchealth.org/medicaid/
