OAR 410-200-0240: Healthier Oregon and Citizenship Waived Medical and Citizenship Waived Medical Plus Benefits

(1) Healthier Oregon: (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. (b) Effective July 1, 2023, individuals are eligible for Healthier Oregon benefits if they: (A) Meet all eligibility requirements for an HSD Medical Program; and (B) Do not meet the Citizenship and Non-Citizen Status Requirements set forth in OAR 410-200-0215; (c) Through June 30, 2023, individuals were eligible for Healthier Oregon benefits if they were; (A) Age 0 through 25 or age 55 and older; (B) Met all eligibility requirements for an HSD Medical Program; and (C) Did not meet the Citizenship and Non-Citizen Status Requirements set forth in OAR 410-200-0215; (2) Citizenship Waived Medical (CWM) and Citizenship Waived Medical Plus (CWM Plus): (a) Individuals eligible for CWM and CWM Plus through June 30, 2023, received benefits as defined in OAR 410-134-0005(2). (b) To be eligible for CWM benefits, an individual must have: (A) Been age 26 or older and under age 55; (B) Met all eligibility requirements for an HSD Medical Program; and (C) Did not meet the Citizenship and Non-Citizen Status Requirements set forth in OAR 410-200-0215. (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).