OAR 410-200-0315: Standards and Determining Income Eligibility

Edition: Current OARD snapshotEffective: 2026-03-01Last verified: 2026-09-07

(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 to view rule.]

Official history and status

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: DMAP 7-2026, amend filed 02/26/2026, effective 03/01/2026 DMAP 67-2025, amend filed 09/10/2025, effective 09/18/2025 DMAP 30-2025, temporary amend filed 03/10/2025, effective 03/10/2025 through 09/05/2025 DMAP 29-2025, amend filed 02/26/2025, effective 03/01/2025 DMAP 138-2024, amend filed 11/26/2024, effective 01/01/2025 DMAP 94-2024, amend filed 05/29/2024, effective 06/01/2024 DMAP 78-2024, temporary amend filed 03/15/2024, effective 03/15/2024 through 08/13/2024 DMAP 43-2024, temporary amend filed 02/16/2024, effective 03/01/2024 through 08/13/2024 DMAP 11-2023, amend filed 03/30/2023, effective 04/01/2023 DMAP 6-2023, amend filed 02/23/2023, effective 03/01/2023 DMAP 89-2022, amend filed 12/16/2022, effective 01/01/2023 DMAP 73-2022, amend filed 09/07/2022, effective 09/07/2022 DMAP 35-2022, temporary amend filed 02/18/2022, effective 03/01/2022 through 08/27/2022 DMAP 34-2021, amend filed 08/24/2021, effective 08/24/2021 DMAP 7-2021, temporary amend filed 02/23/2021, effective 03/01/2021 through 08/27/2021 DMAP 23-2020, amend filed 05/07/2020, effective 05/08/2020 DMAP 5-2020, temporary amend filed 02/25/2020, effective 03/01/2020 through 08/27/2020 DMAP 34-2019, amend filed 08/23/2019, effective 08/27/2019 DMAP 1-2019, temporary amend filed 02/28/2019, effective 03/01/2019 through 08/27/2019 DMAP 21-2018, amend filed 04/12/2018, effective 04/12/2018 DMAP 10-2018, temporary amend filed 02/14/2018, effective 02/14/2018 through 08/12/2018 DMAP 15-2017, f. 4-28-17, cert. ef. 5-1-17 DMAP 6-2017(Temp), f. 2-28-17, cert. ef. 3-1-17 thru 8-27-17 DMAP 22-2016, f. & cert. ef. 5-18-16 DMAP 12-2016(Temp), f. 2-25-16, cert. ef. 3-1-16 thru 8-27-16 DMAP 27-2015, f. 4-21-15, cert. ef. 4-22-15 DMAP 6-2015(Temp), f. 2-13-15, cert. ef. 3-1-15 thru 8-27-15 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 53-2014, f. & cert. ef. 9-23-14 DMAP 25-2014(Temp), f. & cert. ef. 4-14-14 thru 10-11-14 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

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Official source: https://secure.sos.state.or.us/oard/