Statutes, codes, and regulations
Oregon Administrative Code
Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS
Division 200 - ELIGIBILITY FOR HEALTH SYSTEMS DIVISION MEDICAL PROGRAMS
Section 410-200-0315 - Standards and Determining Income Eligibility

Or. Admin. Code § 410-200-0315

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Current through Register Vol. 63, No. 11, November 1, 2024
Section 410-200-0315 - Standards and Determining Income Eligibility
(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, 2024, the income standard for the MAGI Child Program and the MAGI Adult Program is set at 133 percent of the 2024 Federal Poverty Level (FPL) as follows: See attached table.
(4) Effective March 1, 2024, 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 2024 FPL as follows: See attached table.
(5) Effective March 1, 2024, the income standard for the MAGI Expanded Adult Program is set at 200 percent of the 2024 FPL as follows: See attached table.
(6) Effective March 1, 2024, the income standard for MAGI Children's Health Insurance Program (CHIP) is set at 300 percent of the 2024 FPL as follows: See attached table.
(7) Effective July 1, 2024, the income standard for OHP Bridge - Basic Health Program and OHP Bridge - Basic Medicaid is set at 200 percent of the 2024 Federal Poverty Level (FPL) as follows: See attached table.
(8) Effective March 1, 2024, the income standard for the Compact of Free Association (COFA) Dental Program is set at 138 percent of the 2024 FPL as follows: See attached table.
(9) Effective March 1, 2024, the income standard for the Veteran Dental Program is set at 400 percent of the 2024 FPL as follows: See attached table.

Or. Admin. Code § 410-200-0315

DMAP 54-2013(Temp), f. & cert. ef. 10-1-13 thru 3-30-14; DMAP 4-2014(Temp), f. & cert. ef. 1-15-14 thru 3-30-14; DMAP 20-2014, f. & cert. ef. 3-28-14; DMAP 25-2014(Temp), f. & cert. ef. 4-14-14 thru 10-11-14; DMAP 53-2014, f. & cert. ef. 9-23-14; DMAP 67-2014(Temp), f. 11-14-14, cert. ef. 11-15-14 thru 5-13-15; DMAP 3-2015, f. & cert. ef. 1/30/2015; DMAP 6-2015(Temp), f. 2-13-15, cert. ef. 3-1-15 thru 8-27-15; DMAP 27-2015, f. 4-21-15, cert. ef. 4/22/2015; DMAP 12-2016(Temp), f. 2-25-16, cert. ef. 3-1-16 thru 8-27-16; DMAP 22-2016, f. & cert. ef. 5/18/2016; DMAP 6-2017(Temp), f. 2-28-17, cert. ef. 3- 1-17 thru 8-27-17; DMAP 15-2017, f. 4-28-17, cert. ef. 5/1/2017; DMAP 10-2018, temporary amend filed 02/14/2018, effective 02/14/2018 through 08/12/2018; DMAP 21-2018, amend filed 04/12/2018, effective 4/12/2018; DMAP 1-2019, temporary amend filed 02/28/2019, effective 03/01/2019 through 08/27/2019; DMAP 34-2019, amend filed 08/23/2019, effective 8/27/2019; DMAP 5-2020, temporary amend filed 02/25/2020, effective 03/01/2020 through 08/27/2020; DMAP 23-2020, amend filed 05/07/2020, effective5/8/2020; DMAP 7-2021, temporary amend filed 02/23/2021, effective 03/01/2021 through 08/27/2021; DMAP 34-2021, amend filed 08/24/2021, effective 8/24/2021; DMAP 35-2022, temporary amend filed 02/18/2022, effective 3/1/2022 through 8/27/2022; DMAP 73-2022, amend filed 09/07/2022, effective 9/7/2022; DMAP 89-2022, amend filed 12/16/2022, effective 1/1/2023; DMAP 6-2023, amend filed 02/23/2023, effective 3/1/2023; DMAP 11-2023, amend filed 03/30/2023, effective 4/1/2023; DMAP 43-2024, temporary amend filed 02/16/2024, effective 3/1/2024 through 8/13/2024; DMAP 78-2024, temporary amend filed 03/15/2024, effective 3/15/2024 through 8/13/2024; DMAP 94-2024, amend filed 05/29/2024, effective 6/1/2024

To view attachments referenced in rule text, click here for PDF copy.

Statutory/Other Authority: 42 CFR 435.110, ORS 435.112, 435.115, 435.116, 435.118, 435.403, 435.940, 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, 435.1200, 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