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Oregon Health PlanMedicaid · Administrative · Public notice · ORMedium impact

Notice of intent: OHA will amend the Medicaid State Plan to comply with several provisions of the Working Families Tax Cut Legislation

Effective date
Jan 1, 2027
Identified
Oct 14, 2026

Summary

Oregon Health Authority will submit State Plan Amendments to comply with Working Families Tax Cut (WFTC) changes to Medicaid and CHIP effective January 1, 2027. The changes add community engagement (work) requirements as a condition of eligibility for the ACA adult expansion population, require eligibility redeterminations every 6 months for ACA adults, shorten the retroactive eligibility period for applications made on or after January 1, 2027, and require a process to regularly obtain address information from a reliable data source. The amendments will not change any coverage or benefits or how Oregon Health Plan provides EPSDT services, and written comments are due by 5 p.m. November 13, 2026.

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What to do

Action · 7 steps
01REQUIREMENTS: By 5 p.m. Nov.
0213, 2026: Send written comments on the proposed State Plan Amendments to jesse.anderson@oha.oregon.gov.
03OHA welcomes public review and input.
04Future transition January 1, 2027: Billing team: Note the WFTC changes effective January 1, 2027, including community engagement (work) requirements as a condition of eligibility for the ACA adult expansion population, eligibility redeterminations every 6 months for ACA adults, and the shorter retroactive eligibility period for applications made on or after January 1, 2027.
05Billing team: Review the proposed State Plan language for the community engagement requirements on the OHA website, where the full State Plan, approved SPAs and proposed SPAs are posted.
06Billing team: Watch for the CMS State Plan Amendment language for the other three provisions (eligibility redeterminations, retroactive eligibility, and reducing duplicate enrollment), which CMS is still developing.
07Billing team: Note that the amendments will not change any coverage or benefits or how Oregon Health Plan provides EPSDT services.

Original notice

Notice of intent: OHA will amend the Medicaid State Plan to comply with several provisions of the Working Families Tax Cut Legislation
oregon.gov · Always check the source before changing claims.
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