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Renewing Your Oregon Health Plan
Redetermination & Renewing Your Coverage
Oregon Health Plan members are required to reapply for coverage every 12 months. This process is called redetermination and checks that you still meet eligibility requirements.
During the pandemic the redetermination process was halted, but it is anticipated to restart soon.
What does redetermination mean for me?
As an IHN-CCO member on Oregon Health Plan, you may have to provide information to the Oregon Health Authority (OHA) to continue your coverage.
What are the changes that have happened?
- The Federal Public Health Emergency stopped the redetermination process since March 2020.
- OHA has continued to ask Oregonians to turn in the required eligibility paperwork. OHA has not revoked anyone’s Medicaid coverage if they did not respond or did not meet the eligibility criteria.
Additional changes coming in 2023:
- Children aged 0-5 would only need to apply for Medicaid once and would stay on Medicaid until their 6th birthday.
- Everyone over age 6 would reapply every 24 months.
When will redetermination begin again in Oregon?
- The pause in redetermination is connected to the Federal Public Health Emergency declaration. Because the public health emergency is still in place, the redetermination process is still paused.
- When the Federal Public Health Emergency ends, OHA will have 60 days to start the redetermination process.
Who will need to redetermine once the process is started again?
- Every person who is currently covered by Medicaid will have to go through the redetermination process. This will need to happen at some point during the 14 months after the Federal Public Health Emergency ends.
When will each individual need to redetermine?
- OHA plans to go through the redetermination process over a 12-month period. This timeframe will be divided up by populations or aid eligibility categories.
- OHA has not released their plan regarding timelines for populations or aid categories. IHN-CCO will share that information once it is released.
- Usually, people have 30 days to respond to the request for documentation, but OHA will allow people 90 days to respond.
What happens if someone is no longer eligible or does not submit the required documentation?
- If someone is over income for Medicaid (which varies by aid category) and has been determined ineligible, they will no longer be covered by Medicaid after 60 days.
- Adults with income falling within 139-200% of the Federal Poverty Level (FPL) may be eligible for the new “basic health plan” that OHA is proposing for Oregon.
- Adult within 200-400% of the FPL will be eligible for the exchange.
- Children are eligible for Medicaid up to 300% of the FPL.
- Pregnant individuals, those living with disabilities, and those in foster care have different FPL requirements.
How will IHN-CCO members know they need to “redetermine”? Where can they go for assistance?
- OHA will notify every individual through the mail that they need to submit documentation. This notice will have detailed instructions on where and how to complete the process. The notice will also include contact information for where they can get help with the process.
- IHN-CCO cannot directly assist with redetermination but can help with navigating by providing resources with community partners.
Updating Your Information to Renew Your Coverage
When it is time to renew your health plan, you will get a letter from Oregon Health Plan (OHP). You must update your information at that time to make sure that you still qualify for health coverage. Members are usually asked to renew their information once a year depending on eligibility.
To renew your coverage, you can:
- Renew online.
- Return the renewal form that was mailed to you from OHP.
- Call OHP at 800-699-9075.
- Get help from a local application assister (see contact information below).
Local Application Assisters
Location | Address | Hours | Appointment Info | Contact |
---|---|---|---|---|
Community Service Consortium | 250 Broadalbin St. SW, Ste 2A Albany, OR 97321 |
Hours may vary | By appointment only | Hilary Hernandez Office: 541-704-7626 |
Department of Human Services | 118 2nd Ave. SE Albany, OR 97321 |
Tuesday, 8 a.m. to 4:30 p.m. | By appointment through DHS only, 541-967-2078 | Kelly Schell |
Emergence | 1856 Grand Prairie Rd. SE Albany, OR 97322 |
Hours may vary | By appointment only, 541-967-6597 | Emily Tapper |
Helping Hands | 619 Ninth St. SE Albany, OR 97322 |
Thursday, 1 to 4 p.m | Walk-ins welcome | Kelly Schell Benton Co. Health Services: 541-250-6737 |
Linn County Health Services | 2730 SE Pacific Blvd. Albany, OR 97322 |
Monday, 8:30 a.m. to 4 p.m. Tuesday to Friday, 9 a.m. to 4 p.m. |
By appointment and walk-ins | Rachel Lytle Office: 541-967-3866 x 2689 |
Linn-Benton Comm. College Takena Hall | 6500 Pacific Blvd. SW Albany, OR 97321 |
Tuesday, 8:30 a.m. to noon | Walk-ins welcome | Onesimo Torres Girón Benton Co. Health Services: 541-714-0689 |
Welcome Center | 701 SE 19th Ave. Albany, OR 97322 |
1st and 3rd Thursday, 8 a.m. to noon | By appointment only, 541-704-2376 | Kelly Schell |
Location | Address | Hours | Appointment Info | Contact |
---|---|---|---|---|
Benton County Health Department | 503 NW 27th St. Corvallis, OR 97330 |
Monday and Wednesday 8 a.m. to 7 p.m. Tuesday, Thursday and Friday, 8 a.m. to 5 p.m. |
By appointment and walk-ins | OHP Line: 541-766-2130 Mustafa Al Ismail, 541-766-6845 Liliana Rodriguez – Rivas, 541-766-2134 Nathaniel Stanley, 541-766-6845 Mercedes Magana, 541-766-2132 |
DHS Self Sufficiency | 4170 SW Research Way Corvallis, OR 97333 |
Wednesday, 8 a.m. to 4:30 p.m. | By appointment through DHS only, 541-757-4201 | Kelly Schell |
Drop in Center | Call for location, 541-207-4417 | Wednesday and Friday, 9 to 11 a.m. | Walk-ins welcome | Amaranta Lopez Benton Co. Health Services: 541-207-4417 |
HSRC Food Pantry/Champinefu Lodge | 1030 SW Madison Ave. Corvallis, OR 97333 |
On food pantry days | Walk-ins welcome | Onesimo Torres Girón Benton Co. Health Services: 541-714-0689 |
Location | Address | Hours | Appointment Info | Contact |
---|---|---|---|---|
H.A.R.T. Resource Center | 354 Smith St. Harrisburg, OR 97446 |
2nd Monday of the month, 1 to 5 p.m. |
Walk-ins welcome, 541-995-7700 | Kelly Schell Benton Co. Health Services: 541-250-6737 |
Location | Address | Hours | Appointment Info | Contact |
---|---|---|---|---|
East Linn Health Center | 100 Mullins Drive #A-1 Lebanon, OR 97355 |
Monday, Wednesday and Friday, call for availability | By appointment only, 541-766-0200 | Deborah Rich |
Department of Human Services | 44 Industrial Way Lebanon, OR 97355 |
Tuesday and Thursday, 1 to 4 p.m. | By appointment only, 541-259-5860 | Deborah Rich |
Linn County Health Services | 1600 S Main St. Lebanon, OR 97355 |
Monday, Thursday and Friday, 8:30 a.m. to 4 p.m. |
By appointment only | Sandy Sabedra Office: 541-451-5932 |
Samaritan Lebanon Community Hospital | 525 Santiam Hwy SE Lebanon, OR 97355 |
Monday through Friday, 8:30 a.m. to 4 p.m. | By appointment only | Laurie Barajas Office: 541-451-7872 |
Location | Address | Hours | Appointment Info | Contact |
---|---|---|---|---|
Lincoln Community Health Center | 4422 NE Devils Lake Blvd, Suite 2 Lincoln City, OR 97367 |
Wednesday, 8 a.m. to 5 p.m. | By appointment and walk-ins | Paula Ferguson Lincoln Co. Health Dept: 541-265-0430 Cell: 541-270-8817 |
WorkSource Oregon | 4157 NW Hwy 101, Ste 250 Lincoln City, OR 97367 |
1st and 3rd Wednesday of the month, 9 a.m. to 4:30 p.m. | By appointment and walk-ins | Alex Guevara Community Services Consortium: 541-574-2279 |
Location | Address | Hours | Appointment Info | Contact |
---|---|---|---|---|
South Benton Food Pantry | 650 Orchard St. Monroe, OR 97456 |
3rd Thursday of the month, 4 to 6 p.m. All other Thursday, 10 a.m. to noon |
Walk-ins welcome, 541-745-8759 | Onesimo Torres Girón Benton Co. Health Services: 541-714-0689 |
Location | Address | Hours | Appointment Info | Contact |
---|---|---|---|---|
Centro de Ayuda | 410 SW 9th St. Newport, OR 97365 |
Monday through Friday, 8 a.m. to 5 p.m. | By appointment only | Angel Jimenez Office: 541-264-8057 |
Community Services Consortium | 120 NE Avery St. Newport, OR 97365 |
Monday through Friday, 8 a.m. to 5 p.m. | By appointment and walk-ins | Alex Guevara Office: 541-574-2279 Office: 541-574-2289 |
DHS Newport Office | 120 NE Avery St. Newport, OR 97365 |
1st Wednesday and Thursday of the month, 9 a.m. to 5 p.m. | Walk-ins welcome | Mindy Charlton Cell: 541-543-5484 |
Health & Human Services | 36 SW Nye St. Newport, OR 97365 |
Monday, Tuesday, Thursday and Friday, 8 a.m. to 5 p.m. | By appointment and walk-ins | Paula Ferguson Office: 541-265-0430 Cell: 541-270-8817 |
Location | Address | Hours | Appointment Info | Contact |
---|---|---|---|---|
Philomath Community Services | 360 S 9th St Philomath, OR 97370 |
Thursday, 9 a.m. to 1 p.m. | By appointment and walk-ins | Onesimo Torres Girón Benton Co. Health Services: 541-714-0689 |
RJS and Associates | 2364 Main St Philomath, OR 97370 |
Thursday, 1 to 5 p.m. | By appointment and walk-ins, 541-929-2788 | Onesimo Torres Girón Benton Co. Health Services: 541-714-0689 |
Location | Address | Hours | Appointment Info | Contact |
---|---|---|---|---|
Sweet Home Health Center | 799 Long St. Sweet Home, OR 97386 |
Hours vary | By appointment only, 541-367-3888 | Kelsey Wray |
Location | Address | Hours | Appointment Info | Contact |
---|---|---|---|---|
School Based Health Centers | 799 Long St. Sweet Home, OR 97386 |
Monday through Friday, 8 a.m. to 3:30 p.m. | By appointment only | Paula Ferguson Lincoln Co. Health Dept: 541-265-0430 Cell: 541-270-8817 |
Moving Soon?
Remember to update your information if you move. That way, OHP can let you know when it is time to renew, before your coverage ends.