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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.