Medicaid Application Instructions


There are several ways to apply for the Oregon Health Plan. You can apply online or print an application form so you can fill it out and send it to OHP Application Center.

 

  • If you’d like to apply online, you can do that via Oregon Health Plan web application located here: https://apps.state.or.us/mbs/. This is a very intuitive online form that you can fill out in just a matter of minutes. You will also get all of the needed information about the additional document you’ll might need to gather.

  • You can also print an application form and send it to OHP Processing Center (also known as OHP Application Center). You can download an application form from this website: http://cms.oregon.gov/oha/healthplan/Pages/app_benefits/main.aspx. Print it and fill it out, so you can mail it to take it by yourself in order for your application to be processed. If you’d like to send it by mail, the address is: OHP Processing Center, PO Box 14520, Salem OR 97309-5044. You can send it by fax (which is also convenient way if you need to send additional documents) using this fax number: 503-373-7493. Finally, you can turn in your application in person by finding out the location of your local branch office at www.oregon.gov/DHS/assistance/localoffices.shtml.

  • You should be also able to find application forms at your local branch offices where you can also find additional help in case you have any questions or doubts.

  • Finally, you can get OHP application form by mail. It will be sent to you by ordering it via 1-800-359-9517.

 

Besides having properly filled out application form, you will also need additional documents which are used as a proof of your financial status. This is necessary since this program is only intended for low-income families who are really in need of quality health care coverage.

These are the documents you’ll might need to gather:

 

  • Proof that you’re a U.S. citizen or a proof of your immigration status,

  • Proof of income,

  • Information regarding your current health insurance, in care you’re using any.

  • In case you’re pregnant, you’ll need a proof of pregnancy and due date signed by a medical provider.

 

Speaking of the proof of income, it can be your most recent paystub or a letter from your employer with the total amount that you will be paid this month. This letter needs to contain your employer’s contact information and need to be signed.

In case you’re self-employed, you’ll be obligated to send several documents which will show your business and financial activity for the current month (the month you are applying for OHP). These documents could be:

 

  • Bookkeeping records,

  • Contracts,

  • Work agreements,

  • Payroll records,

  • Sales receipts,

  • Most recent tax return, in case no other proof is available.

 

After you’ve applied, the process of reviewing your application can last for 45 days after which you should receive a definite answer. In case you’ve applied for OHP coverage for persons with disability, it might take up to 60 days to process your application. In case of any question regarding OHP application status, you can call OHP Statewide Medical Processing Center at 1-800-699-9075 (Monday to Friday, 7am to 6pm).


Eligibility Requirements

This program is created for very low- and low-income families with income under the Federal Poverty Level. In general, these are the eligibility requirements:

 

  • You need to currently reside in Oregon,

  • You need to be a U.S. citizen, or eligible non U.S. citizen (legal alien),

  • Income for your household needs to be under the Federal Poverty Level,

  • Pregnant woman with low-income and children under the age of 19 are also eligible (in case they aren’t currently covered by any health insurance plan).

  • There are also special cases when a person is currently in an abusive relationship and needs independence and medical help.

 

Different eligibility rules and income levels apply to different groups of people. This way, the level of coverage you can receive is based upon your current income, age, physical and mental condition.

Finally, you can find additional information regarding eligibility for OHP coverage in this PDF booklet: https://apps.state.or.us/Forms/Served/he9025.pdf.