Medicaid in Oregon: what you may be able to apply for

Income limit

• Adults 19-64 (MAGI Adult / ACA expansion)≤ 138% FPLMAGI Adult (ages 19-64): ≤138% FPL (the 138% already includes the 5% disregard); for 2026, $1,836/month for one person and $3,795 for a family of four (effective Mar 1, 2026). 🌟 Healthier Oregon uses the same 138% FPL standard regardless of immigration status. Adults with monthly income above 138% FPL but annual income between 133-200% FPL can be evaluated for OHP Bridge — Basic Health Program (BHP, a basic health program, not Medicaid).
• Children 0-18 (under 19)≤ 305% FPLChildren under 19 are covered by OHP up to 305% FPL (including MAGI CHIP; each %FPL tier already includes the 5% disregard). Breakdown: MAGI Child under age 1 = 190% FPL; MAGI Child ages 1-18 = 138% FPL; above that, MAGI CHIP covers up to 305% FPL. Children ages 1-18 within 139-305% FPL and children under age 1 within 190-305% FPL cannot have other minimum essential coverage. 🌟 Healthier Oregon also covers children regardless of immigration status. Newborns born to OHP recipients keep coverage until their sixth birthday even if income changes (report the newborn's SSN and respond to requests for information). (Standards effective Mar 1, 2026.)
• Pregnancy (no age limit)≤ 190% FPLMAGI Pregnant Adult (no age limit): ≤190% FPL (the 190% already includes the 5% disregard); for 2026, $2,527/month for one person and $5,225 for a family of four (effective Mar 1, 2026). The same 190% tier also applies to MAGI Child under age 1. 🌟 Healthier Oregon uses the same 190% FPL standard regardless of immigration status.
• Aged/Blind/Disabled (65+/ABD, OSIPM, non-MAGI)OSIPM (Oregon Supplemental Income Program Medical) is non-MAGI. In the official ODHS standards table, Non-SSI OSIPM is listed as "n/a" in the "% of FPL" column — i.e., there is no single fixed %FPL: the income standard is $994/month for one person and $1,491/month for a couple, with a resource (asset) test of $2,000 (one) / $3,000 (two). SSI recipients "are assumed eligible so do not have an income or resource standard," but must still meet pursuit-of-asset and residency requirements. Related tiers: OSIPM-EPD (employed people with disabilities) = 250% FPL / $3,325 with $5,000 resources; OSIPM BH = 150% / $1,995; "300% of SSI" = $2,982 for long-term care. People 65+, blind or disabled, receiving SSI, or receiving Medicare may be evaluated for non-MAGI eligibility as part of the full Medicaid evaluation in ONE Online, or may contact the ADRC (1-855-673-2372). (ODHS/OHA Combined Standards DHS 5530, 05/2026; EPD/BH tiers effective Mar 1, 2026.)