Due to the government shutdown, updates to information on this website may be limited or delayed. State Medicaid and Children’s Health Insurance Programs (CHIP) continue to operate. Continue to work with the programs in your state to access coverage. For more information about government operating status, visit OPM.gov.

U.S. flag

An official website of the United States government

Oregon Health Plan

State: Oregon
Waiver Authority:
1115
Status: Approved

Waiver Dates

Approval: 02/01/1994
Effective: 02/01/1994
Expiration: 09/30/2027

Supporting Documents

Approved Application(s) and Related Documents

Date Title
06/25/2025 Monitoring Redesign Overlay Letter (PDF, 5.45 MB)

Administrative Record

Date Title View
09/18/2025 Quarterly Monitoring Report – 1/1/2025 to 3/31/2025 (PDF, 472.94 KB)
04/30/2025 CMS Approved Summative Evaluation Report 2017-2022 (PDF, 9.46 MB)
04/15/2025 Annual Monitoring Report – 10/01/2023 to 09/30/2024 (PDF, 1.19 MB)
04/15/2025 Quarterly Monitoring Report – 10/01/2024 to 12/31/2024 (PDF, 339.04 KB)
01/13/2025 State Quarterly Report – 01/01/2024 to 03/30/2024 (PDF, 5.19 MB)
01/13/2025 State Quarterly Report – 04/01/2024 to 06/30/2024 (PDF, 4.27 MB)
12/13/2024 CMS Approved Evaluation Design (PDF, 3.57 MB)
12/13/2024 DSHP Second Approval Letter (PDF, 328.72 KB)
12/13/2024 Demonstration Approval – Evaluation Design (PDF, 11.46 MB)
10/16/2024 Demonstration Approval - Traditional Health Care Practices (PDF, 8.14 MB)
09/19/2024 DSHP Claiming Protocol Approval Letter (PDF, 243.4 KB)
09/19/2024 Oregon Provider Rate Approval Letter (PDF, 329.94 KB)
07/26/2024 State Acceptance Letter (PDF, 110.51 KB)
07/02/2024 Demonstration Approval - Reentry Demonstration Initiative (PDF, 1.68 MB)
06/24/2024 Demonstration Approval (PDF, 8.14 MB)
06/20/2024 Temporary Extension of COVID-19 Authorities (PDF, 182.94 KB)
04/05/2024 State Quarterly Report – 10/01/2023 to 12/31/2023 (PDF, 6.55 MB)
02/22/2024 New Initiatives Implementation Plan Approval (PDF, 442.99 KB)
02/20/2024 State Annual Report October, 2022 – September, 2023 (PDF, 5.49 MB)
02/01/2024 HRSN Services Protocol Approval (PDF, 1.22 MB)
01/19/2024 DSHP Claiming Protocol Approval Letter (PDF, 365.19 KB)
01/05/2024 HRSN Infrastructure Protocol Approval Letter (PDF, 349.86 KB)
08/31/2023 State Quarterly Report April, 2023 – June, 2023 (PDF, 3.56 MB)
08/31/2023 State Quarterly Report January, 2023 – March, 2023 (PDF, 3.89 MB)
08/31/2023 State Quarterly Report October, 2022 – December, 2022 (PDF, 3.97 MB)
08/09/2023 Demonstration Approval – Oregon Health Plan COVID CHIP Amendment (PDF, 236.81 KB)
08/04/2023 Demonstration Approval - Designated State Health Programs (PDF, 1.02 MB)
06/09/2023 ROP Extension Amendment Approval (PDF, 113.36 KB)
05/12/2023 OR ROP Extension Amendment Application (PDF, 95.8 KB)
04/27/2023 State Acceptance Letter (PDF, 155.8 KB)
04/20/2023 Demonstration Approval (PDF, 1.01 MB)
12/05/2022 State Quarterly Report July, 2022 – September, 2022 (PDF, 1.25 MB)
11/23/2022 Oregon Health Plan - Basic Health Plan Amendment (PDF, 3.13 MB) View Comments
10/28/2022 Demonstration Approval (PDF, 1.06 MB)
10/28/2022 State Acceptance Letter (PDF, 5.61 MB)
10/03/2022 State Annual Report July 2021 – June 2022 (PDF, 5.99 MB)
09/28/2022 Oregon Health Plan Approval (PDF, 4.68 MB)
06/09/2022 CMS Temporary Extension Approval (PDF, 347.2 KB)
05/30/2022 State Quarterly Report: January 1, 2022 – March 31, 2022 (PDF, 944.76 KB)
03/03/2022 CMS Completeness Letter (PDF, 223.98 KB)
03/03/2022 Oregon Health Plan Extension Application (PDF, 38.83 MB) View Comments
02/28/2022 State Quarterly Report October - December 2021 (PDF, 1.8 MB)
01/26/2022 CMS Approved OHP Interim Evaluation Report (PDF, 9.44 MB)
11/30/2021 State Quarterly Report July - September 2021 (PDF, 1.73 MB)
09/30/2021 State Annual Report July 2020 – June 2021 (PDF, 2.23 MB)
06/11/2021 State Quarterly Report January-March 2021 (ZIP, 1.2 MB)
04/14/2021 State Quarterly Report Oct–Dec 2020 (ZIP, 1.08 MB)
02/12/2021 CMS Letter to State (PDF, 38.86 KB)
01/31/2021 State Quarterly Report July-September 2020 (ZIP, 1.04 MB)
12/08/2020 State Annual Report July 2019 – June 2020 (ZIP, 1.63 MB)
05/30/2020 State Quarterly Report January-March 2020 (PDF, 599.87 KB)
05/26/2020 State Quarterly Budget Neutrality Workbook January-March 2020 (XLSM, 444.85 KB)
03/03/2020 CMS Approval Prioritization of Health Services List (PDF, 1.44 MB)
03/02/2020 State Quarterly Budget Neutrality Report October-December 2019 (PDF, 208.2 KB)
02/28/2020 State Quarterly Report October-December 2019 (PDF, 443.51 KB)
12/04/2019 State Budget Neutrality Workbook DY 18 Q1 (XLSM, 444.55 KB)
11/27/2019 State Quarterly Report July -September 2019 (PDF, 226.16 KB)
09/27/2019 State Annual Report July 2018-June 2019 (PDF, 1.85 MB)
05/31/2019 Oregon Health Plan Quarterly Report January 2019-March 2019 (PDF, 712.14 KB)
05/30/2019 State Final Evaluation Design (PDF, 510.18 KB)
03/01/2019 Oregon Health Plan Quarterly Report October-December 2018 (PDF, 678.87 KB)
11/29/2018 Oregon Health Plan Quarterly Report July-September 2018 (PDF, 1.31 MB)
09/28/2018 Oregon Health Plan Annual Report July 2017-June 2018 (PDF, 1.63 MB)
05/31/2018 CMS Approval – Attachments E and H (PDF, 2.26 MB)
05/30/2018 Oregon Health Plan Quarterly Report January-March 2018 (PDF, 1.1 MB)
04/12/2018 CMS Approval Oregon Tribal Engagement & Collaboration Protocol (PDF, 676.85 KB)
03/01/2018 Oregon Health Plan Quarterly Report October-December 2017 (PDF, 903.88 KB)
02/14/2018 CMS Evaluation Design Approval (PDF, 8.5 MB)
01/22/2018 State Summative Evaluation Report (PDF, 9.22 MB)
12/18/2017 Oregon Health Plan Quarterly Report July-September 2017 (PDF, 456.72 KB)
12/13/2017 CMS Approval CPC Plus Protocol (12/13/2017) (PDF, 183.06 KB)
12/06/2017 CMS Approval Prioritization List (12/06/2017) (PDF, 2 MB)
09/27/2017 State Annual Report July 2016-June 2017 (PDF, 941.62 KB)
08/24/2017 CMS Approved Quarterly Report Guidelines (08/24/2017) (PDF, 1.17 MB)
07/08/2017 Oregon Health Plan Quarterly Report January-March 2017 (PDF, 607.75 KB)
04/21/2017 CMS STC Attachment J Approval (4/21/17) (PDF, 250.38 KB)
04/17/2017 Oregon Health Plan Quarterly Report October-December 2016 (PDF, 1.38 MB)
01/18/2017 State Acceptance Letter (1/18/2017) (PDF, 129.84 KB)
01/12/2017 CMS Extension Approval (PDF, 4.13 MB)
01/12/2017 CMS Extension Approval (PDF, 3.37 MB)
12/20/2016 Oregon Health Plan Quarterly Report July-September 2016 (PDF, 1.12 MB)
12/16/2016 State Annual Report July 2015-June 2016 (PDF, 1.13 MB)
09/21/2016 Oregon Health Plan Quarterly Report April-June 2016 (PDF, 1.34 MB)
09/01/2016 State Extension Application (9/1/16) (PDF, 11.63 MB) View Comments
08/30/2016 CMS Completeness Letter (08/30/2016) (PDF, 116 KB)
07/13/2016 Oregon Health Plan Quarterly Report January-March 2016 (PDF, 1.15 MB)
06/10/2016 CMS Acceptance Letter (6/10/2016) (PDF, 151.02 KB)
06/10/2016 HTPP Evaluation Report (6/10/2016) (PDF, 456.2 KB)
05/19/2016 CMS 1-Year Extension Approval (5/19/16) (PDF, 3.91 MB)
09/22/2015 OR Prioritized List Update (09/22/2015) (PDF, 94.04 KB)
09/21/2015 State Evaluation Amendment & Extension Application (9/21/15) (PDF, 2.47 MB) View Comments
09/16/2015 CMS Completeness Letter (09/16/2015) (PDF, 71.78 KB)
04/29/2015 Temp Extension of CNOM for Tribal Health Program (PDF, 59.91 KB)
03/31/2015 Oregon Health Plan Quarterly Report Jan-Mar 2015 (03/31/2015) (PDF, 733.81 KB)
03/31/2015 Temp Extension of CNOM for Tribal Health Program (PDF, 100.12 KB)
03/10/2015 State Amendment Application (3/10/15) (PDF, 1.3 MB) View Comments
02/26/2015 Completeness Letter (02/26/2015) (PDF, 67.06 KB)
01/30/2015 Temporary Extension of Tribal Health Facility Payment Program for Uncompensated Care (01/30/15) (PDF, 62.63 KB)
12/31/2014 Oregon Health Plan Quarterly Report Oct-Dec 2014 (12/31/2014) (PDF, 1.47 MB)
12/19/2014 Temporary Extension of Tribal Health Facility Payment Program for Uncompensated Care (12/19/14) (PDF, 62.67 KB)
10/23/2014 CMS Technical Corrections - October 2014 (PDF, 4.1 MB)
06/27/2014 Approval Letter (06/27/14) (PDF, 74.13 KB)
12/24/2013 Approval to Amend Letter (12/24/13) (PDF, 155 KB)
10/29/2013 Approval to Amend Letter (10/29/13) (PDF, 153.95 KB)
06/30/2013 Pending Application (06/30/13) (PDF, 193.69 KB)
06/21/2013 Letter informing of Technical Correction (06/21/13) (PDF, 732.56 KB)
07/05/2012 Special Terms and Conditions (07/05/12-06/30/17 Technical Correction 06/21/13) (PDF, 4.19 MB)
07/05/2012 Waiver List and Expenditure Authority (07/05/12-06/30/17 Amended 10/29/13) (PDF, 4.05 MB)
07/05/2012 Waiver List and Expenditure Authority (07/05/12-06/30/17 Amended 12/24/13) (PDF, 3.93 MB)
07/05/2012 Waiver List and Expenditure Authority (07/05/12-06/30/17 Technical Correction 06/21/13) (PDF, 724.76 KB)
03/01/2012 App for Amendment & Renewal/1115 Demo Project (03/1/12) (PDF, 1.19 MB)
03/01/2012 App for Amendment & Renewal/1115 Demo Project (03/1/12) (PDF, 1.13 MB)
03/01/2012 App for Amendment & Renewal/1115 Demo Project (03/1/12) (PDF, 1.19 MB)
03/01/2012 App for Amendment & Renewal/1115 Demo Project (03/1/12) (PDF, 1.13 MB)
02/29/2012 Approval to Amend Letter (02/29/12) (PDF, 2.04 MB)
01/24/2012 Coordinated Care Organizations Implementation Proposal (01/24/12) (PDF, 8.88 MB)
01/24/2012 Coordinated Care Organizations Implementation Proposal (01/24/12) (PDF, 6.57 MB)
10/15/2002 CMS 1115 Application Approval – October 2002 (10/15/2002) (PDF, 150.06 KB)
Public Comments (PDF, 68.68 KB)
Return to State Waivers List