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Important Changes Are Coming to OHP

Starting January 1, 2027, some Oregon Health Plan (OHP) members may need to meet new work or activity requirements to keep their OHP (also known as Medicaid) coverage.

Starting in late 2027, some Oregon Health Plan members may need to renew their OHP coverage every 6 months. 

Learn more on the OHP work or activity rules webpage

What's Changing

We are here to help you understand these changes and stay covered. 

Volunteers

New Work Requirements

Some adults ages 19-64 may need to meet work or activity rules when they apply for or renew their Oregon Health Plan coverage.

You can meet the OHP work or activity rules by:

  • Having a monthly household income of at least $580 per month before taxes and deductions.
  • Being in school half-time or more. This includes high school or a GED program.
  • Doing at least 80 hours per month of some mix of work, volunteering, caregiving, school, or a training or work program. This includes unpaid work, seasonal work, and self-employment.
    • Some activities may not count or have hour limits.

Visit the Oregon Health Authority's "OHP Work or Activity Rules and Federal Changes to Oregon Health Plan" webpage to learn more.

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How Often You Renew

Another important change is the Oregon Health Plan renewal process. Today, most members renew their OHP coverage once every two years. Starting in late 2027, some members will need to renew every 6 months.

Six-month renewals will only apply to adults who:

  • Are between the ages of 19 and 64.
  • Do not have Medicare or an OHP program based on a disability, pregnancy, or certain other factors.
  • Are not American Indian/Alaska Native.

All other OHP members, including children, will need to renew once per year.

Completing renewals on time is important to help prevent gaps in coverage.

Visit the Oregon Health Authority's "OHP Work or Activity Rules and Federal Changes to Oregon Health Plan" webpage to learn more.

Who Will Be Affected?

Most Oregon Health Plan members will keep their benefits. These new requirements may apply to some adults ages 19 through 64. 

Some groups are exempt, including: 

  • Pregnant women
  • Some parents and caregivers
  • People with disabilities or serious health conditions
  • Former foster youth
  • People getting treatment for a health problem
  • People who already meet work requirements through programs such as TANF or SNAP
Learn more on the OHP work or activity rules webpage

Steps You Can Take Now

The most important thing you can do right now is make sure the Oregon Health Plan has your current contact information:

You can also prepare for these changes by:

  • Watching for mail, email, and texts from OHP or Trillium and responding quickly.
  • Keeping your contact information up to date at Benefits.Oregon.gov. 
  • Keeping records of work, school, training, and volunteer activities

Taking these simple steps now can help make future renewals and reporting requirements easier. 

We're Here to Help

Trillium is here to help you understand OHP changes. We can connect you with support and local resources to help you stay covered and get the care you need.

Frequently Asked Questions

Starting on January 1, 2027, certain adults on OHP must have an exemption, work, go to school, or volunteer to keep their OHP coverage. 

This includes people who:

  • Are 19 through 64 years old
  • Are not pregnant
  • Don’t have Medicare
  • Don’t get Supplemental Security Income (SSI)

At your renewal, the Oregon Health Plan will check if you are exempt or meet the rules with information they already have.

OHP will send you a letter if they need more information.

If you don’t meet the rules, your OHP coverage could end.

You can learn more about these changes on the Oregon Health Authority's "OHP Work or Activity Rules and Federal Changes to Oregon Health Plan" webpage.

You may be exempt from the OHP work or activity requirements if you:

  • Are pregnant
  • Care for a child under age 14
  • Care for a person with a disability who needs help with daily tasks
  • Are a veteran with a total disability
  • Are American Indian or Alaska Native
  • Are in jail or prison
  • Already meet SNAP or TANF work requirements
  • Are receiving treatment for drug or alcohol use
  • Have a physical health condition, mental health condition, disability, or substance use disorder that keeps you from working, volunteering, or attending school

 

You can learn more on the Oregon Health Authority's "OHP Work or Activity Rules and Federal Changes to Oregon Health Plan" webpage. View the "What Counts as Proof" section.

If work or activity requirements apply to you and you do not complete or report them, you could lose OHP coverage.

The Oregon Health Plan will contact you when it is time for you to renew. It is important to report changes to your address, email, or phone number so we can reach you when it is time to renew.

You may lose your Oregon Health Plan coverage if you do not complete your renewal by the deadline.

Report changes as soon as possible. This helps make sure your information is correct and that you receive important updates about your coverage, work or activity requirements, and renewals.