OHP Phone Number: The Oregon Health Plan is the name of the state Medicaid programme in Oregon. It is under the Oregon Health Authority’s jurisdiction.
| Name | Oregon Health Plan |
| Founded In | 1853 |
| Phone Number | 1-800-273-0557 |
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Contents
History
OHP Phone Number: In 1993, Portland activist Dr. Ralph Crawshaw and emergency room physician John Kitzhaber, a state senator, came up with the idea and implemented the Oregon Health Plan. Its goal was to ration benefits while increasing the working poor’s access to health care. Oregon was considered a national leader in the 1990s healthcare reform movement.
A waiver was necessary because the Oregon law initially conflicted with federal law. President Bill Clinton signed the plan on March 20, 1993. But only after insisting on changes because he wasn’t sure if people with disabilities would have equal access. Medicaid covered 240,000 Oregonians at the time. Almost 120,000 new members joined the plan in 1994. The first year it was in effect, and bad debts at Portland hospitals decreased by 16%.
Eligibility
For consideration for basic eligibility, the applicant—regardless of citizenship—must reside in Oregon. Income, age, and physical and mental health conditions all influence the extent of coverage.
The Affordable Care Act’s Medicaid expansion, which the state put into effect in 2014, eliminated the prior requirements for Original Health Plan eligibility and replaced them with a single income requirement of up to 138% of the federal poverty level. Medicaid and CHIP participants in Oregon increased to 1,030,940 by December 2014, accounting for 26% of the state’s total population.
Coverage
After a revision in February 2003, the Oregon Health Plan consists of two main plans: OHP Plus and OHP Standard.
OHP Plus
For adults and children who qualify for Medicaid or the Children’s Health Insurance Programme. OHP Plus is a comprehensive benefit package. There are no premiums for the OHP Plus package, but certain adults may have to pay a small copayment for certain prescription medications and outpatient services.
Due to budgetary constraints, it had to slash most of its vision and dental benefits in January 2010. In January 2014, the benefits were partially restored.
OHP Standard
OHP Standard is a restricted benefit plan that covers a small percentage of adult uninsured people who do not qualify for Medicaid. About 40,000 Oregonians, many of whom were mentally ill, homeless, or in need of financial assistance, were unable to pay the small premiums when it began requiring them from the majority of adult participants in 2003. They were consequently kicked off the show. The budget of the Oregon Health Plan saw significant reductions in 2003. There are no copayments, but monthly premiums are still necessary.
As part of the state’s implementation of the federal Patient Protection and Affordable Care Act, the OHP Standard package was converted into OHP Plus effective January 2014.
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Managed care contractors
The plan, which is a Medicaid-managed care system, has agreements with several for-profit and nonprofit organisations that provide care in exchange for a capitated cost. In 2012, a Section 1115 Medicaid waiver enabled the creation of a brand-new category of plans known as Coordinated Care Organisations. These organisations comprised independent practice associations and some of the preexisting organisations, including CareOregon, PacificSource, and FamilyCare.
The second-largest Medicaid insurer, FamilyCare, closed its doors in 2017. Health Share, another Medicaid insurer, will essentially take over FamilyCare’s 100,000 members in the Portland area. Health Share took over CareOregon’s 80,000 members.
CareOregon suffered a $96 million loss from 2016 to 2018. CareOregon was founded in 1994 by medical professionals connected to the Oregon Primary Care Association, Oregon Health Sciences University, and Multnomah County Health Department.
FAQs on OHP Phone Number
Q. What occurs if I don’t finish the OHP Redetermination process?
Ans. Your OHP coverage will expire after your eligibility period if you do not finish OHP Redetermination. OHP benefits are contingent upon the successful completion of the Redetermination process.
Q. Which documents must I submit to have my OHP determined?
Ans. Documents proving your income, place of residence, and size of household must be provided. Pay stubs, tax returns, utility bills, and other pertinent paperwork may be among them.
Q. What occurs if my situation changes while I’m still eligible?
Ans. During the eligibility period, if your circumstances change, you should notify OHP right away. If you don’t, the Redetermination process will be delayed and your eligibility for OHP benefits may be impacted.
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