OAR 410-200-0240
Eligibility for Individuals Who Do Not Meet the Citizen and Non-Citizen Status Requirements

(1) Citizen/Alien Waived Emergency Medical (CAWEM) provides coverage for emergency services.
(a) With the exception of subsection (b) below, to be eligible for CAWEM benefits, an individual must:
(A) Be age 19 or older; and
(B) Be ineligible for Plus level HSD Medical Program benefits solely because he or she does not meet the Citizen and Non-Citizen Status Requirements (OAR 410-200-0215 (Citizenship and Non-Citizen Status Requirements)).
(b) Children under age 19 are eligible for CAWEM benefits through December 31, 2017, if the requirement outlined in section (1)(a)(B) is met.
(2) Citizen/Alien Waived Emergency Medical Plus (CAWEM Plus) provides:
(a) CAWEM Plus benefits provide an enhanced benefit package (OAR 410-120-1210 (Medical Assistance Benefit Packages and Delivery System)) for the duration of a recipient’s pregnancy:
(A) To be eligible for the CAWEM Plus benefits, an individual must:
(i) With the exception of paragraph (B) of this part, be age 19 or older;
(ii) Be pregnant; and
(iii) Be ineligible for Plus level HSD Medical Programs solely because they do not meet the Citizen and Non-Citizen Status Requirements (OAR 410-200-0215 (Citizenship and Non-Citizen Status Requirements)).
(B) Children under age 19 are eligible for CAWEM Plus benefits through December 31, 2017, if the requirements outlined in (2)(a)(A) are met;
(C) CAWEM Plus benefits end as follows:
(i) CAWEM Plus benefits continue through and end on the last day of the pregnancy; and
(ii) Through March 31, 2018, the individual remains eligible for CAWEM benefits through the end of the calendar month in which the 60th day following the last day of the pregnancy falls (see OAR 410-200-0135 (Assumed, Continuous, and Protected Eligibility for Children and Pregnant Individuals)).
(b) Reproductive Health Equity Fund (RHEF) benefits, effective April 1, 2018, provide an enhanced benefit package (OAR 410-120-1210 (Medical Assistance Benefit Packages and Delivery System)) and begin on the day following the pregnancy end-date:
(A) An individual is eligible for RHEF benefits through the end of the calendar month in which the 60th day following the last day of the pregnancy falls;
(B) An individual who is receiving CAWEM benefits under section (2)(a)(C)(ii) of this rule shall receive RHEF benefits effective April 1, 2018, through the end of the month in which the 60th day following the last day of the pregnancy falls.
(3) Effective January 1, 2018, Cover All Kids provides the OHP Plus-equivalent benefit package (OAR 410-120-1210 (Medical Assistance Benefit Packages and Delivery System)). To be eligible for Cover All Kids benefits, an individual must:
(a) Be under the age of 19; and
(b) Meet all eligibility requirements for an HSD Medical Program, except they do not meet the Citizen and Non-Citizen Status Requirements (OAR 410-200-0215 (Citizenship and Non-Citizen Status Requirements)).

Source: Rule 410-200-0240 — Eligibility for Individuals Who Do Not Meet the Citizen and Non-Citizen Status Requirements, .

410‑200‑0010
Overview 410‑200‑0015
General Definitions 410‑200‑0100
Coordinated Eligibility and Enrollment Process with the Department of Human Services and the Federally Facilitated Marketplace 410‑200‑0105
Hospital Presumptive Eligibility 410‑200‑0110
Application and Renewal Processing and Timeliness Standards 410‑200‑0111
Authorized Representatives 410‑200‑0115
HSD Medical Programs—Effective Dates 410‑200‑0120
Notices 410‑200‑0125
Acting on Reported Changes 410‑200‑0130
Retroactive Medical 410‑200‑0135
Assumed, Continuous, and Protected Eligibility for Children and Pregnant Individuals 410‑200‑0140
Eligibility for Inmates 410‑200‑0145
Contested Case Hearing 410‑200‑0146
Final Orders, Dismissals and Withdrawals 410‑200‑0200
Residency Requirements 410‑200‑0205
Concurrent and Duplicate Program Benefits 410‑200‑0210
Requirement to Provide Social Security Number 410‑200‑0215
Citizenship and Non-Citizen Status Requirements 410‑200‑0220
Requirement to Pursue Assets 410‑200‑0225
Assignment of Rights 410‑200‑0230
Verification 410‑200‑0235
Changes That Must Be Reported 410‑200‑0240
Eligibility for Individuals Who Do Not Meet the Citizen and Non-Citizen Status Requirements 410‑200‑0305
Eligibility Determination Group — MAGI Medicaid/CHIP 410‑200‑0310
Eligibility and Budgeting 410‑200‑0315
Standards and Determining Income Eligibility 410‑200‑0400
Specific Requirements 410‑200‑0405
Specific Requirements 410‑200‑0407
Specific Requirements—Former Foster Care Youth Medical Program 410‑200‑0410
Specific Requirements 410‑200‑0415
Specific Requirements 410‑200‑0420
Specific Requirements 410‑200‑0425
Specific Requirements 410‑200‑0435
Specific Requirements 410‑200‑0440
Specific Requirements 410‑200‑0520
COVID-19 Emergency Policies
Last Updated

Jun. 8, 2021

Rule 410-200-0240’s source at