OAR 410-200-0415
Specific Requirements; MAGI Child

In addition to eligibility requirements applicable to the MAGI Child program in other rules in chapter 410 division 200, this rule describes specific eligibility requirements for the MAGI Child program.
(1) To be eligible for the MAGI Child program, the child must:
(a) Be under the age of 19; and
(b) With the exception of section (3) below, have household income at or below:
(A) 133 percent of the federal poverty level (OAR 410-200-0315 (Standards and Determining Income Eligibility)) for the applicable family size for a child over the age of one but less than age 19; or
(B) 185 percent of the federal poverty level for the applicable family size for an infant under the age of one.
(2) A child born to an individual who is eligible for and receiving Medicaid/CHIP benefits is an Assumed Eligible Newborn (AEN) for the MAGI Child program until the end of the month in which the child turns one year of age (see OAR 410-200-0135 (Assumed, Continuous, and Protected Eligibility for Children and Pregnant Individuals)). There is no income limit for an AEN.
(3) To be eligible for the MAGI Child Program, an individual may not:
(a) Be receiving or deemed to be receiving SSI benefits;
(b) Be eligible for Substitute Adoptive Care, MAGI Parent and Caretaker Relative, or MAGI Pregnant Woman programs.
(4) To enroll a child in the MAGI Child program based on a determination made by an Express Lane Agency (ELA), the child’s parent or guardian shall give consent in writing, by telephone, orally, or through electronic signature.
(5) ELE qualifies a child for medical assistance benefits based on a finding from the Department, even when the Department’s eligibility methodology differs from that used for HSD Medical Programs.

Source: Rule 410-200-0415 — Specific Requirements; MAGI Child, https://secure.­sos.­state.­or.­us/oard/view.­action?ruleNumber=410-200-0415.

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 410-200-0415’s source at or​.us