OAR 410-200-0425
Specific Requirements; MAGI Pregnant Woman

In addition to eligibility requirements applicable to the MAGI Pregnant Woman program in other rules in chapter 410 division 200, this rule describes specific eligibility requirements for the MAGI Pregnant Woman program.
(1) To be eligible for the MAGI Pregnant Woman program, an individual must be pregnant, or be within the two calendar months following the month in which their pregnancy ended.
(2) To be eligible for the MAGI Pregnant Woman program, an individual must:
(a) Have household income that is at or below 185 percent of the federal poverty level (OAR 410-200-0315 (Standards and Determining Income Eligibility)); or
(b) Be eligible for protected eligibility according to the policy described in OAR 410-200-0135 (Assumed, Continuous, and Protected Eligibility for Children and Pregnant Individuals).
(3) To be eligible for the MAGI Pregnant Woman program, an individual must not be receiving Supplemental Security Income (SSI).
(4) Once a beneficiary is eligible and receiving Medicaid through the MAGI Pregnant Woman program, they are continuously eligible through the two months following the month in which the pregnancy ends (OAR 410-200-0135 (Assumed, Continuous, and Protected Eligibility for Children and Pregnant Individuals)) unless one or more of the following occur:
(a) The individual dies;
(b) The individual moves out of state;
(c) The individual becomes incarcerated; or
(d) An adult in the EDG requests the medical benefits are closed.

Source: Rule 410-200-0425 — Specific Requirements; MAGI Pregnant Woman, https://secure.­sos.­state.­or.­us/oard/view.­action?ruleNumber=410-200-0425 (accessed May 26, 2025).

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

May 26, 2025

Rule 410-200-0425's source at or​.us