Oregon Health Authority's Cover All People Initiative Details
Discover the Oregon Health Authority's comprehensive Cover All People program, including updates, backlogs, funding details, eligibility criteria, advisory workgroups, and more, to ensure healthcare access for all residents.
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Presentation Transcript
Member Engagement & Outreach Committee (MEOC) February 16, 2022 The meeting will begin momentarily at 2:05 pm
Agenda 2
OHA & Integrated Eligibility Update Backlog Dashboard Cover All People update David Ballantyne (CCO Operations) OREGON HEALTH AUTHORITY Health Systems Division 3
HB 3352: Cover All People HB 3352, or Cover All People (CAP), aims to provide full Oregon Health Plan benefits to adults residing in Oregon who would otherwise qualify for medical assistance except for their immigration/citizenship status. OHP coverage starts July 1, 2022. $100 million General Fund expenditure cap on the overall program costs for the 2021-2023 biennium.
HB 3352: Cover All People Maximizing Dollars The Oregon Health Authority, in collaboration with the Department of Consumer and Business Services, if necessary, shall seek any federal approval or waivers of federal requirements necessaryto maximize federal financial participation in the costs of providing medical assistance to adults in the Cover All People program established in ORS 414.231. OHP coverage will supplement existing federal funding that covers medical emergencies for some uninsured individuals (CWM) to provide a full benefit package.
HB 3352: Cover All People Advisory Work Group In September, OHA convened an Advisory Workgroup (AWG) of community members and advocates to develop options and strategies to prioritize enrollment of groups while maintaining spending within current legislative appropriations. In addition to program design, the AWG will also create recommendations to expand existing outreach, engagement, and education efforts and will develop new strategies.
Initial Eligibility The Advisory Workgroup voted to recommend that beginning July 1, 2022, OHA provide full OHP health coverage to people who are 19-25 years old and 55 years and older who are not currently eligible for full OHP benefits because of their immigration status.
Advisory Workgroups Path to Covering All People
Cover All People Timeline September December 2021 Advisory Workgroup develops Cover All People program design December 2021 Initial program design finalized January March 2022 Advisory Workgroup helps to develop Outreach, Engagement, and Education strategies January June 2022 ODHS and OHA implement systems changes April 2022 Outreach, Engagement, and Education efforts begin July 1, 2022 Coverage begins
Public Health Sunset & Member Impact Discussion David Ballantyne (CCO Operations) OREGON HEALTH AUTHORITY Health Systems Division 10
Campaign to Update Member Info & Alternative | Contact Info Follow Up Kelly Watanabe (MODA) & David Ballantyne (CCO Operations) OREGON HEALTH AUTHORITY Health Systems Division 11
Member Handbook/HRA Discussion Jake Vandermeer (Pacific Source) & Tiffany Reagan (Quality Assurance) OREGON HEALTH AUTHORITY Health Systems Division 12
Agreement to Pay Form Dayna Steringer (Willamette Dental) & Sheila Anders (All Care) OREGON HEALTH AUTHORITY Health Systems Division 13
Roundtable | Open Discussion All 14
Public Comment | Adjourn All 15
