Medicaid in Oregon goes by its own name, the Oregon Health Plan, usually shortened to OHP. It pays for doctor visits, hospital stays, prescriptions, dental care, mental health treatment and addiction services for people with limited income. Our directory lists four Medicaid office locations in the Portland metro area, in Hillsboro, Portland and Tigard. Before you travel to one, it helps to know which state agencies run the program, what a local office can do, and what paperwork to carry.

How the Oregon Health Plan Is Organised Across State Agencies

Two state agencies share the work. The Oregon Health Authority (OHA) administers the Medicaid program itself. It sets coverage rules, contracts with health plans and pays for care. The Oregon Department of Human Services (ODHS) handles much of the eligibility side through its Self-Sufficiency Programs and its Aging and People with Disabilities offices. Many people deal with both agencies without realising it, because one OHP case can involve an ODHS caseworker, an OHA notice and a health plan card.

State law on medical assistance sits in Oregon Revised Statutes Chapter 414. The detailed eligibility and benefit rules are written into the Oregon Administrative Rules, mainly chapters 410 and 461. You will rarely need to read them. Caseworkers do cite them in notices, though, and you can ask which rule supports any decision about your case.

Oregon expanded Medicaid to low-income adults in 2014. Adults aged 19 to 64 generally qualify when household income is at or below 138 percent of the federal poverty level. Children, pregnant people and some other groups can qualify at higher income levels. Oregon also runs the Healthier Oregon Program, which extends OHP coverage to eligible residents regardless of immigration status. Income limits change every year with federal poverty guidelines, so confirm current figures before you decide you do not qualify.

Medicaid Offices in Hillsboro, Portland and Tigard

Our database holds four listings, and three of them sit in Washington County, on the western side of the metro area. Hillsboro, the county seat, has two. The Hillsboro Oregon Medicaid Office is at 133 Southeast 2nd Avenue, phone 503-693-0999. That address is in downtown Hillsboro, where the TriMet MAX Blue Line and local bus routes give you a way to arrive without a car. A second listing, the Hillsboro OR Medicaid Office, is at 5300 Northeast Elam Young Parkway, phone 503-693-4555, in the northeast part of the city.

In Tigard, the Tigard Oregon Medicaid Office is at 11515 Southwest Durham Road, phone 503-624-9446. Tigard is also in Washington County, so people in Tigard, Tualatin, King City and nearby neighborhoods often look here first. You will find more local context on our Washington County page.

The only Multnomah County listing is the Portland Oregon Medicaid Office at 5125 Southwest Macadam Avenue, phone 503-239-7188. Macadam Avenue runs along the Willamette River on the city's southwest side. Portland is by far the state's largest city, yet it has a single listing here, so check whether another branch is closer to your home. Our Multnomah County page shows the same listing with county context.

Treat every listing as a starting point. Offices change hours, move, and sometimes shift services between sites. Call the number first and ask three things: whether you need an appointment, which services that site handles, and which documents to bring.

Coordinated Care Organizations and Your Choice of Oregon Health Plan

An office decides whether you qualify. A health plan decides how you receive care. In Oregon, most OHP members are enrolled in a Coordinated Care Organization, or CCO. A CCO is a regional network of physical, behavioral and often dental providers, a model the state introduced in 2012. CCOs receive a set payment per member to coordinate care, which is why your card shows a CCO name rather than the word Medicaid.

Which CCO you can join depends on where you live. In Multnomah, Washington and Clackamas counties, one of the main plans is Health Share of Oregon, which works with several health systems and clinics. Further out, regional plans such as Eastern Oregon CCO and Columbia Pacific CCO cover their own areas. If your assigned plan does not include your doctor or clinic, ask the state about changing plans.

Several benefits are worth knowing about. OHP members generally pay no premiums and no copays for covered services. Free interpreter services are available at medical visits. Members can also get rides to covered appointments through their CCO's non-emergency medical transportation benefit. American Indian and Alaska Native members may choose to receive care outside a CCO, with OHP paying providers directly.

Portland Metro Versus Rural Oregon

Oregon has 36 counties, and the three around Portland hold a large share of the state's population. Our four listings fall in two of them, so this page reflects the metro area's dense network of offices rather than the whole state. If you live in Bend, Medford, Pendleton or a coastal town, you will not find a listing here, and your first call should go to ODHS or your CCO.

Rural Oregon works differently. In places such as Harney, Wallowa or Lake County, the nearest ODHS branch can be a long drive away, so applicants lean more on phone, mail and online applications. Community partners, county health departments and community health centers often help people enroll. Older adults and people with disabilities can also ask their local Area Agency on Aging or ODHS Aging and People with Disabilities office about long-term care coverage.

Metro residents have more choices, so pick the channel that fits your situation. Apply online or by phone when your case is simple. Visit an office when you need to hand over documents, question a notice or sit with someone who can read your file.

What to Bring to an Oregon Medicaid Office Visit

A little preparation shortens most visits. Gather these items before you go:

Bring the letter that prompted your visit. Oregon notices carry deadlines, and a missed renewal date is among the most common reasons coverage ends. If you receive a denial, you have the right to ask for a hearing, and the notice explains how and by when. Ask the staff member helping you to write down their name and the date, so you can refer to the conversation later.

Remember that you do not have to apply in person. You can apply online through the state's eligibility system, by phone, on a paper form or with a community partner. Use the office when you want a person to look at your case.

Medicaid in Oregon is administered by the state health and human services agency, providing health coverage for eligible low-income residents through a combination of fee-for-service and managed care delivery systems tailored to the state's population needs.

Medicaid Office locations are available in 3 cities across Oregon. They are spread across 2 counties.

Cities with the highest concentration include Hillsboro, Portland, Tigard, which have the largest Medicaid caseloads in the state and dedicated eligibility offices to serve high-need urban populations.

Residents of Oregon can apply for Medicaid online through the state's health benefits portal or health exchange, by calling the Medicaid agency's toll-free number, or by visiting a local eligibility office with the required documentation.

Hillsboro Oregon Medicaid Office

View Details Call Now (503) 693-0999

Hillsboro Oregon Medicaid Office

Address
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Hours

Hillsboro Or Medicaid Office

View Details Call Now (503) 693-4555

Hillsboro Or Medicaid Office

Address
Get Direction
Hours

Portland Oregon Medicaid Office

View Details Call Now (503) 239-7188

Portland Oregon Medicaid Office

Address
Get Direction
Hours

Tigard Oregon Medicaid Office

View Details Call Now (503) 624-9446

Tigard Oregon Medicaid Office

Address
Get Direction
Hours

Residents of Oregon who currently receive Medicaid should complete their annual renewal on time to avoid a gap in coverage. Most states send renewal notices by mail and email, and online renewal is typically the fastest method to maintain uninterrupted healthcare coverage.

Browse Medicaid Office by county across Oregon to find the nearest location.

Planning a Trip to a Washington County or Multnomah County Office

Where you live decides which listing makes sense. Three of our four locations are in Washington County: two in Hillsboro, at 133 Southeast 2nd Avenue and 5300 Northeast Elam Young Parkway, and one in Tigard at 11515 Southwest Durham Road. The Portland location at 5125 Southwest Macadam Avenue is the one listing in Multnomah County.

Because Hillsboro has two listings, confirm which one handles your case before you go. Check the letters you have received for a contact number, and ask the staff who answer at 503-693-0999 or 503-693-4555 where to bring documents. The same approach works in Tigard at 503-624-9446 and in Portland at 503-239-7188.

If you cannot reach an office, dial 211 to connect with 211info, which helps Oregonians find social services and can point you toward enrollment help. Community health centers in both counties also employ people who help patients apply for OHP. If you move, report your new address promptly, because notices go to the mailing address on file. Arrive with your documents sorted and a short list of questions, and ask for written confirmation of anything you submit.

Oregon Medicaid Questions and Answers

The Oregon Health Plan is Oregon's Medicaid program, and it also includes the state's Children's Health Insurance Program. The Oregon Health Authority administers it and oversees the health plans that deliver care. The Oregon Department of Human Services handles much of the eligibility work through its Self-Sufficiency Programs and its Aging and People with Disabilities offices. That split explains why you may receive letters from either agency. The program is governed by Oregon Revised Statutes Chapter 414 and by administrative rules in chapters 410 and 461. If you are unsure which agency holds your case, check the letterhead on your latest notice and call the number printed there.

Eligibility depends on age, household income, family size and sometimes disability or pregnancy. Adults aged 19 to 64 generally qualify at or below 138 percent of the federal poverty level, because Oregon expanded Medicaid in 2014. Children and pregnant people can qualify at higher incomes. Adults who are 65 or older, blind or living with a disability may qualify under separate rules that count income and resources differently, and they often work with an ODHS Aging and People with Disabilities office. The Healthier Oregon Program also covers eligible residents regardless of immigration status. Poverty guidelines change every year, so ask a worker to run your numbers before assuming you are over the limit.

No. You can apply online through the state's eligibility system, by phone, by mailing a paper application, or with help from an approved community partner. In-person visits suit people who want to hand over documents, ask about a notice, or sit with a worker while reviewing a case. In the metro area, that could mean Hillsboro, Tigard or Portland. Call before you go, because services differ between sites and hours can change. If travel is a problem, ask whether the worker can handle your question by phone, and keep a note of the date and the name of the person who helped you.

OHP coverage is reviewed on a regular schedule, and the state sends a notice before your renewal date. Some members renew automatically using data the state already holds, while others must return forms or documents. Respond by the deadline in the notice, even if nothing has changed. Keep your mailing address, phone number and email current, since a missed notice is a common reason coverage ends. Report changes in income, household size or address when they happen. If your coverage has already ended, act quickly: reapply or ask about reinstatement, and tell staff if you never received the notice. Renewal timing varies by group, so read your notice for your date.

Most members are enrolled in a Coordinated Care Organization, and your options depend on your county. In the Portland tri-county area, Health Share of Oregon is one option, while rural regions are served by plans such as Eastern Oregon CCO and Columbia Pacific CCO. Within a CCO you can pick a primary care provider from its network, and you can ask to change plans if your doctor is not covered. American Indian and Alaska Native members may choose care outside a CCO. Before switching, ask your doctor which plans they accept, and check your pharmacy, prescriptions and mental health providers as well.

Every denial notice explains your right to appeal. If you disagree with an eligibility decision, you can ask for an administrative hearing, and the notice lists the deadline and how to ask, so read it the day it arrives. If your CCO refuses a service, you generally start with an appeal to the plan and can then request a state hearing. Keep copies of letters, medical records and anything you submit. The Oregon Health Authority has an ombuds program that helps members with problems, and free legal help may be available through Oregon Law Center or Legal Aid Services of Oregon. Ask whether benefits can continue during an appeal.