State health care information for the criminal justice system

1_bja_logo_mstThis map of state health information for criminal justice practitioners is funded through a grant from the Bureau of Justice Assistance, Office of Justice Programs, U.S. Department of Justice.  Neither the U.S. Department of Justice nor any of its components operate, control, are responsible for, or necessarily endorse its content (including, without limitation, any of the information links to other websites provide).

 

For a glossary of important terms in this profile, review the Key Terms for State Health Care Information for Criminal Justice Systems.

Basic Information on Health Reform in Oregon

Oregon has expanded Medicaid coverage to eligible low-income adults, as of January 2015.[i]  Medicaid and CHIP (Children’s Health Insurance Plan) are safety net health benefit programs available in Oregon. [ii]

Health Insurance Exchange Information:  Oregon has adopted a State-Federal Partnership model for their health insurance exchange. People can visit the Oregon Health Insurance Exchange, Cover Oregon, to compare health plans that can be purchased on the exchange and take advantage of federal tax subsidies that may apply.[iii]

Eligibility and Enrollment: People in Oregon can apply for and enroll in Medicaid or CHIP any time of year and coverage can begin immediately. They can purchase and enroll in marketplace plans during the annual open enrollment period, which begins November 15th of each year and extends through February 15th.  If they meet certain criteria, such as having been released from custody in the last 90 days, they may be able to enroll in private coverage outside the open enrollment period.[iv]

There are two ways see if they meet eligibility requirements and apply for or enroll in these benefits:

1) They can use Oregon’s online application for free or low cost health benefits.[v]

2) They can get free, in-person help.

 

Oregon Medicaid and Health Insurance Links

Link to the state Medicaid agency website for more information about Medicaid and for application forms to download and print[vi]

Link to important contact information and the Medicaid helpline number (800-699-9075) [vii]

Link to a map with locations and contact information for the nearest local Department of Human Services office[viii]

Link to a summary of Oregon’s basic eligibility guidelines[ix]

In OR, benefits covered are the same for the traditionally eligible Medicaid population and the Medicaid expansion population under the ACA.

Link to information on Oregon’s Medicaid State Plan[x]

Link to the Oregon Health Plan (Medicaid) Member Handbook on Covered Services [xi]

Link to an organizational chart of the Oregon Medicaid agency[xii]

Link to contact information for the state Medicaid director[xiii]

Link to the Medicaid provider information and manuals[xiv]

 

Where do you apply for coverage on Oregon’s health insurance exchange? To apply, visit Cover Oregon[xv]

Where can you find help to enrollment in health coverage and answers to questions? Link to enrollment help[xvi]

 

State Health Information

How many people in Oregon are eligible to participate?  According to the Kaiser Family Foundation, 14.7% of Oregon’s population (570,882) was uninsured in 2013. The estimated number of potential marketplace participants is 324,000.[xvii]

How many are enrolled so far?  94,126 individuals have selected a plan as of January 2015.[xviii]

How many of the state’s uninsured population are eligible for Medicaid? 201,000 of Oregon’s uninsured are eligible for Medicaid; 163,000 of them are adults.[xix]

Is Oregon a Medicaid health home state?  Yes, link to information about health homes in Oregon [xx]

Who are the health committee chairs in the state legislature?

House: Rep. Mitch Greenlick (D-District 33) chairs the Committee on Health Care.

Senate: Sen. Laurie Monnes Anderson (D- District 25) chairs the Health and Human Service Committee. [xxi]

 

Other Related Information and Links for Oregon

Link to information on the Oregon Department of Corrections[xxii]

Link to Oregon’s Addictions and Mental Health Services, Addiction Services webpage

Link to Oregon’s Addictions and Mental Health Services, Adult Mental Health Services webpage [xxiii]

Link to the Oregon Prevention, Education, and Recovery Association or Association of Oregon Community Mental Health Programs to get information about Oregon’s mental health and substance use disorder service providers

 

General Information and Useful Links on Health Reform

Kaiser Family Foundation offers information on health reform in each state:

Link to specific health data and insurance coverage information for Oregon [xxiv]

Link to a calculator for possible subsidies available to people who purchase coverage on the exchanges [xxv]

Link to information about health insurance exchanges in each state [xxvi]

 

Government websites that offer useful information on health reform:

InsureKidsNow.gov offers general information on the CHIP program.[xxvii]

Healthcare.gov offers links to local enrollment help and information on coverage for incarcerated people and answers to questions about health benefits.[xxviii]

Medicaid.gov offers general information on the Medicaid program and a breakdown of mandatory benefits all plans must include. [xxix]

The Health Resources and Services Administration (HRSA) offers an online directory of Federally Qualified Health Centers (FQHC) in each state that offer free or low cost care.[xxx]

The Substance Abuse and Mental Health Services Administration (SAMSHA) offers a directory of substance abuse and mental health treatment facilities in each state at: SA-Treatment Facility Locator and at: MH-Treatment Facility Locator.[xxxi]

SAMHSA also offers the National Survey of Substance Abuse Treatment Facilities, which has information on substance abuse treatment facilities by state, the types of programs available, and services they offer for justice-involved populations.[xxxii]

 

Click here to return to the map of state profiles: state-by-state healthcare profile map

 

[i] See Healthcare.gov, Find out if you qualify for Medicaid and CHIP, Oregon, last viewed at December 8, 2014, at 11:18 a.m., https://www.healthcare.gov/medicaid-chip/eligibility/.

[ii] See HealthCare.gov, Find out if you qualify for Medicaid and CHIP, Oregon, last viewed at January 5, 2015, at 10:54 a.m., https://www.healthcare.gov/medicaid-chip/eligibility/.

[iii] See Medicaid.gov, Medicaid by Sate, Oregon, last viewed at December 8, 2014, at 11:21 a.m., http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-State/Oregon.html.

[iv] See Medicaid.gov, Medicaid by State, Oregon, last viewed at January 5, 2015, at 10:58 a.m., http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-State/Oregon.html.

[v] See OREGON HEALTHCARE.gov, last viewed at January 5, 2015, at 11:03 a.m., http://www.oregonhealthcare.gov/.

[vi] See Oregon Health Plan, Oregon’s Medicaid and CHIP State Plans, last viewed at January 5, 2015, at 11:07 a.m, http://www.oregon.gov/oha/healthplan/pages/stateplan.aspx.

[vii] See Oregon Health Plan, Contact Us, last viewed at January 5, 2015, at 11:09 a.m, http://www.oregon.gov/oha/healthplan/Pages/contact_us.aspx.

[viii] See Oregon Department of Human Services, Self-Sufficiency Office Locations, last viewed at January 5, 2015, at 11:16 a.m., http://www.oregon.gov/dhs/assistance/pages/localoffices.aspx.

[ix] See Oregon Health Authority, Oregon Health Plan, Applying for Health Coverage, last viewed at January 5, 2015, at 11:21 a.m., http://www.oregon.gov/oha/healthplan/Pages/apply.aspx.

[x] See Oregon.gov, Oregon Health Authority, Oregon’s Medicaid and CHIP State Plans, last viewed at January 5, 2015, at 11:23 a.m., http://www.oregon.gov/oha/healthplan/pages/stateplan.aspx.

[xi] See Oregon Health Authority, Oregon Health Plan Benefits, Care Oregon, last viewed at January 5, 2015, at 11:44 a.m., http://www.oregon.gov/oha/healthplan/Pages/benefits.aspx; https://www.google.com/search?q=oregon+medicaid+handbook&ie=utf-8&oe=utf-8.

[xii] See Oregon Division of Medical Assistance Programs Services Directory, About the Department of Human Services, last viewed at January 5, 2015, at 11:53 a.m., http://www.oregon.gov/oha/healthplan/tools/DMAP%20Services%20Directory.pdf.

[xiii] See Oregon Health Authority, Reporter Tools – Biographies and photos, last viewed at January 5, 2015, at 11:49 a.m., http://www.oregon.gov/oha/news/Pages/oha-bios.aspx.

[xiv] See Oregon Health Authority, Oregon Health Plan, Provider Web Portal, last viewed at January 5, 2015, at 11:55 a.m., http://www.oregon.gov/oha/healthplan/pages/webportal.aspx.

[xv] See Cover Oregon, last viewed at January 5, 2015, at 12:13 p.m., https://www.healthcare.gov/get-coverage/.

[xvi] See Cover Oregon, Get Help, last viewed at January 5, 2015, at 12:19 p.m., https://www.coveroregon.com/#.

[xvii] See The Henry Kaiser Foundation, State Health Facts, How Will the Uninsured in Oregon Fare Under the Affordable Care Act?, last viewed at January 5, 2015, at 11:59 a.m., http://kff.org/health-reform/fact-sheet/state-profiles-uninsured-under-aca-oregon/.

[xviii] See Medicaid.gov, Medicaid and CHIP Enrollment Data, Table 1A: Medicaid and CHIP: August and September 2014 Monthly Enrollment Updated November 2014, last viewed at January 5, 2015, at 12:02 a.m., http://www.medicaid.gov/medicaid-chip-program-information/program-information/downloads/updated-september-2014-enrollment-data.pdf.

[xix] See The Henry Kaiser Foundation, State Health Facts, How Will the Uninsured in Oregon Fare Under the Affordable Care Act?, last viewed at January 5, 2015, at 12:10 p.m., https://www.coveroregon.com/.

[xx] See Medicaid.gov, Approved Health Home State Plan Amendments, last viewed at January 5, 2015, at 12:36 p.m., http://www.medicaid.gov/State-Resource-Center/Medicaid-State-Technical-Assistance/Health-Homes-Technical-Assistance/Approved-Health-Home-State-Plan-Amendments.html

[xxi] See Oregon State Legislature, last viewed at January 5, 2015, at 12:41 p.m., https://olis.leg.state.or.us/liz/2013R1/Committees/HHC/Overview.

[xxii] See Oregon Department of Corrections, last viewed at January 5, 2015, at 12:41 p.m.,  http://www.oregon.gov/doc/Pages/index.aspx.

[xxiii] See Oregon Health Authority, Adult Mental Health Services, last viewed at January 5, 2015, at 12:49 p.m., http://www.oregon.gov/oha/amh/Pages/mentalhealth.aspx.

[xxiv] See The Henry Kaiser Foundation, State Health Facts, last viewed January 8, 2015 at 1:38 p.m.: http://kff.org/state-category/health-reform/?state=OR.

[xxv]  See The Henry Kaiser Foundation, State Health Insurance Marketplace Profiles, January 8, 2015 at 1:38 p.m.: http://kff.org/state-health-marketplace-profiles/.

[xxvi]   See The Henry Kaiser Foundation, State Health Insurance Marketplace Profiles, January 8, 2015 at 1:38 p.m.: http://kff.org/state-health-marketplace-profiles/.

[xxvii]   See InsureKidsNow.gov, last viewed on January 8, 2015 at 1:37 p.m.: http://www.insurekidsnow.gov/chip/index.html.

[xxviii]  See Healthcare.gov, last viewed on January 8, 2015 at 1:38 p.m.: https://localhelp.healthcare.gov/ and https://www.healthcare.gov/incarcerated-people/.

[xxix] See Medicaid.gov, last viewed on January 8, 2015 at 1:38 p.m., http://www.medicaid.gov/medicaid-chip-program-information/medicaid-and-chip-program-information.html.

[xxx] See Health Resources and Services Administration (HRSA), Find a Health Center, last viewed January 8, 2015 at 1:40 p.m.: http://www.bphc.hrsa.gov/.

xxxi  See SAMSHA Treatment Facility Locator, last viewed January 8, 2015 at 1:40 p.m.: http://findtreatment.samhsa.gov/TreatmentLocator/faces/quickSearch.jspx and http://findtreatment.samhsa.gov/MHTreatmentLocator/faces/quickSearch.jspx

xxxii See SAMHSA N-SSATS last viewed January 8, 2015 at 1:45 p.m.: http://www.samhsa.gov/data/substance-abuse-facilities-data-nssats.

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