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Oregon Medicaid

Oregon Health Plan

Expansion adopted (2014) 12-month postpartum Doula covered · $1,500

Oregon Health Plan covers pregnant women up to 190% of the federal poverty line, roughly $49,060 annual income for a family of three in 2025. The state adopted Medicaid expansion in 2014.

On maternal health specifically: Oregon Health Plan has extended postpartum Medicaid coverage to 12 months (effective 2023-04-01), and covers doula services through Medicaid at up to $1,500 per full perinatal package (effective 2014-01-01).

Oregon was the second state to add Medicaid doula coverage (January 2014) and the first to run its Medicaid program through Coordinated Care Organizations (CCOs). HB 2185 (2023) raised doula reimbursement from $350 to $1,500 per full perinatal package. Oregon Doula Association and Oregon Tradeswomen support workforce development.

Ways to apply for Oregon Health Plan

These are the channels Oregon names on its own Medicaid pages. Use whichever is easiest.

Online
Apply online

one.oregon.gov

In person
Local ODHS office or OHP-certified community partner. Find an office
HealthCare.gov
You can also apply at HealthCare.gov any time of year. If anyone in your household looks eligible for Medicaid, it sends your information to Oregon's agency.
Decision time
Oregon says: Up to 45 calendar days; longer if a disability decision is needed.

Read on the state's own pages, October 13, 2026.

Key facts at a glance

  • Pregnant women eligible up to 190% FPL ($49,060 for a family of three in 2025).
  • Children 0-5 eligible up to 300% FPL ($77,460 for a family of three).
  • Expansion adults eligible up to 138% FPL ($35,630 for a family of three).
  • Doula reimbursement: $1,500 per full perinatal package.
  • Postpartum Medicaid extended to 12 months (effective 2023-04-01).

For Black families

Roughly 28,000 Black residents are enrolled in Oregon Health Plan, per the most recent CMS T-MSIS analytic file. The number understates true eligibility: every state has Black eligibles who aren't currently enrolled, usually because of the administrative-churn rates that rose sharply during the 2023 unwinding.

Oregon was the second state to add Medicaid doula coverage (January 2014) and the first to run its Medicaid program through Coordinated Care Organizations (CCOs). HB 2185 (2023) raised doula reimbursement from $350 to $1,500 per full perinatal package. Oregon Doula Association and Oregon Tradeswomen support workforce development.

For enrollment help: look for your state's Navigator program (federally funded under the ACA), a Federally Qualified Health Center in your county (every FQHC has certified application counselors on staff), or one of the named community organizations below. Our FQHC directory filters to this state at /clinics/or/.

Data sources

Data refreshed:

If you have Medicaid, the coverage on this page is the route to use first: it costs you nothing and it is what these programs exist for. If you are not covered yet, there is still a free option. Our directory of free and charitable clinics lists centers by state. The option below is self-pay and is not billed to Medicaid. It is here for readers who are between coverage or who prefer to pay out of pocket:

Sesame Care

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Same-day video visits from $34

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