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Oregon Medicaid · October 2, 2026 · Primary source

Member Eligibility Groups Affected by HR1 Work or Activity Rules and Access to Related PERC Data

Score 70PRIMARYregulatoryState MedicaidOR

Summary

Oregon Health Authority (OHA) issued a memorandum dated October 1, 2026, informing CCOs which Oregon Health Plan (OHP) member eligibility groups, identified by specific PERC codes, are subject to new work or activity rules enacted under HR1 and are at risk of losing Medicaid eligibility. Affected groups include MAGI Adults, MAGI Adult-Healthier Oregon members, and Young Adults with Special Health Care Needs (YSHCN), with specific PERC codes listed for each category. OHA is not imposing a mandatory action but is directing CCOs to access member data through 834 enrollment files and the OHP Enrollment Dashboard to identify at-risk populations and conduct outreach. The memo notes that some members, including those with HNA status or who are parents of children under 14, are exempt from the work or activity requirements.

What this may mean

The HR1 work or activity rules create a new eligibility-loss pathway for MAGI Adult and YSHCN OHP members, which CCOs can track via PERC codes on their 834 files and the OHP Enrollment Dashboard. CCOs are encouraged to conduct outreach to at-risk members and direct them to update contact information in the ONE system and report qualifying activities or exemptions at renewal. American Indian and Alaska Native members may not be subject to the listed PERC code designations.

Informational only. Not legal, medical, financial, or other professional advice. Always consult a qualified professional familiar with your specific facts before relying on any item.

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