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14 of 15 Combined Standards Oregon Health Plan (OHP), Health Systems Division (HSD) Medical Programs The table below includes the monthly income thresholds for the applicable programs. Note: Some HSD medical programs include a 5% monthly disregard, which is automatically applied in the eligibility calculation. You can view HSD program income standards with and without the disregard included by visiting OAR 410-200-0315. Family size Parent and other Caretaker Relative (PCR) MAGI Child (age 1 -under 19) (CMO)--- -MAGI Adult (AMO) ---- COFA Dental (CFD) MAGI Child (under age 1) (CM1) ---- MAGIPregnant Woman (PWO) OHP Bridge - Basic Medicaid (PME)*----Young Adults with Special Health Care Needs (YS1/YS2) MAGI Children’s Health Insurance Program (CHIP) (CH2) Veteran Dental (VED) Standard (no disregard) 138% FPL (includes 5% disregard) 190% FPL (includes 5% disregard) 205% FPL (includes 5% disregard) 305% FPL (includes 5% disregard) 400% FPL (no disregard) 1 $399 $1,836 $2,527 $2,727 $4,057 $5,320 2 $515 $2,489 $3,427 $3,697 $5,501 $7,214 3 $611 $3,142 $4,326 $4,668 $6,944 $9,107 4 $747 $3,795 $5,225 $5,638 $8,388 $11,000 5 $872 $4,449 $6,125 $6,608 $9,832 $12,894 6 $998 $5,102 $7,024 $7,579 $11,275 $14,787 7 $1,114 $5,755 $7,923 $8,549 $12,719 $16,680 8 $1,230 $6,408 $8,823 $9,519 $14,163 $18,574 Add for each additional person $136 $654 $900 $971 $1,444 $1,894 *Note: There is no annual income test performed for OHP Bridge Basic Medicaid (PME). Return to Table of Contents