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220 (07/2026) Chapter 2:Eligibility • Section 5: Financial eligibility 1972 COLA individuals People are eligible for OSIPM if they meet all eligibility requirements except that they are over income because of an SSB cost-of-living increase in July 1972, and: • They were entitled to receive SSB in August 1972, and • They received benefits under OSIPM or a state program for the aged, blind or disabled, or were eligible for such a program; or • They would have been eligible if they had not been in a medical facility. Individuals in state psychiatric institutions and training centers People residing in state psychiatric institutions (Eastern Psychiatric Center or Oregon State Hospital) are eligible for benefits if they are: • 65 years of age or older • Under 21 years of age, or • 21 years of age or older, if the basis of need is disability or blindness; eligibility was determined before the individual reached 21 years of age; and the individual entered the institution before reaching 21 years of age. Click here for the Residents of State Hospitals and Training Centers Worker Guide. Pregnant individuals OSIPM HSD A pregnant individual’s eligibility is protected through the twelve calendar months following the month in which the pregnancy ends. A pregnant individual eligible for and receiving HSD medical (except OHP Bridge-Basic Health Program (BHP)) or OSIPM who becomes ineligible while pregnant is entitled to protected eligibility for HSD medical or OSIPM through the twelve calendar months following the month in which the pregnancy ends. This protected eligibility does not extend to Medicare Savings Programs. Continuous eligibility MSP OSIPM HSD Continuous Eligibility (CE) is a group of rules and policies which allow children and adults to maintain eligibility for a minimum amount of time, even if their circumstances change such that they no longer meet financial or non-financial eligibility requirements for any medical program. CE is evaluated at an individual level and will follow the individual across cases as long as there is no gap in benefits Prior to July 1, 2023, CE was only provided for children. With a few exceptions, beginning July 1, 2023, CE was expanded as shown below: • Children receive CE through the end of the month of their 6th birthday, regardless of what age they become eligible. • Almost everyone age 6 and older, including adults, receive a 2-year (24 month) CE period.