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37 Chapter 1: Introduction to the Oregon Programs Eligibility Notebook • Section 1: Intent and overview of programs (07/2026) Be identified as having a qualifying health diagnosis via MMIS claims data (identified via reports); Meet at least two of the six health-related screening questions, available on the paper application, the MED-130, and in ONE (this pathway is based on self-attestation). YSHCN Screener (MED-130) Letter and ONE Screening Questions Letters (MED-130) are mailed to current OHP Plus/Healthier Oregon recipients at age 18.5 years old who are about to turn 19, and who are not already identified as meeting one of the three health condition requirement pathways, to give them a chance to be screened for the program. The letter asks about their health care needs via six health- related screening questions. The questions are optional, but responding to the questions will ensure the individual is evaluated for YSHCN-level coverage. Individuals can respond to the screener at any time via mail or fax, by answering the questions via their ONE Online account, or by contacting an Eligibility Worker or Medical Community Partner. The screener letter mirrors the questions in ONE, and, while the questions are optional, Eligibility staff should always review these questions in ONE with every point of contact with the household, including at intake, reported change or at renewal. The OHP Bridge-Basic Health Program (BHP) and OHP Bridge-Basic Medicaid, also known as the Permanent Medicaid Expansion (PME) The OHP Bridge-Basic Health Program (BHP) and OHP Bridge-Basic Medicaid, also known as the Permanent Medicaid Expansion (PME), are designed to expand medical eligibility for individuals who would typically move to the Marketplace for coverage. The BHP and the PME are effective beginning July 1, 2024. The following eligibility criteria is applicable to both the BHP and the PME: • Adults aged 19 and under age 64 • Meet citizen or non-citizen status requirements (see OAR 410-200-0215) • Must not be enrolled in Medicare benefits • Is not eligible for or receiving “affordable” employer sponsored insurance coverage as determined by affordability calculation completed in the ONE system. A plan is considered affordable if the employee’s share of the monthly premium in the lowest-cost plan offered by the employer is less than a determined percentage of the household income. The IRS updates this percentage annually. • Is not receiving other healthcare coverage that is considered MEC except if that coverage is from an insurance affordability program • Must not be receiving Supplemental Security Income (SSI) benefits • Pursuit of assets and cooperation with child support do not apply to either program • Dependent children in the household are not required to have Minimum Essential Coverage (MEC) for an adult to be eligible • Individuals are not eligible for Long Term Supports and Services or Health Related Social Needs benefits. The BHP and PME both provide the same level of coverage, but there are additional eligibility criteria specific to