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42 Chapter 1: Introduction to the Oregon Programs Eligibility Notebook • Section 1: Intent and overview of programs (07/2026) Loss of PCR due to earned income: At least one month; or Loss of PCR due to spousal support: At least three months (these months do not have to be consecutive); and
When eligibility is redetermined, is not eligible for another OHP Plus medical program. • The spouse and dependent children of the parent/caretaker relative whose income exceeded the PCR income limit can also be approved for EXT if they are not eligible for another OHP Plus medical program. • All general eligibility requirements, such as Oregon residency, must be met. • Continuous Eligibility (CE) does not apply to EXT. Any existing CE Period and the calculated EXT Eligibility Period both run concurrently. EXT should only be approved for those who meet EXT eligibility requirements and whose EXT Eligibility Period would end later than any existing CE Period.
The EXT Start Date is always in the future. If the EXT determination was made on the 1st – 15th of the month, then EXT starts on the 1st of the next month. If the EXT determination was made on the 16th – end of the month, then EXT starts 1st of the next following month. • To maintain ongoing EXT eligibility, the following requirements must continue to be met:
All general eligibility requirements
The parent/caretaker relative in the EXT group must continue to have at least one dependent child in the home
The dependent child must continue to reside with the parent/caretaker relative in the EXT group • Substitute Care (SAC) medical coverage is for children less than age 21 who: • Lives in an intermediate psychiatric care facility for which an Oregon public agency is assuming at least partial financial responsibility • Is in Behavioral Rehabilitation Services (BRS), or • Is in a psychiatric residential treatment facility (PRTF). • The Breast and Cervical Cancer Treatment Program (BCCTP) is for individuals in need of or being treated for breast or cervical cancer, including treatment for pre-cancerous conditions. Other resources Hospital Presumptive Eligibility 7260: Describes the process for Hospital Presumptive Eligibility Crisis Response and Statewide Crisis Hotline and Public Safety Answering Points: Covers helpful tips and best practices for managers and workers when crisis situations arise TOA Codes: Provides a table of all types of assistance (TOA) codes, the related category of assistance (COA) code, a description, and the MMIS code.