Oregon first in U.S. to roll out new housing benefits for eligible OHP members with health conditions

SALEM, Ore. (KTVZ) – Starting Friday, Oregon Health Plan members with specific health conditions may qualify for new, first-in-the-nation benefits to keep their current housing and access other housing services.

The housing benefits include rent assistance for up to six months, utility set-up and payments for up to six months, home modifications and upgrades for health or safety reasons (e.g., grab bars, ramp installation, pest control), and rental navigation services. Unlike other state and local prevention services, eligible members can request these benefits ahead of receiving an eviction notice.

Not all OHP members will qualify for these new benefits. To qualify, OHP members must meet specific requirements, including at least one of the following health conditions: a complex physical or behavioral health condition; a developmental or intellectual disability; difficulty with self-care and daily activities; experience of abuse or neglect; be 65 years of age or older; be under the age of six; currently pregnant or gave birth in the past 12 months; or repeated use of emergency room or crisis services.

OHA Director Dr. Sejal Hathi, MD, MBA, said, “Oregon’s health inequities are inextricably linked to our state’s housing crisis. Individuals and families who become homeless face a significantly higher risk of mortality and higher rates of behavioral and physical health conditions – even as they report poorer access to care. These Medicaid benefits can help stop that cycle and, in a model for the rest of the country, make it possible for Oregonians to maintain their current housing, connect with providers and access additional resources that support their well-being.”

Oregon received permission from the federal government to test whether and how addressing health-related social needs improves health outcomes. While other states have launched similar benefits, Oregon is the first in the nation to roll out rent assistance as a statewide Medicaid benefit for eligible OHP members.

“Housing plays a pivotal role in our physical and mental well-being. And yet, so many of our neighbors are living paycheck to paycheck, where an unexpected issue can lead to a loss of income and loss of a home,” said Emma Sandoe, Medicaid Director at Oregon Health Authority. “These benefits are one more tool to keep Oregonians housed during short-term disruptions and prevent negative health outcomes of homelessness.”

Of renters across Oregon, 22% have extremely low income, with $30,560 being the average income limit for a four-person household. Adults living with housing insecurity, including threat of eviction, are 19% more likely to lack access to a primary care provider and 35% more likely to postpone preventative health care even if they have chronic health conditions. Evictions and loss of housing can lead to negative health outcomes including:

• Increasing an individual’s risk for physical and mental health conditions
• Making an individual’s existing health condition worse
• Creating barriers to accessing medical care, medications and food

"Housing is a critical driver of health outcomes, significantly impacting social mobility and economic opportunity," said Oregon Housing and Community Services Executive Director, Andrea Bell. "Stable housing serves as a catalyst for expanding access to preventive care, while reducing the monumental costs associated with emergency care. This is what transformative, integrated care looks like."

Starting this month, housing providers are contracted to begin connecting with eligible members and delivering these new benefits across the state. Housing benefit applications may take up to two weeks to be reviewed. If approved, additional time may be needed to provide the benefit. These turnaround timeframes will depend on the capacities of individual CCOs and housing service providers as well as the volume of housing applications received. OHA is working closely with CCOs to continue to expand the network over the next year.

Fostering healthy families and environments is one of the five pillars to achieving OHA’s strategic goal of eliminating health inequities in Oregon by 2030. The housing benefits are one of several new health-related social needs benefits Oregon is piloting to meet this goal. In March, the state launched climate benefits including air conditioners, air filters and other equipment to keep eligible members healthy amid extreme weather events. Nutrition benefits will be available for eligible OHP members starting in January 2025.

OHP members interested in receiving housing benefits can work with their health plan (coordinated care organization or Open Card), health care provider or a local OHP community partner to see if they qualify and apply.

OHP members should contact their coordinated care organization (CCO) to learn more. OHP Open Card members can call 1-888-834-4304 or email ORHRSN@acentra.com. If an OHP member is not sure which plan or CCO they are in, they can call the OHA Client Services Unit at 1-800-273-0557 or email Ask.OHP@odhsoha.oregon.gov.

For OHP members who are currently unhoused, resources may be available through 211.

For more information about these benefits, visit the OHP housing benefits web page.