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Oregon Medicaid for pregnant women

Who qualifies for Oregon Health Plan (OHP), the income limit for your household size, what it covers and how to apply with Oregon Health Authority.

Limits as of January 2026 · Checked October 2026 · 25 sources

Apply for Oregon Health Plan (OHP)

Oregon Health Authority runs it. We're not the state agency, so you apply with them, online or with help from your clinic or hospital.

Start your application

Opens oregon.gov

Check your income against the limit

Short answer

In Oregon, you qualify for pregnancy Medicaid if your household earns up to 190% of the poverty level: about $41,116 a year for a household of two (you and the baby). Coverage lasts 12 months after birth.

Oregon pregnancy Medicaid income limits for 2026

Find your household size and compare your household's income with the limit. Oregon Health Plan (OHP) covers pregnancy up to 190% of the federal poverty level.

Oregon Health Plan (OHP) income limits2026 guidelines, 48 states and DC
HouseholdPer yearPer month
2you + 1 baby$41,116$3,426
3$51,908$4,326
4$62,700$5,225
5$73,492$6,124
6$84,284$7,024
7$95,076$7,923
8$105,868$8,822

Annual and monthly household income. See the 2026 poverty guidelines

Your baby counts

For Medicaid, a pregnant woman's family size counts her plus the number of children she is expected to deliver (42 CFR 435.603(b)). A household of three in Oregon, two adults expecting one baby, can earn up to $51,908 a year ($27,320 × 190%).

Limits are percents of the poverty level from KFF and Georgetown CCF (January 2026) and include the standard 5-point income disregard. Oregon rounds and updates on its own schedule, so treat the dollars as approximate.

Sources: KFF State Health Facts; U.S. Department of Health and Human Services (Federal Register); eCFR (National Archives). Data as of October 2026.

How to apply in Oregon

  1. Count your household

    Count yourself plus each baby you're expecting, and anyone else the state counts with you. Find your size in the table above.

  2. Apply with Oregon Health Authority

    Apply on the state's site (oregon.gov). Go to the Oregon Health Plan (OHP) application

  3. Ask the hospital about temporary coverage

    Hospitals in every state may grant presumptive eligibility, which covers you while your full application is processed.

  4. Keep your coverage after birth

    Oregon Health Plan (OHP) covers you for 12 months after the pregnancy ends.

Get covered today

Hospitals only

Presumptive eligibility lets a qualified clinic or hospital enroll a pregnant person in temporary Medicaid right away, while the full application is processed.

Oregon doesn't use it for its pregnancy group, but hospitals in every state may make these determinations.

Source: KFF and Georgetown University Center for Children and Families. Data as of January 2025.

12 months

of Oregon Health Plan (OHP) coverage after birth, since April 1, 2022

KFF postpartum tracker, July 2026

What Oregon Health Plan (OHP) covers for pregnancy

Coverage after birth, plus the three extras people ask about most, each from our state-by-state trackers.

After birth

12 months
Oregon Health Plan (OHP) keeps covering you for 12 months after the pregnancy ends, a rule in place since April 1, 2022.
Postpartum coverage in every state

Doula care

Yes
In Oregon, Medicaid covers doula care: up to $2,365 per pregnancy for 2 prenatal visits, 2 postpartum visits and 4 more in any mix, plus support during labor and delivery.We list 840 doulas in Oregon. 439 are listed on the OHA Traditional Health Worker Registry (certified birth doulas).
Doulas in OregonDoula coverage in every state

Lactation support

Yes
In Oregon, the Oregon Health Plan covers lactation support through six months after birth, and licensed lactation consultants can enroll and bill directly.
Lactation consultants in OregonLactation coverage in every state

Breast pump

Yes
In Oregon, the Oregon Health Plan covers one breast pump per pregnancy without prior authorization once a need is determined after birth.
Breast pump rules in Oregon and every state

What's changing

Rules that affect pregnancy coverage in Oregon now and in 2027.

Sources: U.S. Government Publishing Office; Centers for Medicare & Medicaid Services; KFF and Georgetown University Center for Children and Families

More for families in Oregon

All 50 states and DC

Questions about pregnancy Medicaid in Oregon

What is the income limit for pregnancy Medicaid in Oregon?

Oregon Health Plan (OHP) covers pregnancy for household incomes up to 190% of the federal poverty level. At the 2026 guidelines that's about $41,116 a year for a household of two, $51,908 for three and $62,700 for four. Limits are KFF's figures as of January 2026.

Does my unborn baby count in my household size?

Yes. For Medicaid, a pregnant woman's family size counts her plus the number of children she is expected to deliver (42 CFR 435.603(b)). A single pregnant woman expecting one baby is a household of two; expecting twins, a household of three.

How long does Oregon Health Plan (OHP) cover you after birth?

12 months after the pregnancy ends, a rule in place since April 1, 2022.

Can I get covered the same day in Oregon?

Oregon doesn't use presumptive eligibility for its pregnancy group, but hospitals in every state may make presumptive eligibility determinations, so ask the hospital.

How do I apply for pregnancy Medicaid in Oregon?

Apply with Oregon Health Authority at oregon.gov. Count yourself plus each baby you're expecting as your household, and compare your income with the limit for that size. We're not the state agency and can't take applications.

Does Oregon Health Plan (OHP) pay for a doula?

In Oregon, Medicaid covers doula care: up to $2,365 per pregnancy for 2 prenatal visits, 2 postpartum visits and 4 more in any mix, plus support during labor and delivery.

Do pregnant women have to meet the new Medicaid work requirements?

Public Law 119-21 (2025) requires states to apply Medicaid work (community engagement) requirements to expansion adults ages 19-64 starting no later than January 1, 2027 (states may start earlier; HHS may grant good-faith exemptions that end by December 31, 2028). People who are pregnant or entitled to postpartum coverage are exempt, as are parents and caretakers of a dependent child 13 or younger.

We're not Oregon Health Authority and can't tell you whether you qualify. Apply at oregon.gov for a decision. Spot something out of date? Tell us and we'll check it against the state's own notice.

Sources

  1. 1.Medicaid and CHIP Income Eligibility Limits for Pregnant Women as a Percent of the Federal Poverty Level (as of January 2026) KFF State Health Facts. Accessed October 9, 2026.
  2. 2.Medicaid and CHIP Eligibility, Enrollment, and Renewal Policies as States Prepare for Major Medicaid Policy Changes (Table 2, January 2026) KFF and Georgetown University Center for Children and Families. Accessed October 9, 2026.
  3. 3.Medicaid Postpartum Coverage Extension Tracker (as of July 15, 2026) KFF. Accessed October 9, 2026.
  4. 4.Medicaid and CHIP Eligibility, Enrollment, and Renewal Policies as States Resume Routine Operations Following the Unwinding (Table 7: Presumptive Eligibility, January 2025) KFF and Georgetown University Center for Children and Families. Accessed October 9, 2026.
  5. 5.Oregon Health Plan (OHP): how to apply Oregon Health Authority. Accessed October 9, 2026.
  6. 6.CMS approval of Oregon State Plan Amendment OR-22-0008 (12-month postpartum coverage), effective 2022-04-01 Centers for Medicare & Medicaid Services. Accessed October 9, 2026.
  7. 7.Annual Update of the HHS Poverty Guidelines (91 FR 1797, Jan. 15, 2026) U.S. Department of Health and Human Services (Federal Register). Accessed October 9, 2026.
  8. 8.42 CFR 435.603(b), definition of family size eCFR (National Archives). Accessed October 9, 2026.
Show all 25 sources
  1. 9.Public Law 119-21, sec. 71119: Requirement for States to Establish Medicaid Community Engagement Requirements (adds SSA sec. 1902(xx)) U.S. Government Publishing Office. Accessed October 9, 2026.
  2. 10.SHO #26-001: Implementation of Section 71109 "Alien Medicaid Eligibility" (April 8, 2026) Centers for Medicare & Medicaid Services. Accessed October 9, 2026.
  3. 11.42 CFR 447.56(a)(2)(ii), exemptions from Medicaid cost sharing: pregnancy-related services eCFR / Code of Federal Regulations.
  4. 12.Doula Medicaid Project: state-by-state chart of doula Medicaid efforts (last updated Sep. 2026) National Health Law Program (NHeLP). Accessed October 9, 2026.
  5. 13.Birth Doula Fee-for-Service (Open Card) Billing Guide, January 2025 Oregon Health Authority. Accessed October 9, 2026.
  6. 14.Memo: Fee-for-service billing for additional support visits effective Jan. 1, 2025 Oregon Health Authority. Accessed October 9, 2026.
  7. 15.Oregon State Plan Amendment 24-0021 (doula rate increase) Centers for Medicare & Medicaid Services. Accessed October 9, 2026.
  8. 16.OAR 410-130-0015 Doula Services (with rule history) Oregon Secretary of State / Oregon Health Authority. Accessed October 9, 2026.
  9. 17.Birth Doulas (THW certification standards and pathways) Oregon Health Authority, Equity and Inclusion Division. Accessed October 9, 2026.
  10. 18.Enrolled Senate Bill 1568 (2026), doula coverage levels Oregon Legislature. Accessed October 9, 2026.
  11. 19.State Trends in Medicaid Coverage of Doula Services (published April 1, 2026; data as of March 2026) National Academy for State Health Policy (NASHP). Accessed October 9, 2026.
  12. 20.October 1, 2026 Prioritized List of Health Services (Guideline Note 140, Breastfeeding Support and Supplies) Oregon Health Authority, Health Evidence Review Commission. Accessed October 9, 2026.
  13. 21.OHP fee-for-service fee schedule (fee-schedule0926.csv) Oregon Health Authority. Accessed October 9, 2026.
  14. 22.Request for comment: OHA proposes to amend the Medicaid State Plan to include lactation consultants as a provider type for Medicaid services Oregon Health Authority. Accessed October 9, 2026.
  15. 23.Active FFS Providers (provider enrollment file) Oregon Health Authority. Accessed October 9, 2026.
  16. 24.Medicaid Coverage of Pregnancy-Related Services: Findings from a 2021 State Survey KFF. Accessed October 9, 2026.
  17. 25.Permanent Administrative Order DMAP 20-2026 (amends OAR 410-122-0250 Breast Pumps) Oregon Health Authority. Accessed October 9, 2026.