State and county outline plan to end 'MED exclusion' and stack 1915 benefits

Oct 14, 2026

Oregon Health Authority and ODHS officials told the board they are working to eliminate the MED exclusion so people eligible for multiple 1915 benefits can receive stacked services, and described an interim case-review process to start this year.

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Officials from the Oregon Health Authority and the Oregon Department of Human Services explained that program rules historically created silos that can prevent people who have co-occurring physical and behavioral health needs from accessing both 1915-i and 1915-k services. They said the state aims to remove the MED exclusion and create a process to appropriately 'stack' services when an individual is eligible for multiple pathways.

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