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Clackamas County to apply for $1.13 million OHA grant to prepare jails for Medicaid reimbursement
Summary
County staff said the application to the Oregon Health Authority would fund electronic health record upgrades and two positions to allow the jail to bill Medicaid under a CMS 1115 demonstration waiver; commissioners advanced the request to the March 20 consent agenda while raising questions about long‑term staffing costs and revenue uncertainty.
Clackamas County officials said March 6 they will seek a $1,131,653.48 grant from the Oregon Health Authority to upgrade electronic health records and billing capability at the county jail so the facility can pursue Medicaid reimbursement under a Centers for Medicare & Medicaid Services 1115 demonstration waiver.
County Administrator Gary Schmidt and Undersheriff Lee Eby told the Board of County Commissioners the application would fund infrastructure and two staff positions required to meet CMS participation requirements. The request was presented as new business to be placed on the consent agenda for the board's March 20 meeting.
The proposal rests on a federal‑state 1115 demonstration waiver that would allow Medicaid to reimburse certain health services provided to people while incarcerated and during a 90‑day period before release. "The…
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