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Oregon Health Authority

Health-Related Social Needs

Are you planning to apply for HRSN housing benefits? Read this first.

  • Not all OHP members will qualify for HRSN housing benefits. Due to federal requirements, to qualify for HRSN housing benefits you must have specific health, living, and financial conditions. Read this overview to see if you might qualify.
  • HRSN housing benefits aren’t meant for emergencies. It takes time to approve and receive HRSN housing benefits. Times can vary by service and provider. If you’re facing imminent eviction, you should contact your regional Community Action Agency (CAA).

More Support for Oregon Health Plan Members Facing Life Challenges or Transitions

Oregon Health Plan (OHP) members facing certain life challenges will have services available to them. These services are to help members stay healthy during times of greater need.

These interventions have been found to improve health outcomes and health inequities and decrease health care costs. 

What Are Health-Related Social Needs?

Health-related social needs (HRSNs) are social and economic needs that affect your ability to maintain health and well-being.

​Housing benefits may include:

  • Help with rent payments
  • Tenant support (help getting resources and services for renters)
  • Help with utility setup and payments​
  • Storage fees
  • Home changes for safety
  • Home changes for health during extreme weather
  • Hotel stays during work on home changes (if needed)

Learn more about HRSN housing benefits.

​Nutrition benefits include:

  • Medically tailored meals (MTMs) for people with serious health conditions that need nutrition support to improve outcomes. This benefit requires a referral to a registered dietitian from a health care provider.
  • Nutrition education to help members learn how to make informed choices and improve health through nutrition. ​​

Learn more about nutrition benefits.​

​These services connect members to HRSN screening and other resources. Services must include these activities:

  • Engaging OHP members who may be eligible for HRSN climate-related services
  • Verifying the member's coordinated care organization (CCO) or open card enrollment
  • For CCO members, verifying the member's CCO

Services may also include these activities:

  • Sending the HRSN request to the member's CCO or to Oregon Health Authority (OHA) for open card members. 
  • Providing members with information and support to connect with other services they need. Other services include medical, peer, social, educational or legal services.

To learn more, read the Outreach and Engagement fact sheet:

Who Will Qualify for These Services?

To qualify, OHP members must be in at least one of these life transitions. Additional criteria also applies for each type of HRSN service.

  • Release from incarceration in the past 12 months
  • Discharge from an Institution for Mental Disease (IMD) in the past 12 months
  • Current or past involvement in the Oregon child welfare system
  • Transitioning from Medicaid-only to dual eligibility (Medicaid and Medicare) status within the next three months or has transitioned in the past nine months
  • Being homeless or at risk of becoming homeless. 

Who Will Deliver These Services?

Community-based organizations (CBOs) and partners will be integral to this work. They may be able to receive funding to help with these efforts. 

​HRSN providers are organizations that will provide HRSN services in a way that is culturally and linguistically appropriate, responsive and trauma-informed. All contracted HRSN providers must meet certain provider qualifications.

Visit the Information for HRSN Providers page​ to learn more about the process and qualifications to becoming an HRSN Provider. 

​Oregon has been approved to spend up to $119 million in community capacity building funds (CCBF), specifically to support investments to enable partners to provide HRSN services.

Learn more about who can apply for CCBF and how funds may be used.


Learn More

Information for Providers

Community Capacity Building Funds

Approved HRSN Services Protocol

Approved HRSN Infrastructure Protocol (required for community capacity building funds / CCBF)

Resources

Housing benefits page

Nutrition supports page

HRSN Member Journey - Also available in Spanish

HRSN Provider Journey - Also available in Spanish

Questions?

If you need immediate assistance with housing, nutritional or other benefits, please visit this page for resources.  

For all other questions related to the waiver, email us.