The answers to these questions are optional, but they will help you know if you are likely to be eligible for an OHP climate-related service.
Your health plan will have to know the answers to these questions to determine if you are eligible for a device.
Your health plan care coordinator will contact you to discuss these questions.
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To qualify for a climate device, you must be part of at least one of the eligibility groups below.
- I will become eligible for Medicare in addition to OHP in the next 3 months.
- I enrolled in Medicare in addition to OHP for the first time no more than 9 months ago.
- I may be homeless soon, I might lose my housing, I spend at least 50% of my income on rent, I live in a recreational vehicle (RV, trailer), I am homeless, I don't have a regular place to sleep, I am staying at someone else's home.
- I received care in the oregon State Hospital or a large substance use disorder residential treatment or withdrawal management program in the past 12 months.
- I was released from a jail, detention center, Oregon Youth Authority facility, prison in the last 12 months.
- I was involved with child welfare services in Oregon at some point in my life. I have been in foster or substitute care, received adoption or guardianship assistance or family preservation services, or been in court regarding child welfare.
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Yes
No
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To get a climate devices, you must have at least one of the health conditions listed below.
- I am younger than 6 years old
- I am 65 years old or older
- I am currently pregnant
- I have a sensory, physical, intellectual, or developmental disability
- I take medication(s) that need to be refrigerated
- I use medical equipment that needs electricity to work
- I use assistive technology that needs electricity to work
- I have diabetes
- I have a chronic heart condition, such as heart failure, or have had a heart attack
- I have a chronic condition that makes me at risk for blood clots or a stroke
- I have chronic lung conditions that require me to take medicine regularly to treat it such as chronic obstructive pulmonary disease (COPD), asthma, fibrosis, chronic bronchitis, bronchiectasis, or a restrictive lung disease
- I use oxygen at home
- I have a chronic kidney disease
- I have multiple sclerosis
- I have Parkinson's
- I have a spinal cord injury
- I receive in-home hospice care
- I have had a heat-related illness in the past
- I have schizophrenia
- I have bipolar disorder
- I have a major depressive disorder and have needed crisis services, hospitilization, or residential treatment in the past 12 months
- I have an alcohol or substance use disorder
- I have a major neurocognitive disorder that impacts my function, such as Alzheimer's dementia or a traumatic brain injury
- I get nutrition through tube feeding (enteral) or IV catheter (parental)
- I have another health condition that is not listed but may qualify
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Yes
No
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Community Information Exchange
Some CCOs use Community Information Exchange to help you get connected to services more quickly and efficiently.
- By consenting, you agree to share information with a Network of health and social
service partners powered by Unite Us software. This Network is made up of entities and
individuals who are directly involved in your care or payment of care. Your personal
information may be shared securely on the Network in accordance with privacy laws to
connect you with services.
- This consent covers all information shared by you or by anyone that has the right to
share information on your behalf and is relevant to the recipient's involvement in your
care or payment for your care. You can always limit the information you provide on the
Network by requesting to have it removed.
- To understand how your information may be used and kept safe on the Network, please
see uniteus.com/privacy.
- If you no longer want your information shared on the Network, you can email
consent@uniteus.com or ask any Network partner.
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Yes
No
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Your health plan can also connect you to other services and supports.
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