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Hours log you can print
Write down your hours. Keep the page in case OHP asks.
Please read
- This is not an OHP form. It is for your own records.
- OHP decides what proof it accepts.
- OHP looks at the month before you apply.
- The goal is 80 hours in a month. Work, volunteering, school, and job training all add up.
| Date | What I did (work, volunteer, school, training) | Hours | Where | Contact name and phone |
|---|---|---|---|---|
| Total hours this month | Goal: 80 | |||
Volunteer hours sheet
Volunteering counts only with a nonprofit or public program that keeps track of your hours. You can ask the program to fill this out.
| My name | |
|---|---|
| Program or organization | |
| Contact person | |
| Contact phone or email | |
| Month | |
| Total hours | |
| Signature of contact person (optional) |
Sources for this page
We checked these on . Want every detail? See every source and the public fact log.
- Applicant and renewal journey maps (OHP work or activity rules) PDF
Oregon Health Authority. Date on it: No date shown. - OHP Work or Activity Rules and Federal Changes to Oregon Health Plan
Oregon Health Authority. Date on it: Last updated Sept. 18, 2026. - HR1 mythbusters (OHP) PDF
Oregon Health Authority. Date on it: No date shown. - Medicaid Program; Community Engagement Requirement for Certain Individuals (interim final rule), 91 Fed. Reg. 33348
Centers for Medicare & Medicaid Services. Date on it: Published June 3, 2026; effective July 31, 2026. - OHP work or activity rules: exemptions explainer and checklist PDF
Oregon Health Authority. Date on it: No date shown. - How will providers be affected by federal changes to Oregon Health Plan (OHP)? (HR1 provider FAQ) PDF
Oregon Health Authority. Date on it: No date shown.