Does Oak Street Health Accept Medicaid? Full 2025 Guide

Does Oak Street Health Accept Medicaid? Understanding Coverage in 2025

Oak Street Health, a growing primary care network focused on value-based care, has become a key provider for many patients across the U.S. But a common question remains: does Oak Street Health accept Medicaid? This comprehensive 2025 guide breaks down eligibility, enrollment, and coverage details for current and prospective Medicaid beneficiaries.

What is Oak Street Health and Who Can Enroll?

Oak Street Health operates as a value-based care provider, emphasizing coordinated, patient-centered care across primary care, fitness, and social support services. The organization primarily serves patients enrolled in Medicare, especially seniors and individuals with chronic conditions. However, Medicaid acceptance varies by state and location due to differing state Medicaid programs and provider network contracts.

As of early 2025, Oak Street Health does not maintain a universal Medicaid enrollment policy. Participation depends on the state’s Medicaid expansion status and the specific clinic’s contractual agreements. In states with full Medicaid expansion—such as California, New York, and Illinois—some Oak Street Health locations accept Medicaid, especially those certified under state-funded health programs.

Medicaid Eligibility Requirements by State

Eligibility for Medicaid at Oak Street Health clinics hinges on standard state criteria, which include:

• Residency in the state and county where the clinic operates.
• Income within federal poverty guidelines (varies by family size and state rules).
• Documentation of household composition and citizenship or qualified immigration status.

In expansion states, income limits are often set at 138% of the federal poverty level. For non-expansion states, Medicaid eligibility follows federal minimums, which can be more restrictive. Patients should verify their specific eligibility using state Medicaid portals or contact Oak Street Health directly.

How to Check if Oak Street Health Accepts Medicaid Locally

To confirm coverage at a nearby Oak Street Health location, follow these steps:

1. Visit the Oak Street Health website – Navigate to the ‘Find a Clinic’ section and enter your zip code.
2. Review provider details – Check if the clinic lists ‘Medicaid’ under accepted insurances.
3. Contact the clinic – Call or email the office to ask about Medicaid enrollment steps, required documentation, and estimated coverage start dates.
4. Check state Medicaid enrollment portals – Use your state’s official site (e.g., Medicaid.gov or state-specific portals) to explore options and apply online.

Many patients report that Oak Street Health staff assist with Medicaid applications, especially when combining state benefits with Oak Street’s care model—making enrollment more accessible than expected.

Coverage and Benefits at Participating Clinics

For those approved, Oak Street Health offers typical primary care services under Medicaid plans, including preventive visits, chronic disease management, mental health support, and referral coordination. Benefits align with state Medicaid services, which often include lab tests, imaging, prescriptions, and wellness programs. Some clinics extend telehealth access and wellness coaching as part of Medicaid-enabled care.

Cost-sharing varies: some Medicaid plans at Oak Street locations charge small copays or no fees for routine visits—reducing financial barriers for low-income patients. Patients should confirm exact costs at their clinic during enrollment.

Frequently Asked Questions About Medicaid and Oak Street Health

Q: Does Oak Street Health accept Medicaid in all states?
A: No, acceptance depends on state Medicaid policies and clinic-level contracts. Check your state’s Medicaid eligibility and local Oak Street Health locations.

Q: Do I need a separate Medicaid card?
A: Typically, you’ll receive a provider card or adhere to state-specific enrollment documents. Bring proof of identity and residency when enrolling or seeking care.

Q: Can I switch between Oak Street Health and Medicaid?
A: Yes, enrollment is flexible. You may enroll at a clinic that accepts Medicaid regardless of previous insurer, but coverage begins when accepted and applications are processed.

Conclusion: Take Control of Your Care Today

Understanding whether Oak Street Health accepts Medicaid empowers you to access high-quality, affordable primary care. If you’re a Medicaid-eligible patient, verify local clinic availability and begin your enrollment process now. Visit the Oak Street Health website, contact your nearest clinic, or explore state Medicaid portals to take the next step toward better health. Don’t wait—your care starts with a simple application.

You are encouraged to verify eligibility directly with your local Oak Street Health office or state Medicaid office to confirm current coverage and enrollment details tailored to your situation.