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Department of Human Services 2013-2015 Budget Information

Aging and People with Disabilities Program


Aging and People with Disabilities ProgramThe state of Oregon is a leader in long term care systems. We are ranked number three nationally by AARP. In 1981 Oregon received the first waiver nationwide for long term care services allowing Oregonians receiving Medicaid to choose services in their own home or their communities rather than an institutional facility such as a nursing home. This waiver provides significant benefits to the State in cost savings and allows Oregonians individual choices to best serve their needs. In Home services average approximately 22 percent of the cost of nursing facility services and community based services average approximately percent. Oregonians value receiving long term care services in a non-institutional setting with over 84 percent choosing alternatives that allow them to remain independent and safe.

Oregon’s population is aging

Our 65+ population is projected to grow from 502,000 to 950,000 by 2030.  While we prepare for this growth we know we must do more than create cost effectiveness in the choices of long term care. We must also look at preventative measures Oregonians can implement now so they never need publicly-funded long term care services. 


We have prepared a strategic budget with accompanying legislative concepts to focus on modernization and improvements to help Oregonians sustain long term care services. This complex initiative, called Long Term Care 3.0 seeks to achieve the following outcomes: 

  • Advance a statewide Aging and Disability Resource Connection infrastructure that will help Oregonians make better choices when long term care services are needed.

  • Focus on preventative services that delay or eliminate costly long term care services.

  • Integrate long term care coordination with Oregon Health Authority’s coordinated care organizations.

  • Increase home and community based services.