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Home Care Services

If you or a loved one need help with personal care or daily tasks and want to stay in your own home and community, consider using home care services. Home care services can help you stay as safe and independent as possible in your home.

See if you qualify for government-paid servicesNew option: Agency with ChoiceIf you are paying privatelyHelp finding in-home care providers

Some people qualify for government-paid services through Medicaid or Oregon Project Independence. If you don't qualify, there are other community resources that can help. You can also choose to pay for an in-home care provider yourself

See if you qualify for services

The first step is to learn about programs you might qualify for and apply.

Medicaid

Most government-paid services are provided through Medicaid. Whether you qualify is based on your income, financial resources, and how much help you need at home.

To apply for Medicaid

Oregon Project Independence (OPI)

Another option is OPI. OPI is a state-funded program for adults who need help to stay in their home, and who don't have Medicaid long-term care benefits.

For this program, you pay for part of your services on a sliding scale.

  • There are no income or asset limits for OPI. (If you have limited income and assets, you may qualify for OPI-M, which covers the full cost of services.)
  • In some areas, there is a waiting list for OPI. Priority is given to people with the highest needs who are at risk of having to leave their home because they don't have enough support. 

Oregon Project Independence Medicaid (OPI-M)

OPI-M is an expansion of Oregon Project Independence that uses federal Medicaid dollars. This means more people can get services.

If you qualify, there is no cost for services.

New option: Agency with Choice

Agency with Choice (AwC) is a new in-home service option for people who qualify for government-paid services. 

You choose and direct your services. An agency hires, trains, and pays your service provider.

To see if AwC is right for you

  • Contact your local office that serves older adults and people with disabilities or talk to your case manager.

After you're approved

We're here for you! If you're hiring your own in-home care providers, you might be called a consumer-employer, employer of record, designated representative or common-law employer. We have resources to help you find and manage your providers.

Find in-home care providers (Medicaid, OPI and OPI-M)

  • The Employer Resource Connection can help you hire and work with providers.
  • We also have a care matching service called Carina that can help you find providers. 
  • If you want to enroll in Agency with Choice, talk to your case manager.

If you are paying privately

Visit the Aging and Disability Resource Connection ADRC website or call 855-673-2372. ADRC has trained Options Counselors who can help you find community resources. 

We also have free materials that can help you interview, hire and manage private pay providers.