Home Care Services

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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.

State-paid services If you don't qualify for state-paid services Help finding in-home care providers

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

Getting started with state-paid services

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

Medicaid

Most state-paid services are provided through Medicaid. Whether you qualify or not is based on your income, financial resources, and how much help you need at home.

To apply for Medicaid

For older adults and people with disabilities, contact an Area Agency on Aging or Aging and People with Disabilities office
For people with intellectual or developmental disabilities, contact one of the following:

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.

There are no income or asset limits for OPI.
You pay for part of your services on a sliding scale. (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.

To apply for OPI

If you are interested in OPI, call or visit your local Aging and People with Disabilities (APD) or Area Agency on Aging (AAA) office. Find a local APD or AAA office near you.

Learn more about OPI

Oregon Project Independence Medicaid (OPI-M)

OPI-M is an expansion of Oregon Project Independence. OPI-M is different because it uses federal Medicaid dollars so more people can get services.

There are income and asset limits for OPI-M. But they are much higher than the limits for Medicaid/OHP, so more people qualify.
If you qualify, there is no cost for services.

To apply for OPI-M

If you are interested in OPI-M, call or visit your local Aging and People with Disabilities (APD) or Area Agency on Aging (AAA) office. Find a local APD or AAA office near you.

Learn more about OPI-M

After you're approved

Congratulations! You are now an employer and can hire in-home care providers. (You might be called a consumer-employer, employer of record, designated representative or common-law employer.) This role may feel scary, but we're here for you!

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

The Employer Resource Connection can help you hire and work with your provider.
We also have a care matching service called Carina that can help you find providers.

If you don't qualify for state-paid services

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.