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Resources for Current I/DD Medicaid Agency Providers

These resources are for current Medicaid agency providers who support individuals with intellectual and developmental disabilities (I/DD).

Renew Request a change Forms and documents eXPRS login

 First-time applicant? Go to > Become a provider

Renew agency certification and endorsements

Everything you need to renew is listed below. 

You will renew your Medicaid agency certification and endorsements at the same time. 

24-Residential and Host Homes also need to complete a separate license application for each site. See details below.

How to renew

Prepare your documents

  • Gather all required documents before you start the online application. You can't save the application once you start.
  • The online application takes about 20-30 minutes to complete.
  • Before you start, know how many documents you have and their total size.
    • A zip folder is the best option to upload your documents.
    • Without a zip folder, you can only upload ten documents with a total size of 30MB.

Executive director's documents you will need

Business documents you will need​


Make your payment

Medicaid ​agency payment portal​

Use the Medic​aid ​agency payment portal for all application fees.

  • Check the fe​e schedule to make sure you are paying the correct amount.
  • All fees are nonrefundable and cannot be transferred.
  • Payment is due when you submit your application.
  • Save your payment receipt. You will need to upload it with your application.

Providers renew agency certification and endorsements at the same time. We contact you three to six months before your license expires to remind you to submit your renewal​ application. Review OAR ​411-323 for more information.


Timeline and fees

Renewal cycle: Every two years for both agency certification and endorsements

Renewal fee: $500 certification fee, plus separate endorsement fees

​Medicaid agency payment portal​

Fees are non-refundabl​e. ​You must upload the payment receipt with your application.


Renew ​online

When you have gathered your documents and paid the fees, fill out the agency and endorsement application​.

​Agency and endorsement ​application

After you renew your certification and endorsement, you must submit a separate license renewal application for ​ each 24-Hour Residential site. We will then do an in-home inspection. If we find any violations, we will cite them and you must respond with a Plan of Correction. ​Rev​iew OAR 411-325​ for more information.


Before you start your license renewal

  • Your ​agency must already be certified and endorsed for this service type.
  • Be prepared. You must complete the renewal application in one session. You can't save your progress.

Required documents


Timeline and fees

Renewal cycle: Every two years

License renewal fee: $50 per capacity for all counties

Medicaid agency payment portal

Renew ​license online

When you have gathered your documents and p​aid the fee, fill out the ​license application​.

​License application

After you renew your certification and endorsements, you must submit a separate license renewal application for each Host Home site. We will then do an in-home inspection. If we find any viola​tions, we will cite them and you must respond with a Plan of Correction. Review OAR 411-348​​ for more information.

Before you start your license renewal

  • Your agency must already be certified and endorsed for this service type.
  • Be prepared. You must complete the application in one session. You can't save your progress.

Required documents


Timeline and fees

Renewal cycle: Every two years

License renewal fee: $50 per home​

Medicaid agency payment portal

Renew ​license online

When you have gathered your documents and p​aid the fee, fill out the ​license application​.

​License application

Request a change to your agency

Follow the instructions below and use the correct online form for the type of change you need to make. 

How to request changes

Important

  • Submit one change request per form.
  • Gather your documents before you start
    • You can't save your progress once you start.
    • Each form takes about 15-20 minutes to complete.
  • All forms are available online and can be filled out electronically. ​Handwritten materials are not accepted.
  • Some changes require a nonrefundable fee.
  • ODDS will review your change request. 
    • We may ask for more information or missing documents.
    • Watch your email. If we need additional information, you need to return documents by the ​deadline provided.
    • You will get a confirmation email when your changes have been completed.​

​To change your business contact inforamtion (email, phone number, physical address, mailing address):

 ​Use the am​​endment form​​

​To change your executive director to a different person or legally change the current director's name:

​Use the amendment form

Required documents (new director)

  • Current CPR and First Aid certificates (if applicable)

Required documents (name change only)

  • Government-issued ID with new name

​If there is a change in the agency's ownership structure (percentage ownership, adding or removing owners, mergers, changes to board of directors): 

 Use the amendment form

Required documents​

  • Signed sales contract
  • IRS letter or IRS form 8822-B
  • Secretary of State registration
  • Dis​closure form

​If your agency's legal name changes (including adding, changing, or removing a "doing business as" DBA):

​Use the ​amendment form

Required documents

  • IRS letter or IRS for​m 8822-B
  • Secretary of State registration​

​If you need to change your TIN or EIN:

Do not submit an online amendment form.

Email dd.licensing@odhs.oregon.gov and let us know the​ change you need to make. 

We will contact you for nex​t steps.

Agency dissolution means the organization will no longer operate in any capacity. All endorsements and licensed homes under the ​​agency will end. The agency will no longer be authoriz​ed to operate.

To permanently close your agency:

Use the ​amendment form

To remove an endorsement and stop providing the service type​:

 Use the amend​​ment form

To add an endorsement​:​

 Use the agency and endorsement application

Required documents when adding endorsements

The following are required for all endorsements:

The following are required only for ​specific endorsements:

To make any of the 24-Hour Residential license changes listed below:

 Use the amendment form

Permanent age change

This means changing your license from supporting children to supporting adults, or vice versa. This change is permanent unless otherwise requested.

Required documents

  • If converting from adult to children's home, submit updated policies and procedures that meet all requirements listed in OAR 411-325.

Temporary age change

This means changing your license to temporarily allow an adult to live in a children's home, or vice versa, for a certain period of time. The license changes back to the original age range after the time period has ended.

Required documents

  • Safety assessments for each person currently living in the home, as well as for the individual who will be moving in.
    • Work with the Case Management Entity (CME) to complete these assessments.
    • ​​We will contact the CME for their recommendation before granting approval.
  • If a child will be placed in an adult home, submit updated policies and procedures that meet all requirements listed in OAR 411-325.

Capacity change

This means adding or reducing the maximum number of individuals you may support in the home.

If you are increasing capacity


Residential site closure

This means closing a 24-hour residential site location.

To make any of the Host Home license ​changes listed below:

 Use the ​amendment form

Capacity change

This means increasing the maximum number of children you may support in the home.


Host Home site closure

This means closing a Host Home site l​ocation.​

​To add a new facility-based setting ​where you will provide employment services:

​Use the ​​amendment form

Required documents

  • Fire and life safety assessment
  • Health and safety assessment​

Forms and documents