For Community Partners
Welcome to the resource page for community partners. Here, you will find support and information to help ensure quality care. If you are looking to support someone in receiving home and community-based services, this page is designed to guide you to the resources and assistance you need.
Home and Community-Based Services (HCBS) are Medicaid-funded services supports for people living in their home or other community-based settings. These services are available for adults ages 21 and over. They help people with long-term mental health needs live better on their own. The services and supports offered through HCBS are provided to eligible consumers based on their person-centered service plan.
The services include:
- Community-Based Integrated Supports
- Psychosocial Rehabilitation
- Home-Based Habilitation
- In-Home Personal Care
- Housing Support Services
- Residential Rehabilitation
Coming soon:
- Community Transportation
- Home Delivered Meals
- Pest Eradication Services
- Transition Services
For more information on Home and Community-Based Services, visit the 1915(i) home page.
Eligibility Information
To be eligible for the services, a person must:
- Be enrolled in Medicaid,
- Be 21 years of age or older,
- Have a mental illness diagnosis,
- Have a need for one or more services at least monthly, and
- Need daily help with at least two activities because of mental health needs.
Comagine Health will assess if the person is eligible for HCBS during the eligibility determination process listed below. Comagine Health is OHA’s contracted Independent Qualified Agent (IQA) focused on helping people of Oregon get access and receive services.
Community Partner Process Steps
Please see the process below to understand the process a community partner goes through to help someone receive services.
As a community partner, you will guide people through the initial steps to to access the services they need.
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If they do not have Medicaid, you can help them use the
ONE System to apply for Medicaid benefits before submitting the required forms.
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If they already have Medicaid, work with them or their provider or by yourself to complete the
referral form and submit to Comagine Health.
In this step, you can help coordinate with a case manager from Comagine Health. Comagine Health can help with completing the required paperwork to determine eligibility for HCBS. This part of the process is called the functional eligibility determination.
In this step, you will work alongside the case manager from Comagine Health to submit the required paperwork to Oregon Health Authority for authorization and approval.
Once Comagine Health completes the 1915i eligibility process and determines the service level, Comagine Health sends a referral to the community mental health program (CMHP).
In this step, you will work with the CMHP to coordinate services and supports based on needs.
The CMHP will offer choices of available placements and/or of services.