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Home and Community-Based Services

Support for Adults with Long-Term Mental Health Needs

Home and Community-Based Services (HCBS) are services and supports for Oregon Health Plan (OHP) members living in their home or other community-based settings. They help people with long-term mental health needs live better on their own. 

Available Services and Supports

These services are available for adults ages 21 and over. The services and supports offered through HCBS are based on the member's person-centered service plan. The services include:

​Activities to support you in participating in daily life and connecting with your community. These services build social and daily living skills, support independence, and help you take part in the activities that matter to you. 

Examples include:

  • Household tasks (light housekeeping, cooking, laundry)
  • Community navigation (going to the store, library or attending events)
  • Building routines

Learn more about community-based integrated supports.

​​Support you in creating daily routines, connecting with others, and developing skills to manage your mental health outside of clinical settings. PSR supports your recovery and helps you take part in home, work, or community life. 

Examples include:

  • Coping and self-regulation skills
  • Recovery-oriented skill development
  • Conflict resolution and problem solving
  • Social skills and relationship building
  • Planning and managing daily tasks​

Learn more about psychosocial reh​abilitation.​

​​Person-centered care to support you with daily activities so you can stay in your home. The amount of help depends on your needs. 

Examples include:

  • Bathing, grooming, dressing
  • Meal preparation and cleanup
  • Medication reminders
  • Walking assistance and getting in/out of chairs or your bed
  • Cognitive supports and safety checks
  • Toileting and incontinence care

Learn more about in-home personal care.​

​Provides support and training in a 24-hour care setting. The goal is to support you in returning home and building independence with regular support. These programs help you manage sym ptoms and offer intensive therapies. You can get healthier here instead of being in a hospital care setting. 

Examples include:

  • Medication management
  • Structured daily living support
  • Mental health recovery services
  • Individual and group skills building
  • Transition planning to return home​​

Learn more about residential habilitation.​

​Community Transportation: Travel to appointments and community activities.

Home-Delivered Meals: Delivering meals to people at home​.

Housing Support Services: Help to find and keep housing that meets your needs and support you in addressing challenges that may put your housing at risk.

Pest Eradication Services: Getting rid of pests like ants, termites and more.

​Transition Services: ​To move from a facility to a home in the community.​​

How to Apply for HCBS Services and Supports

​To be eligible for the services, you must:

​Work with your provider or by yourself to complete the referral form and submit to Comagine Health. ​

Comagine Health is the Independent Qualified Agent (IQA) for Oregon. An IQA is the contractor who is responsible for reviewing and reporting to OHA for designated programs and services. The IQA is responsible for reviewing, assessing, and developing service plans for qualified individuals in a program. 

What Happens Next?

A case manager from Comagine Health will:

  • Contact you to complete the required paperwork to determine if you are eligible for HCBS. 
  • Send the completed paperwork to Oregon Health Authority (OHA) to review.

If OHA approves you for HCBS, your local community mental health program (CMHP) will contact you. The CMHP will work with you to:

  • Coordinated services and supports based on your person-centered service plan.
  • Offer you choices of available placements and/or services.

Frequently Asked Questions

​Personal Care Attendants (PCA) provide in-home care for individuals experiencing behavioral health conditions.​

​Peer Support Specialists (PSS) are people who have shared life experiences, such as addiction or mental health conditions, with the individuals they support. They are self-identified individuals in recovery or currently/formerly receiving mental health or addiction services.

There are four types of Peer Support Specialists: Family Support, who help parents of children with mental health or addiction issues; Youth Support, who assist individuals under 30 facing mental health or addiction challenges; Adult Addictions, who support those recovering from addiction; and Adult Mental Health, who aid others with similar mental health experiences.

​Peer Wellness Specialists (PWS) are people who meet the qualifications set by the authority under ORS 414.665 and work through community outreach to assess and support the mental health and substance use disorder needs of members of a coordinated care organization. A Peer Wellness Specialist helps members access services, address barriers, provide education to reduce stigma, and assist in maintaining recovery, health, and wellness.​

​Personal Support Workers (PSW) support children and adults with intellectual and developmental disabilities in their own homes and communities.​

​Homecare workers provide in-home care for older adults and people with disabilities.​

​If you think your services were wrongly denied or your eligibility assessment was incorrect, please read about the hearing process here​.

​A case manager from Comagine helps organize and manage health care services for people, making sure they get the right care and support. They work with different healthcare providers to create and follow care plans that fit each person's needs.

A care coordinator from a CCO also manages healthcare services but focuses on working within the CCO network. They aim to make care more efficient and improve health outcomes by coordinating services across various providers in the network.

​An IQA is the contractor who is responsible for reviewing and reporting to OHA for designated programs and services. The IQA is responsible for reviewing, assessing, and developing service plans for qualified individuals in a program. Comagine Health is the IQA for Oregon and has been since July of 2020.​

​Yes, the consumer will have their Medicaid eligibility redetermined on a cycle. The Independent Qualified Agent will assess their functional eligibility on a different cycle. Both types work together to provide Home and Community-Based Services (HCBS).​

​ If you have questions about your care status, please email 1915i.MedicaidPolicy@odhsoha.oregon.gov​.

​If you have questions about your ONE System Application, please call 1-800-699-9075.

If you need technical assistance with your account, please call 1-833-978-1073.

You can also apply for any programs or get assistance at the Oregon Department of Human Services (ODHS) office nearest to you.

​ To contact Comagine: