Oregon pays for in-home care for those who meet certain eligibility requirements. Unlike Medicare, Medicaid (Oregon Health Plan) provides multiple waivers, so older adults can receive aid to help them with the tasks of their daily lives and remain safely in their homes. Additionally, non-Medicaid programs sponsored by the state may be available, which give aid to senior citizens aging in place.

Home Care Waivers for Seniors in Oregon

The Oregon Health Plan includes in-home care under the Section 1115 Demonstration Waiver. In addition to regular OHP benefits, this waiver is available for elderly Medicaid beneficiaries who require aid with activities of their day-to-day life, such as ambulation, toileting, showering, clothing themselves, housekeeping, meal preparation and running errands, and those who are currently not receiving senior care services from a long-term care facility. This program also provides a monthly benefit to seniors opting to age in place when they receive assistance from unpaid family members. To qualify for this waiver, applicants must:

  • Be 65 years of age or older or blind and/or disabled
  • Reside in Oregon
  • Be a U.S. citizen or qualified non-citizen
  • Not exceed household income guidelines
  • Not exceed asset limits

Individuals can contact the local Oregon Department of Human Services Aging and People with Disabilities Office or Area Agency on Aging for more information regarding this waiver program.

Non-Medicaid State Assistance Programs for In-Home Care in Oregon

The state of Oregon offers a non-Medicaid-based program that provides long-term care for seniors who wish to remain in the comfort of their own homes. The Oregon Project Independence offers in-home supervision and assistance with personal care and daily living activities, such as ambulation, showering, dressing, toileting, food preparation, light housekeeping, laundry and shopping. Other benefits include adult day care, respite care and skilled nursing services. 

This program is for seniors diagnosed with Alzheimer’s, dementia or other cognitive conditions. Eligible applicants can choose their preferred care provider, including some family members. Individuals can contact the Oregon Department of Human Services Community Services and Supports Unit to learn more about this program.