Oregon has a total population of 4,246,155, with 18.2% aged 65 and over. The state has multiple advantages that may appeal to older adults, including world-class health care facilities such as the top-ranked OSHU Hospital and Providence St. Vincent Medical Center. Oregon is somewhat tax-friendly for senior citizens, as there’s no tax on Social Security benefits.

Seniors can expect to pay $6,006 per month for home care. This type of care — also called in-home care — assists with activities of daily living (ADLs) such as bathing and dressing, along with light housekeeping, laundry and shopping services. Home health care, on the other hand, provides medical services for seniors aging in place. These services may include but aren’t limited to physical therapy, wound care and preventative medical care.

This guide contains cost information and comparisons for home care in Oregon, as well as information about applying for Medicaid and COVID-19 regulations for health care providers. A list of free resources for Oregon seniors is also included.  

The Cost of In-Home Care in Oregon

The Genworth 2021 Cost of Care Survey reports the cost of home care in Oregon as $6,006 per month. Although this is slightly higher than the national average of $4,957, it’s less expensive than Washington’s monthly average cost of $6,547 for in-home care. California is also costlier at $6,101 per month for home care, while Idaho is a bit lower at $5,434. Nevada is one of the least expensive states in the area with a cost of $5,148 per month for in-home care.

$6006

Oregon

$4957

The United States

$6547

Washington

$5434

Idaho

$5148

Nevada

$6101

California

Oregon’s cities have varying home care costs. Portland is the most expensive locale at $7,146 per month for home care, while Bend is hundreds of dollars less at $6,435. Salem and Corvallis both have a monthly average cost of $6,101 for in-home care. Albany and Eugene have an estimated per-month cost of $5,911 for home care, while Grants Pass is about $500 less at $5,482 for in-home care per month.

$7146

Portland

$6101

Salem

$6101

Corvallis

$5911

Albany

$5911

Eugene

$6435

Bend

$5482

Grants Pass

Seniors in Oregon have different care types from which to choose. In addition to in-home care ($6,006), there’s home health care ($6,101) for those who need medical services. Assisted living ($5,045) delivers assistance with daily tasks in a homelike setting, often with multiple amenities. For seniors who need care during the day, adult day health care may be an option ($2,654). Nursing home care in a semiprivate room, which is the most expensive care type at $10,342 per month, is for seniors who need 24/7 supervision and skilled nursing care.

$6006

In-Home Care

$6101

Home Health Care

$10342

Nursing Home Car

$5045

Assisted Living

$2654

Adult Day Health Care

Does Medicaid Cover Home Care in Oregon?

Oregon Medicaid — which is called the Oregon Health Plan (OHP) — covers in-home care through the Section 1115 Demonstration Waiver. This waiver is for senior Medicaid recipients who need help with activities of daily living (ADLs) and aren’t currently receiving long-term care services, such as nursing home facility care. This program also provides a monthly benefit to seniors aging in place who receive unpaid care from family members.

Home Care Waiver Programs in Oregon

Older adults in Oregon who receive Medicaid may also qualify for the Section 1115 Demonstration Waiver. In addition to regular Oregon Health Plan benefits such as preventative care, prescriptions and emergency services, seniors can receive in-home care that provides help with everyday activities.

Section 1115 Demonstration Waiver

The Section 1115 Demonstration Waiver is for seniors who don’t currently receive long-term services through Medicaid and need assistance with activities of daily living (ADLs). This waiver may also cover instrumental activities of daily living (IADLs). These services include but aren’t limited to:

  • Toileting
  • Bathing
  • Dressing
  • Mobility
  • Housekeeping
  • Meal Preparation
  • Shopping

To apply for this waiver or find out more about eligibility and what’s covered, contact your local Oregon Department of Human Services (ODHS) Aging and People with Disabilities Office (APD) or Area Agency on Aging (AAA).

How to Know if You’re Eligible for Medicaid in Oregon

In order to qualify for the Oregon Health Plan, your household income must not exceed certain amounts. Single seniors can’t make more than $10,092 in a year, while couples can’t earn a combined income in excess of $15,132. There are also asset limits — for singles, the asset limit is $2,000. Couples’ assets can’t exceed $3,000 in value.

Income Limits*
Asset Limits

Single Person

$10,092

$2,000

Two-Person Household

$15,132

$3,000

* per year

Oregon seniors must also meet additional requirements in order to receive Medicaid, such as:

  • Must be age 65 or older, or
  • Blind and/or disabled
  • Must be an Oregon resident
  • Must be a U.S. citizen or qualified non-citizen

How to Apply for Medicaid in Oregon

There are multiple ways to apply for the Oregon Health Plan (OHP). Apply online through the Oregon Eligibility (ONE) website, which is also where you can report changes and renew coverage.

You can also apply with a paper application. They’re available in many languages, and they can be printed and faxed, mailed or delivered in person to your local Oregon DHS office. Call OHP Customer Service at 800-699-9075 to have a paper application mailed to you or apply by phone.

What Information You Will Need

All Medicaid applicants must provide documentation when applying for coverage. Some of the verifications you’ll be asked to submit when applying for Oregon Medicaid include:

  • Identification
  • Social Security card
  • Citizenship documents if applicable
  • Proof of all income
  • Copies of insurance policies
  • Documentation of all assets

How to Get Help Applying for Medicaid

Oregon seniors who need help with their Medicaid application have multiple options. In addition to the main OHP location, assistance is available through the national Medicaid site. In addition, Area Agencies on Aging (AAA) throughout the state also help with OHP applications and provide other free services for older adults.

Contact
Area Served
Services Provided

(800) 699-9075

Entire state

Seniors can apply for Medicaid through the Oregon.gov OHP page and find FAQs that may be helpful with completing their application. Telephone help is also available on weekdays.

Location-dependent

Entire state

Contact your local Area Agency on Aging for help with Oregon Health Plan applications. These agencies also provide many other resources for the state’s older adults. The website lists each AAA and its contact information, so it's easy to find the one closest to your home. 

(877) 267-2323

Entire state

The national Medicaid site has a toll-free number and email address that seniors can contact for help with OHP applications. Information on the site may answer many questions about the Medicaid application process.

Does Medicare Cover In-Home Care in Oregon?

In general, Medicare does not cover the cost of non-medical home care. That being said, there are situations in which Medicare provides some coverage for medical home care, referred to as “Home Healthcare.” There are several eligibility restrictions for coverage, including that individuals must be homebound and have a referral from their doctor specifically for home healthcare services.

Below is an overview of some of the skilled medical professionals whose in-home services are typically covered by Medicare – for more in-depth information, refer to our Guide to Home Healthcare.

  • Physical Therapists: Physical therapy is used to help patients recover from injuries (broken bones, knee injuries, etc.), treat ongoing conditions such as arthritis, and assist in recovery from surgeries and procedures such as a knee or hip replacement.
  • Visiting Nurses: Licensed nurses can provide a number of medical services for those who don’t need to stay in the hospital, but do need regular medical services such as wound care, changing feeding tubes, etc.
  • Occupational Therapists: Occupational therapists help seniors regain or maintain the ability to accomplish normal, daily tasks, such as bathing, dressing, eating, and other daily activities.
  • Speech Therapists: Speech therapists help seniors who are struggling to adequately communicate due to a stroke, dementia, or any other cause regain the ability to functionally communicate using a variety of means. Additionally, speech therapists help to keep seniors independent by modifying diets, teaching special techniques to swallow safely, and retraining associated muscles.

As mentioned above, in-home care is distinctly different from home healthcare. But, there can be some overlap in services between the two types of care. So, while Medicare doesn’t cover non-medical in-home care, there are in-home care services that may be covered in special circumstances when they’re provided in conjunction with home healthcare (such as an occupational therapist helping with eating or dressing)

Other Financial Assistance Options for In-Home Care in Oregon

While the above programs help many people finance in-home care, they will not cover all costs for everyone. There are other ways to pay for in-home care, including out-of-pocket arrangements with siblings, annuities, reverse mortgages, private insurance and more. Read Caring.com’s Guide to In-Home Care Costs to learn more about these alternative payment options.

Free and Low-Cost Resources for Seniors in Oregon

Oregon seniors who receive in-home care — or those considering it — have ample free resources at their disposal, including free legal aid services, transportation and meal delivery. Low-income seniors can also receive home repair grants and help with rental costs, among other helpful services.

Contact
Area Served
Services Provided

(855) 673-2372

Entire State

The Legal Assistance Development Program helps Oregon’s seniors receive free legal assistance. Area Agencies on Aging (AAA) work with legal organizations throughout the state to provide funding for elderly legal services. Priority services are available to elderly adults determined to be in the greatest need.

(503) 226-0700

Clackamas, Multnomah and Washington counties

Ride Connection provides door-to-door service for seniors and disabled residents in Clackamas, Multnomah and Washington counties. This private nonprofit organization’s transportation services are free, although donations are gladly accepted.

2-1-1

Entire state

Seniors who need help paying their rent may qualify for Elderly Rental Assistance (ERA). Local community action agencies provide information and take applications. For telephone help with this resource, dial 2-1-1.

(202) 708-1112

Entire state

State HUD programs help Oregon seniors in need of home repairs. On the Oregon-based HUD webpage, you can find links to local programs providing free or low-cost repair services to Oregon’s elderly residents.

(503) 986-2000

Entire state

If you need help paying utility bills, the LIHEAP and OEAP programs provide help with heating and cooling costs to Oregon’s vulnerable residents, which include low-income seniors.

(503) 736-6325

Multnomah and Washington counties

Oregon seniors age 60 and over can receive free hot meal delivery through Meals on Wheels, although contributions are encouraged. This program serves Multnomah and Washington counties.

COVID-19 Rules for In-Home Care Providers in Oregon

The most recent documentation regarding Oregon COVID-19 regulations states that in-home care providers are exempt from Oregon’s COVID-19 vaccine mandates, although requirements may differ from provider to provider. Home health care providers are subject to the same rules as in-home care providers. Caregivers who are unvaccinated must take regular COVID-19 tests to confirm their virus-free status.

Some home care companies may require employees to be vaccinated while others may not. This information is current as of April 2022. Because regulations are subject to change at any time, inquire with your home care agency or the local DHS office for up-to-date mandate information.

In-Home Care Laws and Regulations in Oregon

Throughout Oregon, home care providers are regulated by the Oregon Health Authority. This organization oversees the licensing of all in-home care agencies and conducts regular compliance checks. The table below provides an overview of the rules and regulations that in-home care agencies in Oregon are required to follow.

In-Home Care Laws and Regulations in Oregon
Scope of Care
In-home care agencies may provide assistance with personal care services such as bathing, grooming, mobility, feeding and medication reminding.
Care Plan Requirements
In-home care agencies in Oregon are required to provide clients with a detailed schedule of care entailing the services they are to receive and who will be providing them.
Medication Management Requirements
Care aides may provide medication reminders but are not permitted to administer medication unless they've undergone an Oregon In-Home Care Agency Medication Training program.
Staff Screening Requirements
All employees and volunteers who work with in-home care agencies must submit to a criminal records check.
Staff Training Requirements
All staff must be provided with a comprehensive orientation and in-house training, as well as a competency evaluation, prior to providing care.
Medicaid Coverage
There are three Medicaid programs in Oregon that help seniors pay for long-term care: the Community First Choice program, the Independent Choices Program and the Client-Employed Provider Program.
Reporting Abuse
Abuse can be reported to the Department of Human Services.

Frequently Asked Questions

Are there financial assistance programs for in-home care in Oregon?

Yes. Oregon has a plethora of financial assistance programs, including Medicaid‘s Community First Choice, Independent Choices and Client-Employed Provider programs, Oregon Project Independence and the Oregon PACE program.

Are there transportation assistance programs in Oregon?

The Aging and Disability Resource Center of Oregon connects seniors with transportation services such as subsidized or free public transportation, group vans, dial-a-ride services and door-to-door taxi service.

How much does in-home care cost in Oregon?

The average cost of in-home care in Oregon is $5,148 per month, according to the Genworth 2019 Cost of Care Survey.

What types of services does a home care aide provide?

Home care aides help with activities of daily living such as grooming, bathing, dressing and toileting. They also provide companionship and in some cases, assistance with light housekeeping duties, errands and meal preparation.

What does it mean to age in place?

Aging in place is a term that’s when a senior continues to live at home for as long as they’re able to, often with the help of supports such as in-home care.

How to Find an In-Home Care Provider in Oregon

Whether you are looking for yourself or a loved one, finding a quality home care provider can be a stressful process. When you hire an in-home care aide you’re placing a lot of trust in the hands of the person by inviting them into your home, so you’ll want to be diligent in your search. At Caring.com, we’re here to help – we’ve created a helpful checklist below that can help guide you through the process of both determining your needs and finding a home care agency that will provide the best care possible.

Finding a Home Care Provider Checklist

Find Home Care Agencies Near You

To find quality home care providers near you, simply input the zip code or city where you would like to start your search. We have an extensive directory of home care agencies all across the nation that includes in-depth information about each provider and hundreds of thousands of reviews from seniors and their loved ones.

Integrity In-Home Care

12753 SW Terraview Drive, Tigard, OR, 97224

They’ve made my life easier by helping with vacuuming and everything else she does. I like the way they call and check up to see if the workers are here.
They’ve made my life easier by helping with vacuuming and everything else she does. I like the way they call and check up to see if the workers are here.

2022

Right at Home Beaverton, OR

6600 SW 105th Ave, Ste 140, Beaverton, OR, 97008

They just do daily chores. I have already recommended them because I like their availability and their contact format.
They just do daily chores. I have already recommended them because I like their availability and their contact format.

2017, 2018, 2019, 2020, 2021, 2022

Home Instead – Portland East

10415 SE Stark St, Suite A, Portland, OR, 97216

My father was in an assisted living facility but needed more care that the facility could provide. Since I live in another state, I contacted HomeInstead to visit him 3x/week for three hours/day over … (read more)
My father was in an assisted living facility but needed more care that the facility could provide. Since I live in another state, I contacted HomeInstead to visit him 3x/week for three hours/day over … (read more)

2018

Home Instead – Beaverton, OR

14780 SW Osprey Dr, Suite 295, Beaverton, OR, 97008

The caregivers are very compassionate and legitimately like and care for my dear sweet mother. Some feel almost personally attached like a relative. It’s so nice to know that my mother is in good ca … (read more)
The caregivers are very compassionate and legitimately like and care for my dear sweet mother. Some feel almost personally attached like a relative. It’s so nice to know that my mother is in good ca … (read more)

2019, 2020, 2021

Home Instead – Hillsboro, OR

1400 NE 48th Ave, Suite 107, Hillsboro, OR, 97124

If I could give them six stars I would. I haired Home Instead a little over a year ago to help with the care of my sister who has early onset alzheimer’s and they have been nothing short of phenomenal … (read more)
If I could give them six stars I would. I haired Home Instead a little over a year ago to help with the care of my sister who has early onset alzheimer’s and they have been nothing short of phenomenal … (read more)

2021

Home Instead – West Linn, OR

45 82nd Dr, Suite 53, West Linn, OR, 97068

Our caregiver is always on time and so personable and responsive. The agency is flexible when I need it. I have it all with this caregiver.
Our caregiver is always on time and so personable and responsive. The agency is flexible when I need it. I have it all with this caregiver.

2018

Visiting Angels of Newberg

700 Deborah Road, Suite A, Newberg, OR, 97132

Dealing with my father’s dementia has been a complicated and painful experience. Visiting Angels have been so patient and kind as I’ve struggled with how to provide my dad with the best care that I ca … (read more)
Dealing with my father’s dementia has been a complicated and painful experience. Visiting Angels have been so patient and kind as I’ve struggled with how to provide my dad with the best care that I ca … (read more)

A Place At Home – SE Portland

4000 SE International Way F202, Milwaukie, OR, 97222

When it comes to in-home senior care and other services designed to help seniors age gracefully, A Place At Home is there to provide you with compassionate professionals to assist you or your loved on … (read more)
When it comes to in-home senior care and other services designed to help seniors age gracefully, A Place At Home is there to provide you with compassionate professionals to assist you or your loved on … (read more)

Elite Eldercare PDX

5200 SW Meadows Rd. Suite 150 , Lake Oswego, OR, 97035

Such a great company! Such great hands on care! Wonderful staff! Never worry about a thing!
Such a great company! Such great hands on care! Wonderful staff! Never worry about a thing!

Comfort Keepers of Central Oregon

390 SW Columbia St, Bend, OR, 97701

We’re using Comfort Keepers Home Care for my mother. They come in and they supervise her medicine. They help with housekeeping and pretty much keep her active and keep her on a schedule. Most importan … (read more)
We’re using Comfort Keepers Home Care for my mother. They come in and they supervise her medicine. They help with housekeeping and pretty much keep her active and keep her on a schedule. Most importan … (read more)

Home Instead – Portland West

4850 SW Scholls Ferry Rd, Suite 302, Beaverton, OR, 97005

Home Instead stepped up to help us on very short notice with my 98 year old mother and 71 year old brother living together in Portland to fill in for one of our two regular care givers who had emerge … (read more)
Home Instead stepped up to help us on very short notice with my 98 year old mother and 71 year old brother living together in Portland to fill in for one of our two regular care givers who had emerge … (read more)

FirstLight Home Care of Salem

5044 Commercial St SE, Salem, OR, 97306

FirstLight Home Care, leading provider of non-medical home care, helps individuals achieve the quality of life they deserve. At FirstLight, caring is our calling. We’ve set a new standard in home ca … (read more)
FirstLight Home Care, leading provider of non-medical home care, helps individuals achieve the quality of life they deserve. At FirstLight, caring is our calling. We’ve set a new standard in home ca … (read more)

Right at Home Portland, OR

10373 NE Hancock Street, Suite 126, Portland, OR, 97220


Senior Helpers of Portland

10415 SE Stark Street, Suite F, Portland, OR, 97216

Senior Helpers of Portland/Vancouver is the premier provider of in-home senior care. We offer tailored home care services ranging from companion care for seniors who need daily assistance to in-depth … (read more)
Senior Helpers of Portland/Vancouver is the premier provider of in-home senior care. We offer tailored home care services ranging from companion care for seniors who need daily assistance to in-depth … (read more)

Marsheene’s Home Care

2675 NE Moloini Way , Hillsboro, OR, 97124

At Marsheene’s Home Care, We’ll Treat Your Family Like Family! Our goal is to provide you with High Quality Home Care Solutions. We nurture each one of our clients with compassion while promoting a … (read more)
At Marsheene’s Home Care, We’ll Treat Your Family Like Family! Our goal is to provide you with High Quality Home Care Solutions. We nurture each one of our clients with compassion while promoting a … (read more)

BrightStar Care West Portland

1675 SW Marlow Ave, Suite 405, Portland, OR, 97225

Gabby, our caregiver is extremely qualified for her position.She is able to learn all requirements of the job & was highly appreciated by PT&OT for ability to learn rehab for Steve.She is out … (read more)
Gabby, our caregiver is extremely qualified for her position.She is able to learn all requirements of the job & was highly appreciated by PT&OT for ability to learn rehab for Steve.She is out … (read more)

2020, 2021, 2022

Caring Heart Health & Home Services, Inc

7380 SW 163rd Pl, Beaverton, OR, 97007

It’s nice to be sure that someone is there to watch over her when she needs help. They keep in touch with us when things are going wrong and are there when they’re needed.
It’s nice to be sure that someone is there to watch over her when she needs help. They keep in touch with us when things are going wrong and are there when they’re needed.

Comfort Keepers Home Care of Portland, OR (CLOSED)

15717 SE McLoughlin Blvd, Milwaukie, OR, 97267

Our Mom received 5 Star care from Comfort Makers. We were impressed with Naschell’s level of care and Katie’s responsiveness. I highly recommend Comfort Makers to care for your loved one.
Our Mom received 5 Star care from Comfort Makers. We were impressed with Naschell’s level of care and Katie’s responsiveness. I highly recommend Comfort Makers to care for your loved one.

HDE Home Care

12655 SW Center St SUITE 450, Beaverton, OR, 97005

My brother, Sheldon is developmentally disabled and it was determined that he needed a personal help. United Cerebral Palsy contracted a caregiver through HDE health and that’s how I met Donny who was … (read more)
My brother, Sheldon is developmentally disabled and it was determined that he needed a personal help. United Cerebral Palsy contracted a caregiver through HDE health and that’s how I met Donny who was … (read more)

Loving Care Providers

12220 SW 14th St, Beaverton, OR, 97005

We had a wonderful caregiver while our father was on hospice in our home. Gabby was a bright light in his day. She was gentle and took very good care of him as well as providing companionship, which h … (read more)
We had a wonderful caregiver while our father was on hospice in our home. Gabby was a bright light in his day. She was gentle and took very good care of him as well as providing companionship, which h … (read more)

Home Care Services in Oregon (138)