Oregon's Medicaid program is called Oregon Health Plan (OHP). Medicaid pays for long-term care for people who meet eligibility requirements. There are many options for living in health centers in Oregon. These include foster care for adults, assisted living, residential care facilities, nursing facilities, and memory care communities.
Medicaid is for people with limited incomes and resources. There are several different programs and each one has its own eligibility criteria. Services may include help with daily activities, health-related tasks, and more. Services can be provided in a person's home or at a facility.
There are two types of OPI programs that help adults stay in their homes. Oregonians often pay for long-term care with savings, long-term care insurance, or Medicaid. If you can't pay with your own funds and don't have long-term care insurance, Oregon's Medicaid program (the Oregon Health Plan), administered by the Oregon Health Authority (OHA), may cover your care. You can use Medicaid coverage for assisted living facilities in both Oregon and Washington.
Medicaid covers activities related to daily living, which can be covered at home or in a residential way. Medicaid is a jointly funded state and federal health care program for low-income people of all ages. While there are different coverage groups, we focus on the eligibility of older Oregon residents age 65 and older in Medicaid for long-term care. In addition to nursing home care, assisted living services, and foster care for adults, OR Medicaid pays for many non-medical support services that help frail older people continue to live in their homes.
There are three categories of Medicaid long-term care programs that older people in Oregon may be eligible for. The Oregon Health Plan also operates certain Medicaid-funded programs that allow older people who need assistance to continue to live independently, in their homes and communities, rather than in a nursing home. The Oregon Exemption for the Elderly and Physically Disabled (APD) helps Oregon Medicaid recipients who live in a nursing home to move to their home, to a loved one's home, to an adult foster home, or to an assisted living residence. In addition to long-term care programs and HCBS, the Oregon Health Plan (OHP) provides health care to low-income individuals and families, helping them to access essential health care services.
Oregon's Medicaid program, called the Oregon Health Plan (OHP), provides long-term care assistance to many older people in Oregon, but only under certain circumstances, which we'll discuss later. Independent Choice Program (ICP) Oregon's Independent Choice Program (ICP) offers a health care budget and the ability to select long-term care benefits and caregivers of their choice (including spouses and family members) for Oregon seniors who require a level of care in a nursing facility but who live in their own home or in the home of a loved one. This may include personal care, household chores, meal preparation, home meals, household chore services, adult day services, assistive technology, home modifications, and support for unpaid family caregivers. This isn't to say that all Oregon nursing homes have health problems, but it's true that some of them do, so it's important to do your research before taking a final decision.
The services are intended to delay the need for care in nursing homes and can be provided at home, in adult day care, in foster care for adults, or in assisted living facilities. This is because Oregon does not consider your spouse's income to determine if you are eligible for OSPIM coverage for nursing home care, and your income is not counted in determining your spouse's eligibility. After obtaining approval for nursing home coverage through Oregon Medicaid, older people must choose which nursing home accepts Medicaid best for their needs. Oregon Project Independence — Medicaid (OPI-M) — Medicaid (OPI-M): Medicaid-funded program for older people and adults with physical disabilities who need help with their activities of daily living and are at risk of needing long-term services and supports through OR Medicaid.
The HCBS exemptions that cover long-term care services and supports for older Oregon people who live in the community are the exemption for the elderly and physically disabled (APD) and the Independent Elections Program (ICP). Medicaid is a health care program funded by the federal government and the government of the state of Oregon to pay, among other things, for long-term care for people who meet certain requirements, such as being 65 or older, disabled or blind. Both the CEP and the ICP allow eligible older people and adults with disabilities (over 1 year old) to be employers and managers of their care providers, who help them with certain activities of daily living. These include Medicaid exemption plans, known as home and community-based services (HCBS) exemptions, and other programs specific to Oregon (more information on this later).
Oregon's Medicaid retrospective rule has a 60-month Medicaid review period that immediately precedes the date of applying for Medicaid for Medicaid in nursing homes or for a Medicaid exemption.
