Starting an HCBS Agency in Oregon

What You Need to Know About Starting a Specific HCBS Agency in Oregon


These videos give an overview of the various Home and Community-Based Services (HCBS) available in Oregon for providers who want to learn how to start or operate an HCBS agency in the state. Each video explains the purpose of the service, provider requirements, licensing process, and how the program functions. Use these videos to better understand the responsibilities, standards, and steps involved in becoming or working with approved HCBS providers in Oregon. Explore each section to find the service that best matches your goals or area of interest.

 

Respite Care

Respite Care Services in Oregon are Medicaid-funded supports that provide short-term, substitute care for individuals with disabilities, chronic conditions, or age-related needs — allowing primary caregivers to take a break from their caregiving responsibilities. These services help prevent caregiver burnout and promote the health and safety of both the caregiver and the person receiving care. Respite is delivered in-home, at a certified provider’s site, or in the community and is authorized through Oregon Medicaid (Oregon Health Plan), including HCBS Waivers and the K Plan.

 
 

Residential Care

Residential Support Services in Oregon are Medicaid-funded programs that provide 24/7 or intermittent care and supervision to individuals with intellectual and developmental disabilities (IDD) in community-based residential settings. These services are designed to support individuals in achieving independence, building life skills, and participating in their communities, while ensuring health and safety in a home-like environment. Residential support is authorized through Oregon’s HCBS Waivers and K Plan under the Oregon Health Plan (OHP).

 
 

Supported Employment

Supported Employment Services in Oregon are Medicaid-funded and state-supported programs that assist individuals with intellectual and developmental disabilities (IDD) or other barriers in preparing for, securing, and maintaining competitive, integrated employment. These services are person-centered and focus on helping individuals find jobs that match their interests and abilities while providing the support they need to succeed. Supported Employment is authorized through Oregon’s HCBS Waivers, the K Plan, and Vocational Rehabilitation (VR) partnerships, all coordinated under the Oregon Health Plan (OHP).

 
 

Personal Care

Personal Care Services (PCS) in Oregon are Medicaid-funded supports that assist eligible individuals with daily living tasks such as bathing, dressing, mobility, eating, and medication reminders. These services are aimed at helping older adults, people with disabilities, and individuals with chronic conditions live safely in their homes and avoid institutional care. PCS are authorized under Oregon’s Medicaid program, Oregon Health Plan (OHP), and through Home and Community-Based Services (HCBS) waivers and the State Plan Personal Care Option.

 
 

Specialized Medical Equipment

Specialized Medical Equipment (SME) Services in Oregon are Medicaid-funded supports that provide individuals with disabilities or chronic medical conditions access to essential devices that support health, mobility, communication, and safety in the home and community. These services include the assessment, purchase, delivery, customization, and repair of equipment such as hospital beds, mobility devices, adaptive aids, and environmental modifications. SME is available under the Oregon Health Plan (OHP) and through HCBS waivers and the K Plan (1915(k)).

 
 

Home & Community Based Services

Home and Community-Based Services (HCBS) in Oregon are Medicaid-funded supports that help individuals with disabilities, chronic illnesses, or aging-related needs live independently in their homes and actively participate in their communities. These services cover a wide range of medical, social, and personal care supports and are designed to reduce institutionalization and promote quality of life. HCBS is administered under Oregon’s Medicaid program, the Oregon Health Plan (OHP), through a combination of waivers, the K Plan (1915(k)), and the State Plan.

 
 

Habilitation Services

Habilitation Services in Oregon are Medicaid-funded supports that help individuals with intellectual and developmental disabilities (IDD) acquire, retain, and improve daily living skills. Unlike rehabilitation (which focuses on restoring lost skills), habilitation focuses on developing new skills in communication, mobility, socialization, self-care, and community living. These services are a cornerstone of Oregon’s HCBS (Home and Community-Based Services) waiver programs and the K Plan (Community First Choice Option), all authorized under the Oregon Health Plan (OHP).

 
 

Adult Health

Adult Health Services in Oregon are Medicaid-funded supports that address the complex medical, functional, and supportive care needs of adults with disabilities, chronic conditions, and age-related limitations. These services aim to help individuals maintain their health and independence in their homes or community settings, and they are provided through the Oregon Health Plan (OHP), K Plan (1915(k)), and several Home and Community-Based Services (HCBS) waivers administered by the Oregon Department of Human Services (ODHS).

 
 

Assistive Technology

Assistive Technology (AT) Services in Oregon are Medicaid-funded supports that provide individuals with disabilities or chronic conditions access to devices, equipment, and technology-related services that increase functional independence in their daily lives. These services include both the provision of AT devices (e.g., mobility aids, communication tools, environmental controls) and the customization, training, or maintenance of those devices. AT Services are authorized through the Oregon Health Plan (Medicaid) and delivered under multiple Home and Community-Based Services (HCBS) waivers and the K Plan (Community First Choice Option).

 
 

Behavioral Health

Behavioral Support Services in Oregon are Medicaid-authorized interventions that help individuals with intellectual or developmental disabilities (IDD), mental health conditions, or challenging behaviors achieve greater independence and stability in their homes and communities. These services include functional assessments, behavior support planning, staff training, and ongoing monitoring. Behavioral supports are critical components of Oregon’s Home and Community-Based Services (HCBS) waivers and the K Plan (Community First Choice Option), coordinated through the Oregon Health Plan (OHP).

 
 

Home Modification

Home Modification Services in Oregon are Medicaid-funded supports that allow individuals with disabilities, aging-related conditions, or chronic illnesses to remain safely in their homes by adapting their living environment. These services are essential for promoting independence and preventing institutional placement. Authorized under the Oregon Health Plan (OHP), K Plan (1915(k)), and HCBS Waivers, modifications range from simple safety enhancements to complex construction projects.

 
 

Nursing Facility Transition

Nursing Facility Transition (NFT) Services in Oregon are Medicaid-funded supports designed to help individuals residing in nursing homes or institutional settings move back into the community. These services assist with care planning, housing navigation, home setup, and coordination of home and community-based services (HCBS). NFT is delivered through Oregon’s Medicaid programs — primarily the Oregon Health Plan (OHP) — under the K Plan (1915(k)), HCBS Waivers, and specialized transition initiatives such as Oregon’s Money Follows the Person (MFP) program.

 
 

Community Integration

Community Integration Services in Oregon are Medicaid-funded supports that promote full participation in everyday community activities for individuals with intellectual and developmental disabilities (IDD), physical disabilities, or aging-related limitations. These services are a core component of Oregon’s Home and Community-Based Services (HCBS) Waivers and the K Plan (1915(k)) under the Oregon Health Plan (OHP). Community integration focuses on helping individuals build relationships, access resources, and engage in volunteer, recreational, educational, or cultural opportunities.

 
 

Adult Family Home

Adult Family Home Services in Oregon offer Medicaid-funded residential support in a small, community-based home setting for adults with intellectual and developmental disabilities (IDD), physical disabilities, or age-related conditions. These services are delivered by certified providers in their own homes or designated residences, offering an alternative to institutional care. Services are designed to promote independence, inclusion, and health while maintaining a nurturing, family-like atmosphere. Adult Family Homes are authorized under Oregon’s HCBS Waivers and the K Plan (1915(k)) through the Oregon Health Plan (OHP).

 
 

Case Management

Case Management Services in Oregon are Medicaid-funded supports that assist individuals with disabilities, chronic conditions, and aging-related needs in accessing, coordinating, and monitoring their Home and Community-Based Services (HCBS). Case managers play a central role in person-centered planning, service referrals, and ensuring that individuals receive the right care at the right time. These services are integral to Oregon’s Medicaid programs — including the Oregon Health Plan (OHP), the K Plan, and various HCBS Waivers.

 
 

Transportation Services

Transportation Services in Oregon are Medicaid-funded supports that enable individuals with disabilities, chronic health conditions, and other mobility limitations to attend medical appointments, day programs, work, and other community-based activities. These services are a key component of Home and Community-Based Services (HCBS) and are available through Oregon’s Medicaid program, the Oregon Health Plan (OHP). Providers may deliver both Non-Emergency Medical Transportation (NEMT) and community-based HCBS transportation as authorized by the individual’s plan of care.

 
 

Home Health

Home Health Care Services in Oregon are Medicaid-funded medical services provided to individuals who require skilled nursing or therapy care at home due to illness, injury, or disability. These services are aimed at avoiding or reducing institutional care, supporting recovery, and promoting independence. Home Health Care is reimbursed through the Oregon Health Plan (OHP) and may also be delivered under the K Plan (1915(k)) and certain HCBS Waivers for eligible individuals.

 
 

Meal & Nutrition

Meal and Nutrition Services in Oregon are Medicaid-funded supports that ensure individuals with disabilities, chronic illnesses, or age-related conditions receive appropriate nutrition to support their health and independence. These services may include meal planning, preparation, delivery, and dietary counseling based on the individual's medical needs and functional limitations. Services are authorized through the Oregon Health Plan (OHP), the K Plan (1915(k)), and various HCBS Waivers.

 
 

Our Client Portal offers a wealth of resources that you can explore related to various programs and state requirements.