Assistance to persons who are having difficulty with one or more of the following activities of daily living – preparing meals, shopping for personal items, managing money, using the telephone, doing light housework, eating, dressing, bathing, toileting and transferring may receive assistance through two programs.
- Medicaid-funded In-Home Services – Caregivers help with bathing, toileting, eating and transferring as well as some housekeeping, bill paying, meal preparation, and medication management for a Medicaid-eligible person living in their own home. An individual may directly employ a caregiver or they may opt to use a caregiver agency. Contact the Medicaid office for more information.
- Oregon Project Independence (OPI) – For seniors 60 years and older and adults ages 19-59 with physical disabilities. OPI provides in-home care to individuals who show a need to assist them in their activities of daily living whose income and resources fall within the eligibility criteria. OPI clients have a little too much income for Medicaid but are at risk of institutional placement without help. Contact the ADRC for more information.
While in-home care provides the highest level of independence for a person needing care, there are several other options that provide a higher level of independence than a Skilled Nursing Facility.
- Adult Foster Care – This provides an option that closely resembles a home environment. Adult foster care homes can serve up to five individuals. Medicaid staff license and monitor the care of clients who live in the homes.
- Residential Care Facilities – This option provides care individuals in a residential setting with six or more individuals in private or shared rooms. Medicaid staff determine eligibility and monitor care of clients.
- Assisted Living Facilities – Clients have their own apartments with many shared services, such as meal preparation. Medicaid staff determine eligibility and monitor care of clients.
Skilled Nursing Facilities – For individuals in need of more intensive support on a 24-hour basis. This is the least independent option but is also one that meets the needs of many individuals. Contact the ADRC for more information.