Oregon Launched New Home-Care Program for Residents
The program helps Medicaid-eligible adults manage their own in-home care providers.
Updated on Oct. 5, 2026 in Eldercare
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Oregon has introduced the Agency with Choice program to help Medicaid-eligible adults coordinate their long-term care at home. The initiative provides support for recruiting, training, and scheduling in-home care providers for eligible seniors and disabled adults.
Why it matters
This program aims to honor individual preferences for aging in place, allowing eligible residents more control over their daily care arrangements. It provides a structured support system for those who require long-term services but wish to remain in their own homes.
The program, stemming from House Bill 4129, provides support for adults aged 60 and older or those 18 and older with a disability. The effectiveness of this model in improving long-term care outcomes remains under investigation.
The players
Oregon Department of Human Services
A state agency that administers long-term care programs and social services for vulnerable residents.
Oregon Health Authority
The state agency responsible for overseeing public health programs and Medicaid services in Oregon.
GT Independence
A contractor providing professional services for the management of home-based care and support programs.
The details
The Agency with Choice program assists participants in the recruitment, training, scheduling, and supervision of their own in-home care staff. GT Independence serves as the contractor providing these services, selected through a competitive bidding process on OregonBuys. Participants are notified of their eligibility directly via letters from the Oregon Department of Human Services.
Timeline
October 5, 2026: The program status was officially reported.
Health Landscape
This initiative follows the legislative framework established by Oregon House Bill 4129 to expand long-term support options. It marks a shift toward greater autonomy for Medicaid-eligible residents within the state's home-based care delivery landscape.
Medicaid-eligible adults or their caregivers should watch for notification letters from the Department of Human Services regarding program participation. If you believe you qualify for these services, consider discussing the eligibility requirements with your primary physician.
The takeaway
The Agency with Choice program provides a new framework for managing in-home care services in Oregon. Residents interested in these support options should keep their contact information updated with the state to ensure they receive relevant program notifications.
Further reading
Learn more about the latest developments in Eldercare.
Live Poll
Do you believe state-sponsored home care programs are improving support for disabled adults in your area?
