Medicaid Provider Enrollment Overview

Oregon offers 4 Medicaid waiver programs for home care agencies. The state Medicaid program is administered by Oregon Health Authority - Health Systems Division. Currently, Oregon is actively enrolling new home care providers.

The average enrollment timeline is 60-90 days from initial application to receiving your first client. With medium demand for home care services, Oregon represents a solid opportunity for agencies looking to serve Medicaid clients.

Oregon Medicaid Waiver Programs

Home care agencies in Oregon can enroll in the following waiver programs. Each program serves different populations and has specific service requirements.

1

Oregon Project Independence

State Plan Waiver

Services for seniors

2

K Plan (Community First Choice)

1915(k) Waiver

Personal care services

3

ODDS Comprehensive Services

1915(c) Waiver

DD comprehensive waiver

4

ODDS Support Services

1915(c) Waiver

DD support services

Oregon Provider Requirements

To become a Medicaid provider in Oregon, your home care agency must meet the following requirements:

  • Oregon business registration
  • In-Home Care Agency license from DHS
  • Criminal background checks
  • Professional liability insurance
  • ODHS provider standards
  • Quality assurance program

Step-by-Step Enrollment Process

Follow these steps to enroll as a Medicaid waiver provider in Oregon:

1

Obtain Oregon in-home care agency license

2

Apply for NPI

3

Complete ODHS Provider Enrollment

4

Register in MMIS

5

Contract with CCOs

6

Complete required training