Oregon
CMS recently approved the expansion of the Oregon Department of Human Services’ program aimed at providing older adults and people with disabilities more options to live independently in their own homes

Eugene, OR – According to the state officials, with this approval, the ODHS Office of Aging and People with Disabilities can introduce a new version of its Oregon Project Independence program, now supported with Medicaid funds. The expansion will initially serve individuals on waiting lists for OPI support, with new applications potentially being accepted as early as spring 2025.
This Centers for Medicare & Medicaid Services approval marks a significant milestone for ODHS as it continues to offer Oregonians more choices through innovative solutions. Launched in Oregon in 1975, OPI was among the first programs of its kind and remains unique nationally.
The new program, Oregon Project Independence – Medicaid (OPI-M), will:
- Provide Medicaid-funded services without estate recovery: This means older adults can receive Medicaid-funded services without their assets being used to cover the cost of services after their death. This change supports ODHS’ goal of ensuring financial stability for families, allowing them to pass down life savings across generations.
- Increase income limits for eligibility: This will allow more individuals to qualify for in-home services and supports, expanding access to essential care.
The expansion of OPI reflects ODHS’ ongoing commitment to providing comprehensive and accessible support for older adults and people with disabilities in Oregon.
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