Using Medicaid to Cover Services for Elderly Persons in Residential Care Settings: State Policy Maker and Stakeholder Views in Six States. Oregon

12/01/2003

Oregon uses only the waiver program to fund services in residential care settings. Although the Medicaid state plan includes the personal care option, Oregon decided to use the waiver program alone because its specific goal was to reduce nursing home utilization, and persons who meet a nursing home level of care typically need more than personal care.

The state expanded its community long term care infrastructure by focusing initially on the development of adult foster care, and later on assisted living facilities and other non-medical residential settings. Residents in all residential care settings can receive Medicaid waiver services as long as the facilities meet the regulatory requirements for providing these services.

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