Public comment sought on updates to two Medicaid-funded aging and disability services

The Oregon Department of Human Services' (ODHS) seeks public comment on proposed changes to two Medicaid-funded services.

These amendments will allow ODHS to implement an Agency with Choice service option for in-home consumers and will update the APD rate methodology for Adult Foster Homes and Residential Care Facilities. These amendments are proposed with an effective date of Jan. 1, 2026.

More information, including the public notice, amendment summary and available drafts of the proposed amendments, are posted on the APD website.

How to comment:

To submit feedback and comments, the public may take one of the following actions:

1. Send an email to [email protected]
2. Send written comments addressed to Oregon Department of Human Services, Attn: Beth Jackson, 500 Summer Street NE, Salem, OR 97301.
3. Send a fax to 503-947-4245, Attn: Beth Jackson

Deadline: To be considered, feedback must be received by Sept. 1, 2025.

About the amendments

• APD was directed by House Bill 4129 (2024) to create an Agency with Choice (AwC) service model for in-home service options. This model will be added to APD's in-home service options in Jan. 2026. The detailed requirements for AwC will be in Oregon Administrative Rules. The 1915(k) language will be amended to reference those rules. The 1915(k) will also include a description of how the AwC rates will be developed. Because HB 4129 limits the number of AwC providers to two, APD will specify that limit in the 1915(k). APD will also add AwC to APD's 1915(b)(4) for case management services.
  
• APD is also proposing a new way to calculate rates for APD Adult Foster Homes and Residential Care Facilities. The rate methodology for these providers was created in the 1980s and no longer captures the complexity of individuals served in these settings. The new rate methodology will more accurately account for individuals' needs. The 1915(k) will define the methodology and provider requirements.