Oregon In-Home Support Services / Community First Choice¶
Oregon has a robust consumer-directed care program through Community First Choice (1915k) and an extensive 1115 waiver. In-home care providers (homecare workers) are unionized through SEIU 503. The state offers high pay rates reflecting its strong HCBS infrastructure, and a new 1915(c) waiver in 2025 specifically allows parents of minor children with disabilities to be paid as caregivers.
Oregon's In-Home Support Services and Community First Choice provide consumer-directed personal care services including help with activities of daily living, health maintenance tasks, and homemaker services. Participants hire and manage their own homecare workers. Family members, including spouses, can be hired as paid caregivers. Hourly pay rates range from $18-$22/hr, among the highest in the nation. Homecare workers are unionized through SEIU 503. The program is an entitlement under the state plan with no waitlist. A new 1915(c) waiver in 2025 specifically allows parents of minor children with disabilities to be paid.
Some details for this program are still being verified. Check the official source for the most current information.
Eligibility¶
- Care recipient must have a qualifying disability or need for assistance
- Must be a resident of OR
- Must be Medicaid-eligible
Services¶
Oregon's In-Home Support Services and Community First Choice provide consumer-directed personal care services including help with activities of daily living, health maintenance tasks, and homemaker services. Participants hire and manage their own homecare workers. Family members, including spouses, can be hired as paid caregivers. Hourly pay rates range from $18-$22/hr, among the highest in the nation. Homecare workers are unionized through SEIU 503. The program is an entitlement under the state plan with no waitlist. A new 1915(c) waiver in 2025 specifically allows parents of minor children with disabilities to be paid.
How to apply¶
Visit the official program page for application details.