Home and Community-Based Services

What Are Home and Community-Based Services?

Home and Community-Based Services (HCBS) are Medicaid-funded services for people living in their home or community instead of a facility, like a hospital. Oregon Health Authority provides these services through a state plan option called 1915(i). These services are available for adults ages 21 and over and help people with long-term mental health challenges live better on their own.

This page is for people, caregivers, guardians, and families who need support services, as well as for providers. Here, you will find answers to common questions, learn about services and how to access them, find relevant provider information, and more.

The services and supports offered through HCBS are provided to eligible consumers based on their person-centered service plan. The services include:

Community-Based Integrated Supports

To learn social skills and live better in the community.

Transition Services

To move from a facility to a home in the community.

Psychosocial Rehabilitation

To learn or regain skills needed to live and work in their communities.

In-Home Personal Care

Help with bathing, dressing, grocery shopping and taking medicine.

Residential Rehabilitation

Support and training at home to develop skills to live independently.

Home-Based Habilitation

To learn skills like getting around town, handling money, and taking care of themselves.

Housing Support Services

To find a place to live and solve challenges during the process.

Pest Eradication Services

Getting rid of pests like ants, termites and more. (Not currently available)

Community Transportation

Travel to appointments and community activities.

Home-Delivered Meals

Delivering meals to people at home. (Not currently available)

Learn How People Can Apply for Services

Click the button that most relates to you:

For individuals, families, caregivers and guardians

For providers

Latest Updates

Dashboard: Total Number of Recipients Receiving 1915(i) Home and Community-Based Services by Year (1/3/2025)

Reports

IQA contract audit findings

Independent and Qualified Agent Contract audit progress report (December 2023)

Independent and Qualified Agent Contract audit progress report (March 2024)

Oregon Health Authority – Home and Community-Based Services

Oregon Department of Human Services – Home and Community Based Services website

Apply for Oregon Health Plan (OHP)

Find coordinated care organizations (CCOs)

Learn about Oregon's State Medicaid Plan

Understand “Activities of Daily Living" (ADLs) and “Instrumental Activities of Daily Living" (IADLs)

Contact Us

Do you have questions about Home and Community-Based Services? Email us at 1915i.MedicaidPolicy@odhsoha.oregon.gov.

Thank you for visiting the Home and Community-Based Services pages. The HCBS pages are work in progress, with updates coming soon! If you have any feedback, please email Molly.TAYLOR@oha.oregon.gov. We look forward to hearing from you!