Skip to main content

Oregon State Flag An official website of the State of Oregon »

Oregon Health Authority

1915(i) Home and Community-Based Services and Adult Mental Health Residential Services

What Is 1915(i)?

1915(i) Home and Community-Based Services (HCBS) is a state Medicaid plan option. It allows Oregon to use matching federal Medicaid funding for Home-Based Habilitation, Behavioral Habilitation and Psychosocial Rehabilitation services for qualified Medicaid recipients 21 years of age or older who have been diagnosed with a chronic mental illness.

Project History

1915i Home and Community-Based Services Audit Findings

Oregon Administrative Rules for 1915(i) Home and Community-Based Services (Chapter 410, Division 173)

Oregon's Medicaid State Plan

Rate Standardization Project: Webinars, forms and other resources for adult mental health residential facilities

Latest Updates

Submitting claims to apply the fee-for-service rate increase (3/25/2024)

Request for Calendar Year 2022 and 2023 financial data (3/14/2024)

Adult foster home training: Recording and frequently asked questions (3/7/2024)

Fee-for-service rate increase for Medicaid behavioral health services effective October 1, 2023 (2/22/2024)

1915(i) Home and Community-Based Services:

Current

Home-Based Habilitation

Behavioral Habilitation

Psychosocial Rehabilitation

Expanded

Home Delivered Meals

Housing Support Services

Transition Services

Pest Eradication Services

In-Home Personal Care

Community Transportation

How Do I Apply for/Access Services?  

Eligibility

Eligibility for the 1915(i) Home and Community-Based Services is based upon determination that the individual is eligible for Medicaid at the time of review and the individual requires daily assistance, due to mental health needs, with at least (2) two instrumental activities of daily living.

Eligibility determinations must be conducted by an impartial third-party clinical reviewer, an Independent and Qualified Agent (IQA).

Enrolling as a Provider and Providing Services

Provider Qualifications

  • Licensed Qualified Mental Health Professional
  • Certified Behavioral Health Organization
  • Enrolled In-Home Care Agency

How to become a 1915(i) Home and Community-Based Services Provider

More information will be provided soon.

Quick Links

Supports for HCBS Providers: Engagement opportunities and more

Home and Community-Based Services Rules (Chapter 410 Division 173)

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

Questions?

Policy Questions

Email the 1915(i) Policy Team

Provider Services

For services to patients not enrolled in a coordinated care organization for physical health care: 800-336-6016 or email us. Click here for address and telephone contacts.

Provider Enrollment

800-336-6016 or email us