There are
two types of OPI programs that help adults stay in their homes.
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OPI is for people who don't have Medicaid long-term care. It's funded by the state. You pay part of the cost for services.
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OPI-M is for people with limited income and resources. It's funded by Medicaid. Services are free if you qualify.
About OPI
- For adults who need help to stay in their home and who
don't have Medicaid long-term care benefits.
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No income or asset limits.
- You pay for part of your services based on your income (sliding scale).
- Some areas have a waiting list. People with the highest need who don't have enough support to stay at home are helped first.
Services
OPI provides in-home services. This may include personal care, housekeeping, home-delivered meals, transportation and support for unpaid family caregivers.
Cost
With OPI, you pay a portion of the cost based on a
sliding scale.
How to apply
Call or visit your local Aging and People with Disabilities (APD) or Area Agency on Aging (AAA) office.
Find an office near youLearn more about OPI
About OPI-M (Medicaid-funded OPI)
- For adults who need help to stay in their home and who have
limited income and resources.
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Income and asset limits are higher than regular Medicaid/OHP, so more people qualify.
- You can earn up to
$5,217 per month (for one person in 2025). This is 400% of the Federal Poverty Level.
- Your combined savings and assets can be up to $94,523 (for 2025). This is based on the amount the state pays for six months of care in a nursing facility.
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Services are free if you qualify.
- Some people with
Medicaid/OHP can also get OPI-M.
Services
OPI-M provides in-home services. This may include personal care, housekeeping, meal preparation, home delivered meals, chore services, adult day services, assistive technology, home modifications and support for unpaid family caregivers.
Cost
OPI-M is free if you qualify. There is
no estate recovery, so nothing has to be paid back later.
How to apply
Call or visit your local Aging and People with Disabilities (APD) or Area Agency on Aging (AAA) office.
Find an office near youLearn more about OPI