Authorizations
How to Become a Medicaid Provider for Home Care
To bill Medicaid for home care you need a state license, a Type 2 NPI, state Medicaid enrollment and screening, waiver or managed care contracts, EVV and authorizations.
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In Oregon, the income limit is $2,982/month and the asset limit is $2,000 single. Oregon's long-term services and supports use an income standard of 300% of the SSI benefit, which is $2,982 a month in 2026, and a resource limit of $2,000 for one person. The home equity limit for long-term care is $752,000. A spouse who stays at home can keep between $32,532 and $162,660 of the couple's resources. Oregon also runs Oregon Project Independence-Medicaid, a separate in-home program with much higher income and asset limits.
| Program | Oregon Medicaid long-term services and supports (in-home services, community-based care and nursing facility care) through Aging and People with Disabilities (APD) |
|---|---|
| Income limit (single applicant) | $2,982/month for a single applicant (300% of SSI) |
| How income is counted | special income limit (300% SSI) |
| Asset limit (single) | $2,000 single |
| Home equity limit | $752,000 |
| Look-back period | 60 months |
Federal spousal impoverishment rules protect part of the couple's income and assets for the spouse who stays home. For 2026 the community spouse can keep between $32,532 and $162,660 in assets, depending on the state.
Once someone is financially eligible, home care is usually paid through a waiver or state plan program. See the Oregon Medicaid waivers that pay for home care.
How to apply in Oregon (Oregon Department of Human Services (ODHS), Aging and People with Disabilities; Oregon Health Authority)
Ask ODHS Aging and People with Disabilities what options exist if your income is above $2,982 a month.
Authorizations
To bill Medicaid for home care you need a state license, a Type 2 NPI, state Medicaid enrollment and screening, waiver or managed care contracts, EVV and authorizations.
Operations
Private pay means higher rates and fast payment; Medicaid means steady volume at state-set rates with authorizations and EVV. Compare rates, cash timing and admin before you mix them.
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