Medicaid offers crucial support for individuals with limited income and resources, particularly when it comes to long-term care needs. In Oregon, this program is known as the Oregon Health Plan, or OHP. OHP is designed to assist eligible individuals in accessing long-term care services, ensuring they receive the necessary support. These services encompass a range of assistance, from help with daily activities to complex health-related tasks, and can be provided in the comfort of one’s home or in a dedicated care facility.
Applying for Medicaid Long-Term Care
To access these vital benefits, Oregon residents can apply through several convenient methods:
- By Phone: Connect with the Aging and Disability Resource Connection (ADRC) at 855-673-2372 for guidance and application assistance.
- Online: Utilize the online application portal at Apply online. You’ll need to set up a ONE Online account to begin your application.
- In Person: Schedule an appointment at your local Benefits office to apply in person and receive personalized support.
Expanding Access: OHP for Immigrants and Non-Citizens
The Healthier Oregon Program has broadened the scope of OHP, making it accessible to more individuals regardless of immigration status. This initiative ensures that all Oregon residents meeting the income eligibility criteria can receive essential Medicaid benefits.
Healthier Oregon Program Healthier Oregon for people with developmental disabilities
Important Notice Regarding Public Charge for Immigrants: Generally, Medicaid benefits are not considered in a public charge test for immigrants. However, it’s important to note that receiving long-term care in a nursing facility or mental health institution could be factored into this assessment. For personalized advice on public benefits and immigration matters, reach out to Oregon Legal Aid at their hotline: 800-520-5292. You can also consult the informative flyer, Know the Facts about Public Charge.
Oregon Project Independence (OPI): Support for Staying at Home
For individuals who need assistance to remain in their homes and do not have Medicaid long-term care benefits, Oregon Project Independence (OPI) offers a valuable alternative. OPI provides services like home-delivered meals, in-home help, personal care, transportation, and respite care.
It’s worth noting that some areas may have a waiting list for OPI services. Priority is given to individuals with the most critical needs who are at risk of losing their independence due to lack of support.
Long-Term Care Insurance: Planning for the Future
Long-term care insurance can be a helpful tool for managing long-term care expenses, but it may not be suitable for everyone. To determine if long-term care insurance aligns with your needs, explore the resources available on the Oregon Insurance Division website.
Medicare and Long-Term Care: Understanding the Coverage
Medicare, the federal health insurance program for individuals 65 and older and certain younger individuals with disabilities, has a specific role in long-term care. While Medicare typically does not cover long-term care, it can assist with expenses related to skilled nursing or home health care required for rehabilitation following qualifying hospital stays.
Visit the federal Medicare website Get free Medicare help
For free Medicare assistance, you can access the services of SHIBA (Senior Health Insurance Benefits Assistance), a program dedicated to helping individuals navigate Medicare benefits.
