Oregon Launched Agency with Choice Home-Care Program
Medicaid-eligible residents can now access state-supported tools to manage and hire their own in-home care providers.
Updated on Oct. 5, 2026 in Eldercare
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The Oregon Department of Human Services and Oregon Health Authority have launched the Agency with Choice program to help residents manage long-term in-home care. This initiative assists Medicaid-eligible adults with the recruitment, training, and supervision of their own care providers.
Why it matters
The program helps families manage long-term care needs by empowering individuals to select and supervise their own support staff. This change aims to better support personal preferences for aging or living with a disability within one's own home.
Authorized by House Bill 4129, the program is available to Medicaid-eligible adults age 60 and older or disabled adults age 18 and older. Eligible individuals will receive official notification letters regarding their status from the Department of Human Services.
The players
Oregon Department of Human Services
A state agency responsible for overseeing social services, including long-term care programs for seniors and adults with disabilities.
Oregon Health Authority
The state body that manages health policy and administers the program for individuals with mental health conditions.
GT Independence
A private contractor selected to provide administrative services and support for the program participants.
The details
Under this model, GT Independence serves as a contractor to facilitate the administrative aspects of home care. Participants take an active role in recruiting, scheduling, and training their own caregivers, allowing for greater autonomy than traditional agency-managed models. This process is supported by state-led administrative oversight and competitive bidding to ensure quality service delivery.
Timeline
October 5, 2026: The program status was officially confirmed.
The Home Front
This program marks a shift toward self-directed care models within Oregon's broader long-term services and support framework. It aligns with increasing state-level efforts to modernize Medicaid delivery systems by prioritizing individual preference in residential care settings.
If you are currently receiving Medicaid, watch your mail for an official notification letter from the Department of Human Services regarding your eligibility. If you receive a letter, consider meeting with family members to discuss whether this self-directed care model fits your home's needs.
The takeaway
This initiative provides a new pathway for managing long-term care while remaining in your own home. Keep an eye on your official mail for the program notification letter, as it will contain the necessary next steps for enrolling in the Agency with Choice program.
Further reading
Learn more about local support options in our Eldercare section.
Live Poll
Do you believe state-sponsored home care programs are improving support for disabled adults in your area?
