Oregon Launched Agency With Choice Home-Care Program
The state initiative helps Medicaid-eligible adults manage in-home care services through a new partnership.
Updated on Oct. 5, 2026 in Eldercare
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Oregon has introduced the Agency with Choice program to support Medicaid-eligible residents in receiving long-term care at home. Administered by state health and human services departments, the initiative assists participants with the recruitment and supervision of their own care providers.
Why it matters
The program was established under Oregon House Bill 4129 to empower individuals with the freedom to select and manage their own long-term support services. By facilitating home-based care, the initiative aims to respect the personal preferences of seniors and adults with disabilities.
The program is open to Medicaid-eligible adults aged 60 and older, as well as adults aged 18 and older living with a disability. Additionally, the Oregon Health Authority provides specific pathways for individuals over 21 with mental health conditions.
The players
Oregon Department of Human Services
This state agency manages social services and public assistance programs for Oregon residents.
Oregon Health Authority
This state department oversees public health, healthcare coverage, and mental health services in Oregon.
GT Independence
This company acts as a contractor providing financial and management services for participant-directed programs.
The details
GT Independence now serves as the program contractor, selected following a competitive bidding process through the OregonBuys platform. Eligible residents are currently receiving notification letters from the Department of Human Services to guide them through the process of scheduling and supervising their chosen care staff.
Timeline
October 5, 2026: Program status was officially reported.
Culture Shift
This program reflects a broader societal move toward self-directed care, allowing individuals to exert more control over their daily living arrangements. It aligns with legislative efforts like Oregon House Bill 4129 to shift long-term care away from institutional settings and toward personalized, home-based models.
Medicaid-eligible residents may now receive direct assistance with the recruitment and training of their own care staff to improve their home life. Participants should watch for official notification letters from the Department of Human Services to determine their specific eligibility for these services.
The takeaway
The Agency with Choice program provides a structured way for Oregonians to manage their long-term care independently. Families should review the correspondence from the state to understand how they can access professional support for scheduling and supervising their personal caregivers.
Further reading
Learn more about support resources for residents by visiting Oregon Eldercare.
Source note: This article includes information reported by KDRV - TV.
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