MedicaidAdministrativeLow impact
Notice of intent – OHA will amend the Medicaid State Plan to add the Agency with Choice service delivery model for in-home care and support services
Oregon Health Plan·OR · Family Medicine, Internal Medicine, Geriatrics·Public notice
Effective date
Jan 1, 2026
We identified it
Jun 20, 2026
Summary
Oregon Health Authority is adding a new 'Agency with Choice' service delivery model for Medicaid in-home care services, effective January 1, 2026. This co-employment model allows participants to choose and direct their home care workers while agencies handle administrative tasks like payroll and compliance.
Action Required
By January 1, 2026: Oregon providers serving Medicaid home care patients should familiarize themselves with the new Agency with Choice model for billing and service coordination. Update internal procedures to accommodate this new service delivery option alongside existing traditional agency and personal employment models.