ADULT FAMILY HOME SERVICES PROVIDER IN OREGON

Fatumata Kaba
Oct 6
4 min read

PROVIDING PERSONALIZED, ROUND-THE-CLOCK SUPPORT IN A SAFE, FAMILY-LIKE ENVIRONMENT FOR ADULTS WITH DISABILITIES OR AGE-RELATED NEEDS

Adult Family Home Services in Oregon offer Medicaid-funded residential support in a small, community-based home setting for adults with intellectual and developmental disabilities (IDD), physical disabilities, or age-related conditions. These services are delivered by certified providers in their own homes or designated residences, offering an alternative to institutional care. Services are designed to promote independence, inclusion, and health while maintaining a nurturing, family-like atmosphere. Adult Family Homes are authorized under Oregon’s HCBS Waivers and the K Plan (1915(k)) through the Oregon Health Plan (OHP).

1. GOVERNING AGENCIES

Agency: Oregon Department of Human Services (ODHS) – Aging and People with Disabilities (APD), Developmental Disabilities Services (DDS)

Role: Certifies and oversees Adult Family Homes through local APD offices and Community Developmental Disabilities Programs (CDDPs).

Agency: Oregon Health Authority (OHA)

Role: Administers the Oregon Health Plan and Medicaid enrollment systems.

Agency: Centers for Medicare & Medicaid Services (CMS)

Role: Ensures Medicaid-funded residential services meet federal HCBS requirements.

Agency: Oregon Secretary of State (SOS)

Role: Handles legal registration of provider entities operating in Oregon.

2. ADULT FAMILY HOME SERVICES OVERVIEW

These services offer 24/7 individualized care, supervision, and skill-building in a home with one or more residents, typically limited to five or fewer individuals per home.

Approved providers may deliver:

Personal Care Support: Assistance with bathing, dressing, grooming, eating, and toileting.
Medication Administration: Prompting, administering, and documenting medication use.
Meal Preparation & Nutrition: Planning, cooking, and accommodating special dietary needs.
Health Monitoring: Observing health changes and coordinating with healthcare providers.
Community Engagement: Supporting access to community events, religious services, or day programs.
Habilitation & Skill Development: Teaching daily living skills and supporting behavioral goals.
Documentation: Daily notes, incident logs, ISP tracking, and Medicaid billing records.

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

Be at least 21 years old and reside in Oregon.
Complete required training through ODHS or DDS, depending on the target population.
Submit an application for Adult Foster Home or Host Home certification.
Pass a background check and home inspection.
Maintain general liability and homeowners/renters insurance.
Develop a Resident Care and Services Policy & Procedure Manual aligned with state and federal standards.

For Host Homes (serving IDD clients), additional requirements may include enhanced behavior training and coordination with Support Service Brokerages.

4. OREGON PROVIDER ENROLLMENT PROCESS

Step 1: Register your business entity with the Oregon Secretary of State (if billing Medicaid as a business).

Step 2: Complete the Adult Foster Home or Host Home application through ODHS or DDS.

Step 3: Undergo pre-service training, background checks, and CPR/First Aid certification.

Step 4: Pass home inspection and environmental safety review.

Step 5: Receive certification and begin receiving client referrals from case managers or brokerages.

5. REQUIRED DOCUMENTATION

Completed ODHS Adult Foster Home or DDS Host Home application
CPR/First Aid and pre-service training certificates
Insurance policies (homeowner/renter and liability)
Background check clearance
Resident Care and Services Policy & Procedure Manual, including:
- Daily routines and support protocols
- Medication administration and health tracking
- Menu planning and special diet accommodation
- Fire safety and emergency evacuation plans
- Documentation forms (logs, shift notes, incident reports)
- Client rights and grievance processes
- Infection control and universal precautions
- Billing forms and Medicaid service tracking

6. STAFFING REQUIREMENTS

Role: Adult Family Home Provider

Requirements: Must reside in or oversee the home; complete all required training and certifications.

Role: Alternate Caregiver / Backup Staff (if applicable)

Requirements: Approved by ODHS or DDS; background checked; trained in core care tasks.

All staff or household members age 18+ must complete:

Background checks and abuse prevention training
HIPAA and client confidentiality education
Training in resident rights and person-centered care
Emergency response and fire safety planning

7. MEDICAID WAIVER PROGRAMS

Adult Family Home Services in Oregon are supported through:

APD HCBS Waivers: For older adults and individuals with physical disabilities needing 24-hour residential care.
K Plan (1915(k)): Covers in-home and residential supports for individuals with ADL/IADL needs.
Comprehensive Waiver (IDD): Includes Host Home settings for individuals with intellectual or developmental disabilities.
Support Services Waiver (IDD): Can support individuals receiving Host Home services through brokerages.
Children’s Waiver Programs: In specific cases, foster-style care for youth aging into adult services.