If you or a family member is on the Oregon Health Plan (OHP), the state's Medicaid program, and needs a ramp, grab bars, or other accessibility work, Oregon has a route many other states lack: a Medicaid state plan benefit with no waiver waitlist. OHP is run by the Oregon Health Authority (OHA). Long-term services for older adults and people with physical disabilities are administered separately, by the Oregon Department of Human Services (ODHS) through its Aging and People with Disabilities (APD) program.
What Oregon offers#
Most home and community-based services (HCBS) in Oregon flow through the 1915(k) Community First Choice option, known in the state as the K Plan. Unlike a typical Section 1915(c) waiver, the K Plan is a Medicaid state plan benefit, verified July 2026. Oregon supplements it with the Aged and Physically Disabled Waiver under Section 1915(c) and a 1915(b)(4) case-management waiver, both administered by APD.
Home modifications sit in the K Plan as "environmental modification services," an ancillary benefit under Oregon Administrative Rules (OAR) chapter 411, division 035, verified July 2026. Covered items include ramps, grab bars, doorway widening, electric door openers, raised toilets, lowered counters, non-skid surfaces, and overhead track lifts. Work must generally stay within the home's existing square footage, except for external ramps.
Oregon also runs Oregon Project Independence-Medicaid (OPI-M), a newer in-home option with higher service limits. OPI-M has been described as including home modifications, but program-level detail is thin, so ask your case manager rather than treating it as guaranteed funding. A separate system, run through ODHS's Office of Developmental Disabilities Services, serves people with intellectual and developmental disabilities and does not apply to the APD population described here.
Amounts and eligibility#
APD's published rules under OAR 411-035 do not set a per-modification or annual dollar cap for environmental modification services in the K Plan, verified July 2026. A specific dollar figure attached elsewhere online is likely describing a different program; confirm any figure directly with your case manager.
Financial eligibility follows the special income rule administered under the Oregon Supplemental Income Program-Medical (OSIPM). Countable income must be at or below 300% of the full Supplemental Security Income (SSI) federal benefit rate, or $2,982 per month for a single applicant in 2026, verified July 2026. The resource limit is $2,000; a home and one vehicle are excluded, and spousal impoverishment protections apply for married applicants. Only ODHS or your local eligibility office can determine whether a specific applicant qualifies.
If you rent, expect to sign a landlord agreement before work begins under OAR 411-035-0055, verified July 2026. Oregon does not restore a rental unit afterward, and modifications are one-time services, not part of an ongoing plan of care.
How to apply in Oregon#
To start, contact your local APD or Area Agency on Aging (AAA) office, findable through the ODHS office locator. A case manager will assess your needs, confirm financial eligibility, and authorize the specific modification work through the K Plan.
Because environmental modification services run through the K Plan rather than a capped 1915(c) waiver, Oregon does not publish a waitlist for this benefit, verified July 2026. That is the biggest difference between Oregon's approach and states relying solely on enrollment-capped waivers. Your case manager identifies and arranges a qualified contractor; Oregon's public rules reviewed here did not specify a fixed bid count for this population, so ask your case manager about the current process.
Oregon's Medicaid long-term services are delivered fee-for-service through APD and AAA case management, not managed care, verified July 2026. Coordinated care organizations, Oregon's managed care entities for physical and behavioral health, do not handle long-term services, so your case manager remains the one who authorizes the work.
For general help, contact the Aging and Disability Resource Connection (ADRC) of Oregon at 1-855-673-2372 or adrcoforegon.org. The federal Eldercare Locator, at eldercare.acl.gov or 1-800-677-1116, is a useful fallback.
How it stacks with federal programs#
If the person needing modifications is a veteran, check Department of Veterans Affairs (VA) housing grants alongside Oregon Medicaid; VA-administered programs can fund larger projects and may stack with K Plan services. See our VA home modification grants guide.
Original Medicare does not cover structural home modifications. Some Medicare Advantage plans offer supplemental benefits like grab bars or ramps, but coverage is plan-specific with no standard amount.
Finding a provider who knows this program: Not every contractor has handled K Plan or APD paperwork. Adapta Home USA verifies providers' Medicaid Waiver Billing experience, so you can filter for pros who have done this before. Find Home Modifications & Remodeling providers with Medicaid Waiver Billing experience →
For the bigger picture on combining programs, see our national Medicaid waiver guide and our full guide to paying for home modifications.
FAQ#
Does the Oregon Health Plan pay for home modifications like ramps or grab bars?#
Yes. Oregon covers environmental modification services, including ramps, grab bars, doorway widening, and similar accessibility work, through the K Plan for eligible older adults and people with physical disabilities, verified July 2026.
What is Oregon's K Plan (Community First Choice) and is there a waiting list?#
The K Plan is Oregon's name for the 1915(k) Community First Choice option, a Medicaid state plan benefit rather than a capped waiver. Because it is a state plan benefit, Oregon does not publish a waitlist for it, verified July 2026, unlike some other Medicaid long-term care programs.
How do I apply for home modifications through my local APD or Area Agency on Aging office?#
Contact the APD or AAA office serving your county, findable through the ODHS office locator. A case manager will assess your needs and, if you're eligible, authorize the specific modification work.
What are the income and asset limits for Oregon Medicaid long-term services in 2026?#
Under OSIPM rules, countable income must be at or below 300% of the SSI federal benefit rate, or $2,982 per month for a single applicant in 2026. The resource limit is $2,000, with a home and one vehicle excluded, verified July 2026.
Find a verified provider near you#
Adapta Home USA's directory lets you search Home Modifications & Remodeling providers by state and filter for Medicaid Waiver Billing experience. Our wheelchair ramp cost guide and accessible bathroom remodel cost guide can help you budget while your application is reviewed.
This article is for general educational purposes only and does not constitute medical, legal, or financial advice. Consult a qualified professional about your specific situation.
Program amounts, eligibility rules, and application procedures change. Figures on this page were verified against official government sources on the date shown, but you should confirm current details at VA.gov or with the administering agency before making decisions. Adapta Home USA is not affiliated with the U.S. Department of Veterans Affairs or any government agency.