OHCA 2018 Report

www.ohca.com Oregon Health Care Association 16 Private Pay vs Medicaid Rates MONTHLY PRIVATE PAY RATES MONTHLY MEDICAID SERVICE RATES MEDICAID SHORTFALLS ASSISTED LIVING Median Rate — $4,070 Level 1 — $1,243 70% Level 2 — $1,541 62% Level 3 — $1,933 53% Level 4 — $2,428 40% Level 5 — $2,922 28% MEMORY CARE Average — $4,063 $3,870 28% Source: Genworth Financial (2017) Genworth Financial Cost of Care Survey, 2017; Carder, P., Tunalilar, O., Elliott S., & Dys, S., (2018). Resident and Community Characteristics Report on Assisted Living, Residential Care, Memory Care. Portland, OR: Portland State University. Institute on Aging ; Oregon DHS, APD Provider Rate Schedule, Effective July 1, 2018. Medicaid Long Term Care Clients by Care Setting 29 Source: Oregon DHS | OHA Office of Forecasting, Research & Analysis (2018). Monthly Caseload Variance Report. Department of Human Services, Adults and People with Disabilities. August 2018. 858 18,742 4,398 4,221 2,535 2,262 1,857 In-Home Care 53.7% Skilled Nursing  12.6% Assisted Living 12.1% Adult Foster Care 7.3% Memory Care 6.5% Other 5.3% Residential Care 2.5%