www.ohca.com Oregon Health Care Association 15 Direct Care Worker Profile–Oregon NURSING FACILITIES COMMUNITY-BASED CARE IN-HOME CARE ACROSS ALL SETTINGS17 % Female 83% 80% 83% 81% Median Age 43 28 32 37 % w/ Children Under 18 20% 35% 34% 26% % Identify as a Person of Color 23% 35% 31% 31% % w/ Associates Degree or Higher 17% 16% 20% 19% Source: 2022 Paraprofessional Health Institute, 2022. Workforce Projections 29% Growth by 2030 HOME HEALTH AIDES 29% Growth by 2030 PERSONAL CARE WORKERS 15% Growth by 2030 REGISTERED NURSES Home Care and In-Home Care Workforce Nursing Facility Workforce Assisted Living and Residential Care Facility Workforce 17% Men 17% Men 20% Men 83% Women 83% Women 80% Women Medicaid/Medicare Eligibility Payment for long term care services is increasingly covered by public sources—namely Medicaid and Medicare. Medicaid eligibility can be a complicated process. Eligibility for Medicaid-funded long term care services in Oregon is based on a combination of income and asset levels as well as the level of support that one needs to carry out their activities of daily living (ADLs) such as bathing, eating, or dressing or their instrumental activities of daily living (IADLs), including laundry, shopping, and meal preparation. Income and asset thresholds also depend on whether an individual has a spouse, and whether that spouse is also applying for Medicaid services. Eligibility requirements also vary slightly by the type of Medicaid-funded long term care services used by an individual e.g., institutional/nursing home or home and community-based services. Medicare also pays for short duration long term care services provided in skilled nursing facilities under limited circumstances. Specifically, for individuals enrolled in Medicare, the program will pay for up to 100 days of post-acute care following a qualified in-patient hospital stay. Days 1–20 are covered in full. From day 21 to 100, there is a co-payment required. Medicare provides no skilled nursing coverage after 100 days. The costs of care continue to increase especially with record inflation over the past year. This makes access to care far more difficult for thousands of Oregonians just at the time the number of people who may need support is nearing peak levels. The State of Oregon must continue to invest in its Medicaid program and older adults living with long term care services and supports needs to ensure the system can provide care and support to those who need it, when they need it. Source: Paraprofessional Health Institute, 2022.
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