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Oregon Health Care Association
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Long Term Care Services
and Supports in Oregon
For over three decades, Oregon has been a pioneer in providing long term
care services and supports. Our long term care service providers deliver
thoughtful, person-centered care to elderly Oregonians and people with
disabilities around the state.
The state’s long term care profession has a rich history in providing quality
care and innovative services. The first residential care community in the
United States opened its doors in Oregon in 1985.
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Oregon also became the
first state to apply for a waiver from the Centers for Medicare & Medicaid
(CMS) to offer Medicaid funded services in care settings beyond nursing
facilities. In 1981, Oregon received that waiver to provide Medicaid funded
services in assisted living. Medicaid now offers a variety of alternatives for
people to access the long term care services they need to maintain their
independence and dignity in a healthy and secure way.
Oregon was the first state to widely promote and utilize home and
community-based services (HCBS), a model that encourages individuals to
receive services in their own home or community, instead of a nursing facility.
In order to continue to be a national leader in providing high quality care to
older adults and people with disabilities, it is critical for Oregon to invest in
long term care services and supports over the next decade and beyond.
1. Eiken, S., Sredl, K., Burwell, B. and Saucier, P. (2016)
Medicaid Expenditures for Long-Term Services and Supports
(LTSS) in FY 2014: Managed LTSS Reached 15 Percent of LTSS Spending.
Truven Health Analytics.
2. Reinhard, S., Kassner, E., Houser, A., Ujvari, K., Mollica, R. and Hendrickson, L. (2014)
Raising Expectations—A
State Scorecard on Long-Term Services and Supports for Older Adults, People with Physical Disabilities and Family
Caregivers
. Washington, DC: AARP.
3. United Health Foundation (2016)
America’s Health Ranking
®
Senior Report 2016.
United Health Foundation
May 2016.
4. AHCA/NCAL Research Division (2016)
Summary of Beds (Certification, Specialty) and Occupancy for the Nation
and by State
. Source: CASPER. March 2016.
5. Office of the Inspector General (2013)
Medicare Nursing Home Resident Hospitalization Rates Merit Additional
Monitoring
. Washington, DC: Department of Health and Human Services.
6. Reinhard, S., Kassner, E., Houser, A., Ujvari, K., Mollica, R. and Hendrickson, L. (2014)
Raising Expectations—A
State Scorecard on Long-Term Services and Supports for Older Adults, People with Physical Disabilities and Family
Caregivers
. Washington, DC: AARP.
7. Carder, P., Kohon, J., Limburg, A., Zimam, A., Rushkin, M. and Neal, M. (2016)
Oregon Community-Based Care
Resident and Community Characteristics Report: Assisted Living, Residential Care, and Memory Care
. Portland State
University. Spring 2016.
8. Wilson, K.B. (2007) “Historical Evolution of Assisted Living in the United States, 1979 to the Present.”
The
Gerontologist. 47 (3): pp. 8-22.