Oregon Project Independence (OPI) is a program for senior Oregon residents or residents with Alzheimer’s or a related disorder. OPI offers participants assistance with their Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs), such as personal hygiene, dressing, eating, transferring/mobility and shopping for essentials.
This program does allow for some consumer direction, meaning that eligible applicants are able to hire the person of their choosing for some services. For instance, relatives, but not spouses, can be paid to provide homecare services. Though it’s important to note they must be qualified to provide the services.
Participants should have income that is below 400% of the federal poverty level (FPL). For 2023, that equates to $4,860 a month. Individuals with income over 400% of the FPL can participate in the program but will pay the full hourly rate of the services provided.
This program is intended to prevent or delay nursing home placement. Services are provided in the home and can include the following:
The copy for services is based on a sliding fee scale and is determined by the income of the participating individual. The participant’s copay ranges from free to 90% of the cost of services. The figures below are accurate for 2023 and are based on the federal poverty level (FPL).
% of FPL |
Yearly Income |
Cost Share |
0-150% |
$0-$21,870 |
0% |
151-175% |
$21,871-$25,515 |
5% |
176-200% |
$25,516-$29,160 |
10% |
201-225% |
$29,161-$32,805 |
20% |
226-250% |
$32,806-$36,450 |
30% |
251-275% |
$36,451-$40,095 |
40% |
276-300% |
$40,096-$43,740 |
50% |
301-325% |
$43,741-$47,385 |
60% |
326-350% |
$47,386-$51,030 |
70% |
351-375% |
$51,031-$54,675 |
80% |
376-400% |
$54,676-$58,320 |
90% |
Those persons whose incomes exceed 400% of the FPL pay the full hourly rate of the service provided. However, medical expenses (health insurance premiums, health care bills, co-payments for prescription drugs, etc.) can be deducted from one’s income, which may effectively lower one’s cost of services.
It should be noted that the full rate for a service purchased through this program is often considerably lower than the rate would be for the same service purchased on the open market directly from a home care provider.
Oregon Project Independence is a program administered by the state’s 17 Area Agencies on Aging (AAAs). To apply, find your local AAA office.
One can also find additional program information on the Oregon Department of Human Services’ website.
Health care costs are 300% higher for persons with Alzheimer's than individuals of similar age without the disease. This doesn't even include the cost of non-medical care and supervision. Learn about other financial assistance for Alzheimer's.