Oregon Project Independence

Program Description

Oregon Project Independence (OPI) is a statewide program designed for non-Medicaid eligible, elderly, Oregon residents and individuals that have been diagnosed with Alzheimer’s or a related condition. This program provides participants with supervision in their homes, as well as assistance with their Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs), which includes mobility, grooming, preparation of food, shopping for essentials, and more.

The goals of Oregon Project Independence are to:

  1. Promote quality of life and independent living among older adults and people with physical disabilities;
  2. Provide preventive and long-term care services to eligible individuals to reduce the risk for institutionalization and promote self-determination;
  3. Provide services to frail and vulnerable adults who are lacking or have limited access to other long-term care services; and
  4. Optimize eligible individuals’ personal resources and natural supports.


Eligibility Guidelines

  • Must be at least 60 years old
  • OR if under the age of 60, one must have a diagnosis of Alzheimer’s or related dementia, including Multi-Infarct Dementia (MID), Parkinson’s Disease, Normal Pressure Hydrocephalus (NPH), Huntington’s Disease, Creutzfeldt-Jakob Disease, Pick’s Disease, Wilson’s Disease, Progressive Supranuclear Palsy, and inoperable brain tumors. In addition, because of the cognitive deficits that can be related to Multiple Sclerosis, this diagnosis is also included.
  • Must be an Oregon resident
  • Must require the level of care typically provided in a nursing home
  • Cannot reside in a nursing home, assisted living community, residential care facility, or adult foster home.
  • Cannot be eligible for receiving services through Oregon Medicaid


Benefits and Services

This program is intended to reduce Medicaid funded, nursing home placements for the elderly, as well as individuals with Alzheimer’s. Therefore, services are provided to individuals in their homes with the goal of increasing or maintaining the beneficiary’s independence. Services may include the following:

  • Assistive Technology, such as walkers and wheelchairs
  • Case Management – Options Counseling, Information and Assistance
  • Personal Care – assistance with activities of daily living (bathing, dressing, personal hygiene, etc.)
  • Home Care – meal preparation, minor housekeeping, grocery shopping
  • Meal Delivery
  • Respite Care – In-home and Out-of-home
  • Transportation Assistance


Hourly OPI co-payments are based on the State’s Sliding Fee Scale. Co-payments are determined by a client’s Gross Income after approved medical deductions are removed (Adjusted Gross Income).  Many clients are not charged a co-payment.

To apply, contact your local Senior Center.  The Care Coordinator will conduct a Risk Assessment and an In-Home Assessment.