Oregon-specific Medicaid spend-down rules
Oregon administers Medicaid through the Oregon Health Authority (OHA) and the Department of Human Services (ODHS). Long-term care applications for people age 65 and older usually start at ONE.Oregon.gov, by phone at (800) 699-9075, or at a local ODHS office in counties like Multnomah, Marion, and Lane.
OSIPM covers nursing facility care. The K Plan pays for personal care at home, in adult foster homes, and in assisted living when someone would otherwise need a nursing home. Asset tests still follow the same $2,000 resource standard for the applicant in both paths.
Oregon is an income-cap state for nursing facility cases. Families above the $2,982 monthly income cap must assign income through an Income Cap Trust, also called a Qualified Income Trust, with an Oregon trustee. Medical bill stacking does not replace that trust.
Community spouses may keep the greater of the CSRA calculation or certain income protections under spousal impoverishment rules. Oregon uses a home equity cap of $603,000 in 2026 unless a spouse or dependent child still lives in the house.
Burial spaces, one vehicle, and up to $1,500 in a designated burial fund can be excluded if titled correctly. Prepaid funeral contracts follow separate OHA policy memos.
Look-back reviews cover asset transfers made within 60 months before application. Penalty length equals the uncompensated transfer amount divided by the average monthly nursing facility cost published by ODHS.
Families in Bend and Medford follow the same resource test as applicants in Portland and Eugene. K Plan service authorizations vary by region, but the $2,000 asset cap does not.
Common mistake: Assuming Oregon exempts a second home because it is "in the family." Non-homestead real estate counts unless occupied by a spouse or dependent child under OHA rules. Budget property taxes and sale costs before you rely on an appraisal.