Oregon · state plan
Consumer-Employed Provider Program (Homecare Workers) in Oregon
In Oregon's Consumer-Employed Provider program, the person who needs care chooses and directs a homecare worker, and the state pays that worker by the hour. Relatives, friends and neighbors can enroll as homecare workers through the Oregon Home Care Commission and be paid for authorized in-home hours.
Also called: CEP · Consumer-Employed Provider · homecare worker program · HCW Oregon · Oregon Home Care Commission
Who do you care for?
Quick facts
- Pay
- $21.25–$25.25/hr
- Adult children & other relatives
- Yes
- Spouse
- Sometimes
- Parent of a minor child
- Not right now
- Waitlist
- none
Who qualifies for Consumer-Employed Provider Program (Homecare Workers)
- Eligible for Oregon Medicaid in-home services through Aging and People with Disabilities (age 65+, or an adult with a physical disability).
- Assessed by a case manager as needing help with activities of daily living.
- Chooses an enrolled homecare worker from the registry or brings their own (such as a relative) who then enrolls.
Who can be paid as the caregiver
- Adult children & other relatives Yes
- adult children, other relatives and friends can enroll as homecare workers.
- Spouse Sometimes
- a spouse is paid only through the Spousal Pay Program rules (OAR 411-030-0080).
- Parent of a minor child Not right now
- this APD program serves adults; children's in-home supports run through separate ODDS programs.
- Living together
- live-in and visiting homecare workers are both allowed.
Who employs the caregiver: The consumer is the employer of record and directs the work; the State of Oregon processes payroll and pays the worker directly.
Spouse rules differ by program — see spouse pay in Oregon.
How much Consumer-Employed Provider Program (Homecare Workers) pays
$21.25–$25.25/hr. The state pays homecare workers the hourly rate set in the 2025–2027 Oregon Home Care Commission / SEIU 503 contract: $21.25–$25.25 in 2026 by step, rising to $23.00–$27.00 in January 2027. (Newer than states.json's $20–$24.10.)
Hours and budget: A case manager sets authorized hours from the needs assessment; the worker can only claim hours actually worked.
Compare with other Oregon programs on the Oregon caregiver pay page, or across states in pay rates by state.
Is there a waitlist?
In-home services under the state plan are not described as capped; no waitlist is published.
How to apply for Consumer-Employed Provider Program (Homecare Workers)
- Call your local APD or AAA office or the ADRC at 1-855-673-2372 to request an in-home services assessment.
- Tell the case manager who you want as your homecare worker.
- The worker applies through the Oregon Home Care Commission, passes a background check and completes orientation.
- Once the worker has a provider number, hours are authorized and the worker submits time for state payroll.
- Oregon Home Care Commission · not published here — see the OHCC site · official site
- ADRC of Oregon · 1-855-673-2372 · official site
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Consumer-Employed Provider Program (Homecare Workers) questions
Can I become my mother's paid homecare worker?
Yes. Adult children and other relatives can enroll as homecare workers with the Oregon Home Care Commission, then be paid for the hours the case manager authorizes.
What is the homecare worker pay rate in Oregon?
Under the 2025–2027 contract it is $21.25 to $25.25 an hour in 2026, depending on experience steps, and $23.00 to $27.00 starting January 2027.
How do pay steps work?
Workers move up one step for every 2,000 hours worked since January 1, 2023, up to five steps.
Who pays me?
The State of Oregon pays homecare workers directly through state payroll, on a published payroll calendar.
How is this different from ICP?
In this program the state pays the worker at the contract rate. In ICP the participant gets a monthly cash benefit and pays the worker themselves.
Sources: sharedsystems.dhsoha.state.or.us · oregon.gov · oregon.public.law · Updated 2026-10-08. Program rules change — always confirm with the program.
Where most Oregon caregivers are
Counties with the most residents aged 65 and older. The rules are the same everywhere in Oregon — pick yours for the local picture.
Across the line
States that border Oregon
Each state writes its own rules, and they differ more than people expect — a spouse who can be paid on one side of the line often cannot be on the other.