Oregon
Independent Choices Program / Consumer-Employed Provider (ICP / CEP)
Self-directed care programs in Oregon that let you choose your own personal assistant or pay a family member as your caregiver.
Independent Choices Program / Consumer-Employed Provider
Wait: Limited slotsPA Hourly Rate
$21.25 - $25.25
per hour
Monthly Benefit
$1,500 - $4,200
estimated range
What You Can & Can't Do
What You Can Do
- Hire your spouse or family members as paid providers
- Choose between ICP (cash benefit) and CEP (employer model)
- Set your own care schedule
- Receive among the highest caregiver pay rates nationally
- Access union benefits for your providers
- Receive personal care, housekeeping, and health-related tasks
What You Can't Do
- Use funds for room, board, or rent
- Exceed your authorized service hours or budget
- Hire a provider who fails background check requirements
- Receive services in an institutional setting
- Use funds for skilled nursing procedures
- Skip required provider training within 90 days
How to Apply
Apply for Oregon Medicaid (OHP)
Ensure coverage through the Oregon Health Plan at (800) 699-9075.
Contact Aging & Disability Services
Call (800) 282-8096 or your local APD/AAA office for a referral.
Complete needs assessment
A case manager evaluates your functional needs and determines your service level.
Choose self-directed option
Elect either ICP or CEP as your service delivery model.
Develop service plan
Work with your case manager to create your care plan.
Hire your provider
Recruit and select your personal care provider.
Provider enrollment and training
Provider completes background check, enrolls with FI, and begins required training within 90 days.
PA Documents & Requirements
What your personal assistant needs to get started in Oregon
Government-issued photo ID
Valid identification
Social Security card
For employment
W-4 tax withholding form
Tax withholding
I-9 Employment Eligibility
Work authorization
Oregon criminal background check
Oregon State Police background check
Home Care Worker training
Must complete within 90 days of hire (18 hours)
Direct deposit form
Banking information for payroll
Frequently Asked Questions
What self-directed programs does Oregon offer?
Oregon offers the Independent Choices Program (ICP) and Consumer-Employed Provider (CEP) options, both allowing you to hire and manage your own personal care workers.
Can my spouse be my caregiver in Oregon?
Yes. Oregon allows spouses to serve as paid personal care workers.
What's the pay rate?
Rates range from $21.25 to $25.25 per hour, among the highest in the nation. Rates are negotiated through the union (SEIU 503).
Is there a waitlist?
Oregon has limited slots for some waiver programs. Availability varies by program and region.
What training do providers need?
Providers must complete a background check and may need to complete Oregon's Home Care Worker training requirements within the first 90 days of employment.
What is ICP vs CEP?
ICP provides a monthly cash benefit you manage yourself. CEP lets you hire a provider directly who is then employed through a fiscal intermediary. Both give you control over your care.
Ready to check your eligibility?
Answer a few questions and we'll tell you if you qualify for Oregon's ICP / CEP program.