Payment Options

Residents in an Adult Care Home pay using their own funds (private pay), long term care insurance (private insurance) or receive assistance in paying a portion of the payment from the Medicaid program (public medical benefits).

Private Pay rates are negotiable, determined by the individual operators, and start at about $2,500 month and reach upwards of $4,000 per month. That rate includes room, meals, services, care and assistance with dressing, bathing, toileting, eating, and mobility (which includes getting out of bed or a chair.) An Operator may increase the rate with a 30 day notice if a resident's care needs increase. All provisions of payment and care should be outlined in a wriiten contract. Make sure the contract states that the home will accept Medicaid, if needed.

Medicaid helps to pay for care for those who qualify in a variety of care settings, including an Adult Care Home. The person needing care must qualify financially, and must also have their care needs assessed. If you or someone you know is age 65 or older or is 18 or older and has a disability, you may call the Aging and Disability Services Helpline for more information at 503-988-3646. You may also click on the link below for more information about the Medicaid program in Multnomah County. You may also click here for more information about the Medicaid program in Multnomah County.

The ADS helpline can also provide Options Counseling which helps identify long term care needs, provides information about different care settings, and provides advice on how to preserve financial resources. This service is available at your own expense through private agencies certified by the State, or at no charge from Multnomah County Department of County Human Services, Aging and Disability Services. To arrange for Options Counseling or to receive information about private agencies in your area, contact the Aging and Disability Services Helpline at 503-988-3646.

If you need help paying for services for persons who are Developmentally Disabled (DD), please contact Multnomah County Developmental Disabilities Services Division at 503-988-3658 or click here.

If you are looking for help paying for services for a person who is Mentally and Emotionally Disabled (MED), please contact Multnomah County Adult Mental Health at 503-988-5464; press "0" for reception, and ask to speak to the Mental Health Residential Worker of the Day, or click here.