Oregon System Updates
General Oregon updates and resources related to I/DD referrals, residential services, adult foster homes, APD, mental health adult foster homes, and behavioral health policy.
Oregon Newsroom
Oregon Governor's Office lists this official update related to behavioral health. Review the source for the full details and effective dates.
Changes in Oregon rules, rates, licensing, referrals, or workforce policy can affect access to residential and community-based support.
Oregon Newsroom
Oregon Governor's Office lists this official update related to behavioral health. Review the source for the full details and effective dates.
Changes in Oregon rules, rates, licensing, referrals, or workforce policy can affect access to residential and community-based support.
Referral Resource
Oregon's Office of Developmental Disabilities Services has a residential referral worker guide for adults and children in I/DD services. It is written for Designated Referral Contacts, Services Coordinators, Personal Agents, and other non-provider roles involved in residential referrals.
The guide is useful for understanding how referrals, residential transitions, non-I/DD residential options, nursing facility discharges, and out-of-state referrals are supposed to be coordinated.
I/DD Services
ODHS explains that Community Developmental Disabilities Programs determine I/DD eligibility and help people apply for services. Adult services can include service coordination, employment supports, in-home supports, 24-hour residential supports, supported living, and adult foster homes.
For residential referrals, ODHS notes that services coordinators can help people find a program or home that fits their needs and may use provider profiles, vacancy listings, and screening tools.
APD - January 1, 2026
ODHS says a new model for calculating rates paid to APD-licensed Adult Foster Home operators goes into effect on January 1, 2026. The model is intended to base rates on residents' needs and align APD adult foster home reimbursement more closely with other state programs.
This matters for Oregon's adult foster home landscape because rate stability affects provider capacity, staffing, and the availability of home-like residential settings.
APD / ODDS / OHA - 2026
Oregon's Agency with Choice initiative is a new option for people receiving long-term services and supports. ODHS says the model will be available through APD and ODDS, and HB 4129 also included people with behavioral health needs served by OHA.
Agency with Choice does not replace residential referrals, but it is relevant to placement planning because it may give some people more support options before, after, or instead of a residential move.
Mental Health Adult Foster Homes
Oregon Health Authority licenses mental health adult foster homes for adults with qualifying mental health conditions. OHA describes these homes as single-family residences that provide housing, services, daily living assistance, care coordination, medication support, transportation, and monitoring of health or behavior needs.
OHA also notes a growing need for adult foster homes across Oregon, with some counties having few or no homes available to meet community needs.