A lot depends on the population you serve: Developmental Disabilities; Aging and People with Disabilities; or Mental Health and Addictions whether you are able to attract private pay residents, or are relying on Medicaid compensation.

Private Pay

There are two payment options. One option is private pay, where the resident has a contract with you to pay a certain amount of money each month in return for specific care and services. Private pay rates are negotiable, and based on the services you provide, and what other private pay homes charge.


Aging and People with Disabilities

The other option is Medicaid. Rates for homes serving older adults and adults with disabilities (not developmental disabilities or mental health and addictions) currently range from $1800 to $2527 per month. An electronic assessment of care needs completed by the resident’s Medicaid case manager calculates the total amount to be paid by Medicaid for a resident’s care.

Developmental Disabilities

For Developmental Disability homes, the standard Medicaid rate is between $2000 and $3000 a month. A standardized calculation tool is used to determine payment.

Mental Health and Addictions

Mental Health homes receive a lower Medicaid rate than either Aging and People with Disabilities or Developmental Disability homes because the residents are relatively independent. The Multnomah County Mental Health and Addictions Services Division seldom has a need for additional homes.