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States · Oregon

Oregon EVV and Medicaid home care, in plain words.

Oregon is different: long-term home care is run by the Department of Human Services, mostly outside the regional health plans.

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Oregon at a glance

EVV, Medicaid and billing in Oregon.

Medicaid agencyOregon Health Authority (OHA, Oregon Health Plan). Oregon Department of Human Services (ODHS) runs long-term services: Aging and People with Disabilities (APD) and the Office of Developmental Disabilities Services (ODDS).
EVV modelMixed by provider type: individual homecare workers and personal support workers use the state-built eXPRS Mobile EVV; agencies use their own Cures Act–compliant EVV system (DD agencies upload data into eXPRS or use eXPRS Mobile EVV; APD in-home care agencies report monthly and bill through MMIS).
State EVV systemeXPRS (Express Payment and Reporting System), Oregon’s state-built system, for individual workers and DD agency billing. APD in-home care agencies submit a monthly EVV report to ODHS rather than to a third-party aggregator.
Your own EVV vendor allowed?Yes for agencies. DD agencies may use their own system and import a defined CSV into eXPRS (Agency SD Import) or use eXPRS Mobile EVV. APD in-home care agencies must use an EVV system that meets section 12006 of the Cures Act (OAR 411-033-0030) and attest monthly that claims met EVV rules.
Services that need EVVAttendant care and state plan personal care (e.g., OR526, OR502 for ODDS), APD in-home agency personal care, and home health (OHA required home health EVV by January 2023).
Where you billOHA MMIS (provider web portal) for APD in-home care agency claims; eXPRS for ODDS services and individual homecare worker payments.

Dates that matter: APD in-home care agency EVV rule effective 28 Mar 2024 (OAR 411-033). Home health EVV required by January 2023. ODDS agency SD Import from 1 Jan 2020.

Licensing: In-home care agency license from OHA Public Health Division (Health Care Regulation and Quality Improvement); home health agencies licensed separately. APD and ODDS also require a provider contract/enrollment.

Managed care: Coordinated Care Organizations (CCOs) cover physical and behavioral health, but APD/ODDS long-term services and supports are largely carved out and paid fee-for-service through ODHS/OHA.

Programs that pay for care at home

Same rules, same tangle

In Oregon, the visit still gets typed four more times.

The caregiver taps in. The visit goes to eXPRS. Then someone in your office carries it by hand into payroll, into billing, into the chart, and to the family on the phone. Every carry is a chance for the numbers to drift. When they do, Oregon denies the claim, and you find out weeks later. That is Tangleware™: good tools, and an owner in the middle.

How one tap at the door runs the whole agencyThe mechanism, the nine agents, and Cary®

CareBravo® in Oregon

Running an agency in Oregon? Tell us.

CareBravo works with the EVV systems states use, including Sandata, HHAeXchange and Netsmart. Each state approves its own connection, and each program has its own rules, so we confirm what is in place for Oregon and your programs before you switch anything. If we are not running in Oregon yet, we will make you an offer to start now while we build it.

Run the Calculator, or ask for the demo and tell us your state.

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Five promises, written like promises.

  1. Nothing stops. Your current system keeps running while CareBravo runs beside it for two weeks on your real data. The Parallel Promise™
  2. 99%, in writing. On Managed Billing, at least 99% of your claims go out without a mistake we caused. If we make one, we fix it free. We cannot promise what a payer decides. Read the guarantee
  3. The floor, stated up front: $250 a month, no seats, no per-user fees, no implementation fee — and corrections never billed twice.
  4. Thirty days’ notice, either way.
  5. Nobody calls unless you ask.

What Oregon owners ask.

Do Oregon agencies have to use eXPRS for EVV?

Not always. Developmental disability agencies can use their own EVV system and upload the data into eXPRS, or use eXPRS Mobile EVV. APD in-home care agencies use their own compliant EVV system, send a monthly EVV report to ODHS, and bill through the state’s MMIS.

What does the APD monthly EVV report include?

Under the March 2024 rule (OAR 411-033-0030), you send ODHS a monthly report about your EVV visits, including an attestation that all claims you submitted met EVV requirements. Keep your EVV records ready for review, since the attestation is signed by you.

Do CCOs pay for in-home personal care?

Mostly no. CCOs cover medical and behavioral health. In-home long-term services for older adults, people with disabilities and people with developmental disabilities are authorized by ODHS case managers and paid through state systems, either the MMIS or eXPRS depending on the program.

What license do I need?

An in-home care agency license from the Oregon Health Authority’s Public Health Division. To serve Medicaid clients you also need the right ODHS contract or enrollment for APD or ODDS services. Home health agencies hold a separate license, so check which one fits the services you offer.

Sources for this guide

Checked 28 Oct 2026. State rules change. Confirm with the Oregon Health Authority (OHA, Oregon Health Plan). Oregon Department of Human Services (ODHS) runs long-term services: Aging and People with Disabilities (APD) and the Office of Developmental Disabilities Services (ODDS). before you act.

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Find out what the tangle costs your agency.

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We email you the highlights the moment you ask. No call. Nobody calls unless you ask.

See What’s Draining Your Agency →View the demo