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Oregon’s new Medicaid rental assistance aims to prevent homelessness

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Oregon’s new Medicaid rental assistance aims to prevent homelessness


Beginning Nov. 1, Oregon’s Medicaid program takes on a new approach to improving overall health via housing benefits.

Qualifying Oregon Health Plan members will be eligible for six months of rent payments, including missed payments. Those receiving rental support also can apply for six months of storage and/or utilities assistance. And the Oregon Health Plan will provide tenant support like help understanding a lease or navigating transportation systems.

To qualify, an individual must be an OHP member who meets designated income requirements and does not have the resources to prevent homelessness, has a qualifying health condition and an existing lease.

In Salem, for example, an individual must make $19,200 or less to qualify, or 30% of the area’s average yearly income, which is defined by the U.S. Department of Housing and Urban Development as one of the markers someone is at risk of homelessness. For a family of four, the maximum income is $27,400.

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Members also can be covered for medically necessary home improvements, such as adding wheelchair ramps or pest removal, and the costs of associated lodging during work on the project. These benefits have different requirements than the rental and tenant assistance programs. More information on how to qualify can be found on the Oregon Health Authority website.

Other states have begun implementing similar programs but, “we’re the first in the country to test out the structure of this being a benefit, meaning that eligible members are entitled to receive these benefits,” according to Steph Jarem, OHA 1115 waiver policy director.

Dave Baden, OHP’s deputy director for policy and programs, emphasized the purpose of the program is to keep people at risk of homelessness in their current housing.

“It really is focusing on trying to keep those most at risk still housed, hopefully leading to them being able to have some short-term help that would lead them to some better long-term outcomes,” Baden said during a media briefing. “Preventing people from becoming homeless really is about expanding preventive services.”

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The rental assistance is just one piece of Oregon’s current 1115 waiver, which lets states ask the federal government for permission to try new things with Medicaid. The current waiver began in October 1, 2022 and will continue until September 30, 2027 when it can be changed or continued for another five-year period.

“The 1115 more broadly is meant to be a demonstration to show that new innovative things can happen in the Medicaid program. … It’s an opportunity for states to lead with new innovative ideas to address and improve health for the people that the Medicaid program serves,” said Oregon Medicaid Director Emma Sandoe.

Oregon implements different programs under its Medicaid waiver

The current waiver implemented several programs.

One aspect of the waivers is intended to address health-related social needs, which housing falls under. Also included are outreach and engagement, climate and nutrition. Benefits addressing these needs already are in place, except the nutrition assistance which will start in January.

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Oregon has a maximum of $904 million in federal funding to spend on the current waivers’ health-related social needs benefits. As part of the deal, the state must contribute at least $71 million.

An additional $119 million was set aside for Community Capacity Building Funds, $38 million of which already has been distributed based on total enrollment to Coordinated Care Organizations around the state. These organizations oversee local Medicaid services and providers.

More of the funding will be given out next year. The grants “will be invested in infrastructure to be able to deliver on the waiver program and benefits,” according to PacificSource vice president of Medicaid programs Erin Fair Taylor. PacificSource is the Coordinated Care Organization for four regions in the state.

More than $3.8 million was granted to PacificSource Marion/Polk with $244,000 set aside for the Salem Housing Authority.

The housing authority plans to use the funds “to provide housing support services, including case management to address landlord/tenant conflicts, referrals to community resources, and financial support,” said spokesperson Sarah Murray.

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“We also have been talking quite extensively with our local housing providers and collectively they have been sharing that preventing homelessness is more cost effective than helping families in a shelter find housing,” Jarem said.

“Helping families move from that homelessness space into housing can cost about $15,000 on average per household, and that would be compared to about $3,000 on average per household to prevent homelessness in the first place,” she said.

Applications for rental assistance through the Oregon Health Plan open Nov. 1

OHP members can apply for many of the new benefits. They will be eligible one time to receive the six months of rent assistance until the trial period ends in 2027.

Jarem said other benefits, such as tenancy supports, are more flexible.

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Applications open on Nov. 1. Applicants should anticipate about two weeks to process and an additional wait to receive the benefit, if eligible.

Preparations for the 2027 to 2032 waiver application will begin next year.

“We have an external, third-party evaluation, and they’ll have a midpoint evaluation that will help inform some of that, and we’ll work with CMS (Centers for Medicare and Medicaid Services) to understand what they’re seeing in other states as well,” Jarem said.

“Ultimately, they are the deciders of whether or not benefits like this will continue,” she said. “Overall, though, we’ve built the structures into our systems with the understanding that this will, that there is an effort to create stability in the program.”

Anastasia Mason covers state government for the Statesman Journal. Reach her at acmason@statesmanjournal.com or 971-208-5615.

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Greater Idaho effort seeks federal help as Oregon lawmakers keep border plan stalled

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Greater Idaho effort seeks federal help as Oregon lawmakers keep border plan stalled


The push to redraw the Oregon-Idaho border has gained support in parts of Eastern Oregon in recent years, even as some counties have reversed course and the effort remains stalled in Salem.

The Greater Idaho Project is a movement that has been covered for years. Thirteen Oregon counties have voted to consider expanding the Idaho border to cover much of Oregon. Two of those counties — Harney and Wallowa — later voted to repeal their decisions to side with Greater Idaho.

In Douglas County, voters rejected a Greater Idaho-related measure in the May 2022 election. Measure 10-185 asked Douglas County voters to consider expanding the Idaho border. The measure was defeated with 52.6 percent of the vote, meaning more than 47 percent voted for consideration of expanding the Idaho border.

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Greater Idaho effort seeks federal help as Oregon lawmakers keep border plan stalled

After that vote, David Jaques, identified as the leader of Greater Idaho in Douglas County, said in 2022, “I’m a lifelong Oregonian. I don’t wanna move to Idaho. Well the good news is we don’t have to move. We’re just gonna draw the line around here.”

The movement’s executive director, Matt MacCaw, said the effort has support from Idaho but remains blocked by Oregon lawmakers.

“We have Idaho as a willing partner saying, hey, all these people in eastern Oregon want to be a part of Idaho. We will take them. We would love to have that conversation,” MacCaw said. “We have the people of Eastern Oregon voting and saying, we want to just peacefully secede from Oregon and join Idaho. But the Oregon Legislature, Western Oregon, is holding eastern Oregon captive against our wishes. The Oregon Legislature refuses to take up the issue, refuses to to have any conversation about letting us go.”

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Greater Idaho has now turned its focus to the Trump administration, asking the federal government to fix the standstill.



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Oregon ‘mega-mansion’ sits unfinished 30 years later

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Oregon ‘mega-mansion’ sits unfinished 30 years later


WEST LINN, Ore. (KOIN) — For some 30 years, locals and boaters along a popular spot on Oregon’s Willamette River have been staring at a 50,000-plus-square-foot home, unsure of what to think.

It’s unfinished, fenced in, and the open-air structure towers over 31 acres that include 2,700 feet of prime riverfront in an area affectionately called “Peach Cove.”

“Being a kid, I would drive the boat and look at it from the river,” said Jason Mendell.

The high-profile realtor never thought he’d actually list the home, yet now he’s fielding calls from all kinds of folks trying to figure out the property’s potential.

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“Entrepreneurs, pro-athletes, business owners, and people trying to figure out what you could do with this,” he told Nexstar’s KOIN on a recent summer day.

The home’s specs are massive, and Mendell said if it’s ever completed, it would be the largest mansion in Oregon by far.

The listing includes nine bedrooms, 18 bathrooms, multiple garages for dozens of show cars and other toys. There’s a massive gymnasium or event space, too, which could include a full-size basketball court. Original plans called for two pools.

“There’s obviously only a certain amount of people that can afford a home like this, and they’ve got to have the vision to be able to finish it off,” says Mendell.

Ask around, though, and it doesn’t take long to learn there’s much more to the larger story.

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“He said, ‘Would you like to build a home for me?’” says Tom Avgerakis.

The longtime home builder is referring to Mark Wattles, the founder and one-time boss of Hollywood Video, which grew to be the second-biggest video store chain in the country in the 1990s and 2000s.

Avgerakis remembers when Wattles first showed him the architectural sketches.

“He rolled them out, and I went ‘Oh, okay.’ The challenge was thrown out, and we can do it,” he said.

At first, Avgerakis said construction moved swiftly, with 50-plus workers on site moving dirt and using high-grade Oregon lumber to erect the frame.

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Then, as 1996 became 1997, construction stalled, and “We anticipated a short amount of time off, but it just grew and grew and grew.”

He said that as the owner moved on to other businesses and eventually moved away, they kept up general maintenance and even planted acres of berries.

The property was eventually unloaded at auction, and it has changed hands a couple of times over the years, but no one has ever fully built it out.

“It’s a diamond in the rough. It’s just incredible,” said Avgerakis.

He hopes to be involved if the project is ever completed, and said much of the original woodwork remains in good condition even if other elements have deteriorated over the years. The current owner recently installed a new roof.

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Mendell said they’re talking to potential buyers about “what could be,” whether it’s a private estate, high-end senior living facility or even a vineyard.

“It’s 31 acres of prime real estate that’s unique,” he said.

The asking price is $4.7 million.

The property is deemed Exclusive Farm Use (EFU), according to Clackamas County records.

A spokesperson told Nexstar’s KOIN that it’s approved for the one home but that anything like a larger care facility wouldn’t be allowed unless there was a zoning change.

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Illicit massage businesses shut down in Washington County

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Illicit massage businesses shut down in Washington County


PORTLAND, Ore. (KOIN) — Multiple illicit massage businesses in Washington County were shut down on Friday following action by multiple law enforcement agencies.

The Office of Oregon Attorney General Dan Rayfield said it worked alongside Sherwood police, Tigard police, the Washington County Sheriff’s Office and the Washington County District Attorney’s Office to execute multiple warrants at illicit massage businesses.

Following months of surveillance into two of the illegal massage parlors in Sherwood, investigators conducted searches at four locations in total on Friday: a home in Southwest Portland, Goji Foot Spa and Aroma Spa in Sherwood, and Tigard’s Sunny Massage.

More than $45,000 of cash and evidence of prostitution was seized during the operation. Three people were also arrested for alleged prostitution-related charges and two were cited for operating a massage business without a license.

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The investigation was carried out as part of the Oregon Department of Justice’s partnership with Washington County law enforcement agencies through the program Special Projects: Investigate, Respond, Enforce.



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