Adult Care Home Regulations

The Multnomah County Administrative Rules (MCAR) govern the licensing and operation of adult care homes in Multnomah County.

Updated MCAR, Effective March 17

The MCAR was updated to be in compliance with the state on:

  • Home and Community-Based Services
  • Mandated protections for LGBTQIA2S+ people, and people with HIV
  • Opioid antagonist medication in behavioral health (MHA) adult care homes

This update is not the major revision to the MCAR that the ACHP discussed with providers at listening sessions last year. That is still in development, and we are continuing to accept online suggestions. Adult care home operators, residents and the general public are encouraged to Submit Comments and Suggestions to help shape this project.

 

Other Regulations That Apply to Adult Care Homes

Adult care homes must follow other regulations, including housing, labor and tax laws:

Last reviewed October 22, 2024