The fastest way to update your demographic information is to fill out the online form below and submit it through our secure web interface. This does not replace updating your information with the State.
- If you are a Homecare Worker (HCW), you need to update your address with the local APD/AAA field office. The local HCW Coordinator/Clerk is the appropriate person to connect with.
- If you are an ODDS Personal Support Worker (PSW), use this Change of Information form (PDF) to update DHS of your change. You will want to send it to the address on the form, not to the Trust.
- If you are an OHA Personal Support Worker, use this Provider Information Update Form to update OHA of your change. You must complete: the Cover Sheet; the update request is for section; the Complete this section for an individual provider section; the Address Changes Service location, Mail-To address and Pay-To address sections; the Contact information section; and the Signature section. CMS requires that OHA has your physical location in the case of in-home care providers, and needs your residential address since the consumer/employer address cannot be entered as the service location. When you share a residential address with your consumer/employer it is ok to list your residential address. You will want to send it to the address on the form, not to the Trust.
Once you update the HCW Coordinator/Clerk, DHS or OHA, it can take up to two months for the Trusts to receive your information. Also, this form does not update your insurance plan information with the Trust. To update your insurance plan information with the Trust, visit the Tell Us Your Insurance Plan Information page and follow the steps outlined there. Note: Submitting this information can enroll you in the Benefit Trust dental, vision and employee assistance program benefits if you are eligible.
If you would prefer to submit your information by mail or fax, please fill out and print the Update Your Info PDF form and mail or fax it to:Oregon Homecare Workers Trusts
PO Box 6
Mukilteo, WA 98275 Fax: 1-866-459-4623