Intellectual and Developmental Disabilities


In the fall of 2017, the Office of Developmental Disabilities Services (ODDS) launched the Compass Project. Since then ODDS has been busy working with our partners to reorient our system. Our North Star is a focus on aligning our system with our person-centered core values. Part of this reorientation requires that ODDS make changes to the waivers, state plan (also known as K-Plan), Oregon administrative rules (OARs), and policies to meet our strategic goal of creating a system that is sustainable, easy to use, with effective communication and equitable access. Read more in our Strategic Plan.

State Plan

The Oregon Department of Human Services’ Office of Developmental Disabilities Services (ODDS) and Office of Aging and People with Disabilities (APD) are seeking public comment regarding the 1915 (k) State Plan amendment.   

The 1915 (k) State Plan amendment is requesting to:  
  • Add an acute care hospital as an approved setting in the 1915 (k) State Plan.  
  • Remove the prohibition of using physical therapists and occupational therapists.  
  • Allow long-term care community nursing services in settings in which nursing services are currently restricted by rule, contract, or K Plan language.  
  • Allow two Medicaid home-delivered meals per day.  
  • Increase local approval limit for electronic backup systems – Electronic Devices from $500 to $1,200.
  • Update Group Care Homes for Children (GCH) rate methodology. 
The deadline for the comment period is Feb. 17, 2021. Please review the following description on how to comment as well as the proposed amendments.

Oregon has also made changes 1915(k) State Plan, also known as the K-Plan, which have been approved by CMS. Now the Oregon Needs Assessment (ONA) can replace many of our tools that we use to do assessments of need, risk, and level of care. Having one assessment that is used for many things across all the services will make our system easier to use.


Public comment sought on Medically Involved Waiver renewal

We’re asking for public comment on our 1915 (c) #0565 Medically Involved Waiver renewal.
The waiver renewal is requesting to:

  • Revise language regarding employees who complete the nursing facility Level of Care assessment, making it more specific to the qualifications and not job title. 
Please review the proposed waiver language changes and the renewal application.

Interested parties are asked to submit comments via one of two methods: Send an email to  or send written comments addressed to ODDS Medicaid Waiver/State Plan Analyst, 500 Summer Street NE E-09, Salem, OR 97301.

Deadline for comments is Sept. 30, 2020. Mail responses must be received by this date in order to be considered.


One way that ODDS identified to make our system easier to use was to reorganize two of our 1915(c) waivers that Oregon’s I/DD services are governed by.

In the past, Oregon’s waivers were organized by the type of services that a person was getting and who provided their case management supports. When Oregon adopted the K-Plan this way of organizing no longer made sense and was confusing for people getting services.

As of July 1, 2018, the U.S. Center for Medicare and Medicaid Services (CMS) approved our plan to reorganize our waivers. Now, Oregon has an Adult's Waiver and a Children’s Waiver. These changes won’t impact services today and will allow ODDS to tailor services to children and adults in the future.


To support the changes that were made with the new Adult’s and Children’s Waivers and the K-Plan ODDS needed to make some changes to our rules. Read more about the rule changes that are effective July 1, 2018, APD-IM-18-057 Oregon Administrative Rule Temporary Changes.

Visit Adopted Administrative Rules for the current rules.


As ODDS continues to make changes to support our goals we will post the guidance published by ODDS here:
APD-PT-18-04310/19/2018Annual Functional Needs Assessment
APD-IM-18-07910/19/2018Oregon Needs Assessment (ONA) participation and follow up
APD-PT-18-0409/28/2018Oregon Needs Assessment Worker Guide
APD-AR-18-0499/7/2018Enhanced and Exceptional Process Update Corrected (replaces APD-IM-18-065)
APD-IM-18-0698/10/2018Enrollment with Eligibility in eXPRS
APD-IM-18-0708/10/2018Not meeting Level of Care
APD-PT-18-0286/28/2018Case Management activities and the ONA
APD-IM-18-0566/28/2018Expenditure Guidelines V.8
APD-IM-18-0576/28/2018Oregon Administrative Rule Temporary Changes
APD-AR-18-0426/27/2018New Level of Care form for Eligibility in eXPRS enrollment – Update June 2018
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