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K Plan


The Oregon Department of Human Services (ODHS), Office of Aging and People with Disabilities works with the Centers for Medicare and Medicaid Services (CMS) to tailor programs to meet the needs of Oregonians.

Below is more information about Medicaid waivers and state plan options in place or​ in process.

Section 1115 Demonstration Waiver

The ODHS is working through the Oregon Health Authority in seeking Section 1115 Waiver authority to strengthen its program of long- term services and supports for older adults and adults with disabilities.

The Demonstration will focus on two initiatives:​

  • Expand Oregon Project Independence using​​ Medicaid to serve more older adults and people with physical disabilities who require some assistance with Activities of Daily Living, but who are not accessing Medicaid long-term services and supports.
  • Create a Family Caregiver Assistance Program, offering a limited, monthly benefit to older adults and people with physical disabilities who receive support for Activities of Daily Living from family or other unpaid caregivers.

To learn more read:

Public comments closed:

Public comment on the 1115 Demonstration waiver expired at 5 p.m. PDT on Sunday, August 15, 2021.

​1915(c) and 1915(b)(4) waivers

​NOTICE: September 1, 2021

The Office of Aging and People with Disabilities (APD), through the Oregon Health Authority, is preparing to submit the following two waiver renewal requests to the Centers for Medicare and Medicaid Services (CMS) for approval of APD’s 1915(c) #0185 Aging and Physically Disabled Waiver and APD’s 1915(b)(4) Case Management Freedom of Choice Waiver.

The public is invited to provide input on the draft waiver renewal requests, which are provided below. Instructions on how to provide comments by the October 1 deadline are included in the public notice.

K Plan

​The K Plan is a Medicaid state plan option authorized under the Affordable Care Act.

It allows states like Oregon to provide home and community-based services and supports while receiving a six percent increase in federal medical assistance funds from the federal government for those services.

These services benefit Oregonians who want to stay in their home community​ and remain independent, healthy and safe. At the same time, it saves both the state and federal government money because we are providing more extensive home and community-based, long-term services and supports in lieu of more expensive institutional care.

Here are some key facts about the K Plan in Oregon:

  • The K Plan will provide for a reinvestment of dollars back into our system by the federal government that will allow Oregon to offer additional important services to people who normally would not be able to access them.
  • The K Plan allows Oregon to continue our ability to serve people in their own homes or community setting.
  • These services will help people be independent, safe and healthy.​
  • The K Plan will allow the state to better serve people transitioning to lesser levels of care in the community.
  • For staff and providers it means some changes in the way we do things. For the public, it will not be a significant change.

Previous waiver documents: