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Compass Project

​​​​The Office of Developmental Disabilities Services (ODDS) created the Compass Project to improve the way people with intellectual and developmental disabilities (I/DD) receive services.

This person-centered reorientation includes changes to waivers, the 1915(k) State Plan (K Plan), Oregon administrative rules (OARs) and policies to create a system that is easy to use, is transparent and provides quality supports so Oregonians with I/DD have a good life in the communities where they live, work and play.

K P​​lan

The K Plan — also called the 1915(k) State Plan or the Community First Choice Option — is a Medicaid state plan option authorized under the Affordable Care Act.

It allows states like Oregon to provide home and community-based attendant services and supports while receiving an increase in federal medical assistance funds for those services. Oregonians receiving K Plan benefits may still receive other Medicaid-funded and non-Medicaid-funded home and community-based supports and long-term care services. ​


A Medicaid waiver is a provision in Medicaid law through which the federal government “waives" certain rules that normally govern the Medicaid program. When a state applies for a waiver, it asks the federal government for permission to operate its Medicaid program in ways not normally allowed.

Waivers give states flexibility to:

  • Design and operate their Medicaid programs.
  • Deliver health care services in new ways.
  • Reduce costs by using different service strategies.
  • Expand coverage to groups of people usually not eligible. 

Oregon uses waivers and the K Plan to provide home and community-based services to people who need long-term care. This means they can stay in their own home or other community setting.​​

Approved​​ waivers