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.
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.
A Medicaid waiver is a provision in Medicaid law through which the federal government “waives” certain rules that normally govern the Medicaid program so that states may accomplish certain goals. When a state applies for a waiver, it is asking for the federal government’s permission to operate its Medicaid program in ways not normally allowed. Waivers give states more flexibility to design and operate their Medicaid programs—to deliver health and long-term care services in new ways, to reduce costs by using different service strategies, and to expand coverage to groups of people usually not eligible. Oregon uses Home and Community-Based Services (HCBS) waivers which are designed to allow states to provide home and community-based services to people in need of long-term care. This means they can stay in their own home or a community setting instead of going into a facility.
The Oregon Department of Human Services’ Office of Developmental Disabilities Services is seeking public comment regarding the 1915 (c) # 0375 Adults’ Waiver #0117 Children’s Waiver, #0565 Medically Involved Children’s waiver, #40193 Medically Fragile Model waiver, #40194 Behavioral Model waiver amendments.
The 1915 (c) # 0375 Adults’ Waiver #0117 Children’s Waiver, #0565 Medically Involved Children’s waiver, #40193 Medically Fragile Model waiver, #40194 Behavioral Model waiver amendments are requesting to:
- Update references from DHS to ODHS and adding Oregon to Department of Human Services throughout the waiver application.
- Update language regarding the OHA review of ODDS quality assurance reports.
- Update language regarding risks to be consistent throughout the waiver application.
- Update language in performance measures.
- Update references to the Continuous Improvement Committee to reflect current practice.
- When an emergency has been determined by ODDS, allow face-to-face requirements for service planning meetings to be waived and signatures of service plans to be verbally or by email.
In addition to the above changes, the #0565 Medically Involved Children’s waiver, #40193 Medically Fragile Model waiver, #40194 Behavioral Model waiver
also propose to:
Remove relative as an option for providing Employment Path to be consistent with current practice. No relatives are currently providing Employment Path services through these waivers.
Visit Adopted Administrative Rules for the current rules.