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Section 1115 of the Social Security Act gives the Secretary of Health and Human Services authority to approve experimental, pilot, or demonstration projects that promote the objectives of the Medicaid and Children's Health Insurance Program (CHIP) programs. Under this authority, the Secretary may waive certain provisions of the Medicaid law to give states additional flexibility to design and improve their programs. To learn more, visit Medicaid.Gov – 1115 Demonstrations.

The Oregon Department of Human Services (ODHS), Office of Aging and People with Disabilities (APD) is working through the Oregon Health Authority (OHA) in seeking Section 1115 Waiver authority to strengthen its program of long-term services and supports for older adults and adults with disabilities​.

The Demonstrati​​on will focus on two initiatives

  1. 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.
  2. 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 mo​​re read:

​How to comm​ent

​​The Centers for Medicare and Medicaid Services (CMS) has opened the public comment period on the application.
The goal of this public comment period is to obtain perspectives from a broad range of individuals on the draft application. 

Feedback received during the public comment period may help to identify areas of improvement for the application, including the revised specifications. The comments also will provide insights into the public’s general reaction, including concerns about the programs proposed and their implementation.  

The federal comment period on the application extends through Dec. 16, 2021. To learn more about how to comment visit the CMS web page on the comment period.

Former comment opportunities

ODHS and OHA sought public comment on the proposed 1115 Demonstration Waiver from September 24, 2021, through October 24, 2021, at 5 pm PDT. 

  • The public was invited to one or more of the public meetings listed below to learn more about the proposed demonstration, or;
  • Send written comments by mail or email to:
    Beth Jackson, Oregon Department of Human Services
    500 Summer St NE, E-02, Salem, OR 97301

Public Heari​ngs

Friday, October 1, 2021, 11 a.m. to Noon PDT 
By phone: 
Dial: 1-669-254-5252
Meeting ID: 160 165 4859
Passcode: 075715

Monday, Oct. 4, 2021, 9 to 10 a.m. PDT
By phone: 
Dial: 1-669-254-5252
Meeting ID: 160 372 8424
Passcode: 352331​

Thursday, Oct. 7, 2021, 10 a.m. to 1 p.m. PDT 
Oregon Home Care Commission​
By phone: 
Dial: 1-669-254-5252
Meeting ID: 161 375 7773
Passcode: 045580

For more information about 1115 Medicaid Demonstration Waivers, visit the Centers for Medicare and Medicaid Services (CMS) website​

Adults and People with Disabilities is working in conjunction with the Oregon Health Authority, Oregon's Medicaid agency. To learn more about Oregon Health Autho​rity, ​visit the Oregon Health Author​ity​ website​.


Forme​r ap​plica​​​tion process

1115 Medicaid Demonstration Waiver – Summary
EnglishEspañol/SpanishРусский/Russian Tiếng Việt/Vietnamese

1115 Demonstration Waiver Draft Application - Comments closed

Oregon Project Independence Fact Sheet
EnglishEspañol/SpanishРусский/Russian Tiếng Việt/Vietnamese

Family Caregiver Assistance Program Fact Sheet
EnglishEspañol/SpanishРусский/RussianTiếng Việt/Vietnamese

Public comments closed: Public comment on this version of the 1115 Demonstration waiver expired at 5 p.m. PDT on Sunday, August 15, 2021.​​