Medicaid Waivers and K Plan for I/DD Services

Medicaid waivers and the K Plan allow Oregon to improve the way people with intellectual and developmental disabilities (I/DD) receive services.

Public notice: Updating Medicaid waivers Approved waivers K Plan

Waivers

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

Waiver	Effective date	Notes
Adults' Home and Community-Based Services Waiver	1/1/2025	Learn more about supports for adults
Behavioral Waiver	1/1/2025	Program information
Children’s Extraordinary Needs Waiver	1/1/2025	Program information
Children's Home and Community-Based Services Waiver	1/1/2025	Learn more about supports for children
Fee-for-Service Selective Contracting Waiver	7/1/2024
Medically Fragile Waiver	1/1/2025	Program information
Medically Involved Waiver	1/1/2025	Program information

K Plan

The K Plan is a Medicaid state plan option authorized under the Affordable Care Act. It is also called the "1915(k) State Plan" or the "Community First Choice Option." 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 who receive K Plan benefits can still receive Medicaid-funded and non-Medicaid-funded home and community-based supports and long-term care services.

Public notice: Updating Medicaid waivers

We're updating our 1915(c) Medicaid waivers

If approved, these updated waivers will:

Expand eligibility for Medicaid services
Reduce the number of forms to sign
Have updated technical changes that don’t affect people’s services

Public feedback closed Feb. 27, 2026. Thank you, all who sent feedback on the draft applications. We reviewed your comments. Here is a summary of your comments and our responses to them:

Here are the updated waiver drafts. We submitted them to Centers for Medicare and Medicaid Services (CMS) in March 2026.

Next steps
CMS will review our drafts and decide whether to approve them.

Alternate formats: You can get this document for free in other languages, large print, braille or a format you need. Text 503-507-2083 or email odds.waivers@odhsoha.oregon.gov.

You can get the above documents in other languages, large print, braille or a format you prefer. Contact ODDS at 503-945-5811. We accept calls from all forms of relay service for people who are Deaf, Hard of Hearing, Deaf-Blind, blind or have low vision. For more information about relay service providers visit https://www.oregonrelay.com or https://www.fcc.gov/general/internet-based-trs-providers.