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.
Waiver application drafts
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.
We seek public comment on draft applications for the renewal of three current Medicaid model waivers.
These are standard waiver renewals that happen every five years. The revisions will not affect the services individuals receive. The number of individuals served by each waiver will remain the same. The renewals include administrative updates to the waivers' effective dates, service projections and methods used to complete quality assurance activities.
Read the draft waivers:
For print versions: Call 503-507-2083 or email
Here are two ways to submit feedback:
- Send an email to
- Send written comments addressed to:
ODDS Medicaid waiver/State Plan analyst
500 Summer Street NE E-09
Salem, OR 97301
Deadline: To be considered, we must receive your feedback by
March 1, 2024.
This public comment period is
not related to the Children's Extraordinary Needs Waiver. ODDS submitted that waiver's application to the Centers for Medicare and Medicaid Services (CMS) last month.