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1115 Medicaid Demonstration Waiver


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 - Section 1115 Demonstrations.

The Oregon Department of Human Services (ODHS), Office of Aging and People with Disabilities (APD) through the Oregon Health Authority (OHA) has section 1115 Waiver authority to serve more older adults and people with physical disabilities.

Current Demonstration

The Demonstration's focus

Oregon Project Independence Medicaid (OPI-M) uses Medicaid to serve more older adults and people with physical disabilities who require some assistance with Activities of Daily Living (ADLs), but who are not accessing Medicaid long-term services and supports. This includes supports to unpaid family caregivers who care for these individuals. Oregon received 1115 Waiver approval in February 2024. APD is currently preparing to serve individuals through the Waiver.

Approval and documents