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Medicaid Waivers and K Plan for APD Services

Oregon's Office of Aging and People with Disabilities (APD) works with the Centers for Medicare and Medicaid Services (CMS) to tailor programs to meet the needs of Oregonians - including Medicaid waivers and state plan options. Learn about each of the options.

1115 Demonstration 1915(c) and 1915(b)(4) Waivers K Plan Previous Waivers

APD 1915(c) and 1915(b)(4) Waivers

Two waivers are approved by the Centers for Medicare and Medicaid Services (CMS) for APD. Both are approved to be in place through 2026.

1915(c) #0185 Aging and Physically Disabled Waiver includes:

  • Waiver Case Management services for eligible individuals
  • Community Transition Services for one-time set-up expenses for individuals transitioning from an institutional or other provider-operated living arrangement to in-home care
  • Housing Support Services to help individuals who receive, or want to receive, services in an in-home setting to maintain or find housing

Once a year, APD provides quality assurance reviews to CMS. View the most recent 1915(c) Waiver Assurances and Findings.

1915(b)(4) Case Management Freedom of Choice Waiver allows:

  • Area Agencies on Aging (AAA's), APD offices and interested federally recognized Tribes in Oregon to provide Waiver Case Management. 

K Plan

The K Plan is a Medicaid state plan option authorized under the Affordable Care Act. It allows states to provide home and community-based services and supports while receiving a six percent increase in federal medical assistance funds for those services.

These services benefit Oregonians who need assistance with regular activities and want to stay in their home or in a community setting and remain as independent, healthy and safe as possible. At the same time, the services save both state and federal money because they provide more extensive home and community-based long-term services and supports in place of more expensive institutional care.

Key facts about Oregon's Approved K Plan:

  • The K Plan provides for reinvestment of dollars back into our system by the federal government which allows Oregon to offer additional important services to individuals who normally would not be able to access them.
  • It allows Oregon to continue to serve people in their own homes or a community setting.
  • The services help people to be independent, safe and healthy.
  • The K Plan allows Oregon to better serve individuals transitioning to less institutional levels of care in the community.