Skip to main content

Oregon State Flag An official website of the State of Oregon »

Oregon Department of Human Services Search Site

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.

1115 Demonstration1915(c) and 1915(b)(4) waiversK PlanPublic notices

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) Aged 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 and Agency with Freedom of Choice Waiver allows:

  • Area Agencies on Aging (AAAs), APD offices and interested federally recognized Tribes in Oregon to provide Waiver Case Management and Housing Support Services. 
  • APD to contract with up to two Agency with Choice providers.

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.

Public notices

APD is renewing two Medicaid waivers:

  • 1915(c) Aged and Physically Disabled Waiver
  • 1915(b)(4) Case Management and Agency with Choice Freedom of Choice Waiver

These waivers are set to expire Dec. 31, 2026, unless we apply to renew them through the Centers for Medicare and Medicaid Services (CMS). These waivers allow people to get the help they need at home or in the community. 

We are seeking your feedback by May 31, 2026, on the proposed changes.

For more information, read the May 1 community message seeking public comment on waiver renewals.

Summary of proposed changes

Proposed changes for the 1915(c) Aged and Physically Disabled Waiver:

  • Case managers must document a person’s choice of services, service setting and service providers using a specific choice form.
  • When someone is moving from an acute care hospital to any home and community-based setting, known as a community transition, it must be to any arrangement that is more independent and less restrictive.

Both waiver renewals include small changes to make the information clearer. Both also include updated cost estimates. These estimates explain how much the services are expected to cost and show that they continue to meet federal requirements. The 1915(c) includes an increase in users for case management services due to rising caseloads.

How to submit comments

  1. Email beth.jackson3@odhs.oregon.gov.
  2. Mail written comments to Beth Jackson, Oregon Department of Human Services, 500 Summer Street NE E-02, Salem, OR 97301.
  3. Comments must be received by May 31, 2026.

What’s next

We will review and consider all public comments as part of the renewal process. We will prepare and submit the renewal applications to CMS by July 4, 2026. With CMS approval, the waivers will be in effect Jan. 1, 2027, through Dec. 31, 2031.

We appreciate your participation in this process and invite you to share information with anyone who would like to comment on the waiver.