Medicaid Waiver Guide – Oregon

Understanding Oregon Medicaid

Oregon currently has five waivers that serve children, all of which are home and community based 1915(c) waivers. Three of these waivers waive parent income; we are uncertain of the how parent income is considered for the Children’s HCBS waiver. See this CIIS page for an overview Oregon’s intensive in-home programs for children, or this page on Developmental Disability services. As of 7/2024, Oregon has received approval for a new 1915(c) waiver, Children’s Extraordinary Needs Waiver, which will allow for paid parent caregivers for children with high medical and behavioral needs.

Oregon uses a 1915(k) waiver or Community Choice Program to provide many children and adults already in Medicaid with in-home services. For more information on this program, see K Plan Information. These services are available to all children who meet eligibility standards without a waiting list.

Types of Programs

Medically Involved Children’s Waiver

• Description from medicaid.gov: Provides employment path services, supported employment – individual employment support, waiver case management, discovery/career exploration services, environmental safety modifications, family training, individual directed goods and services, specialized medical supplies, supported employment – small group employment support, and vehicle modifications for individuals with physical disabilities, ages 0-17.
• Online State Information: Children’s Intensive In-Home Services
• Official Federal Information
• How to Apply: Call 971-673-2994 for information or submit the relevant referral form on this page.

Medically Fragile (Hospital) Model

• Description from medicaid.gov: Provides employment path services, supported employment – individual employment support, waiver case management, discovery/career exploration services, environmental safety modifications, family training, individual directed goods and services, specialized medical supplies, supported employment – small group employment support, vehicle modifications for individuals who are medically fragile, ages 0-17.
• Online State Information: Children’s Intensive In-Home Services
• Official Federal Information
• How to Apply: Call 971-673-2285 or submit the relevant referral form on this page.

Behavioral (ICF/IDD) Model

• Description from medicaid.gov: Provides employment path services, supported employment – individual employment support, waiver case management, discovery/career exploration services, environmental safety modifications, family training, individual directed goods and services, specialized medical supplies, supported employment – small group employment support, vehicle modifications for individuals with ID/DD ages 0-17.
• Online State Information: Children’s Intensive In-Home Services
• Official Federal Information
• How to Apply: Call 971-673-2992 for information or submit the relevant referral form on this page.

Children’s Extraordinary Needs Waiver

• Description from medicaid.gov: Provides attendant care provided by a legally responsible individual, employment path services, supported employment – individual employment support, waiver case management, discovery/career exploration services, environmental safety modifications, family training – conferences and workshops, specialized medical supplies, supported employment – small group employment supports, and vehicle modification services to individuals with physical disabilities ages 0-17, individuals who are medically fragile ages 0-17, and individuals with intellectual disabilities or developmental disabilities ages 0-17 years who meet a hospital, nursing facility, or an ICF/IID level of care. This waiver operates with a concurrent 1915(b)(4) authority.
• Online State Information: Children’s Extraordinary Needs Waiver
• Official Federal Information
• How to Apply: Children who are eligible have received a letter either inviting them to the program or placing them on the waiting list. After 8/1/2024, any children may apply to the waiting list. Email [email protected]​

Children’s HCBS

• Description from medicaid.gov: Provides employment path services, supported employment – individual employment support, waiver case management, discovery/career exploration services, environmental safety modifications, family training – conferences and workshops, specialized medical supplies, supported employment – small group employment support, vehicle modifications for individuals DD, ID, ages 0 – 17.
• Online State Information: Services for Children or this brochure.
• Official Federal Information
• How to Apply: Contact your Community Developmental Disabilities Program.

Other online resources for Oregon:

• A brochure with a fantastic overview of Oregon services.
• Another brochure that advises parents on where and how to start
• Oregon Family to Family Health Information Center has tons of information and great ways of helping families. We recommend you check out their page on financial help.

Telephone Resources

• 503-945-5811 — Office of Developmental Services
• Community Developmental Disabilities Programs by county

Ordering Goally with a Medicaid Waiver

Talk with your case manager to see if the waiver program you have will cover Goally. If so, have your case manager email us at: [email protected] to place an order on your behalf.