State Medicaid Waiver Directory
Find your state's Katie Beckett waiver, TEFRA pathway, HCBS programs, and Medicaid eligibility rules for children and adults with disabilities. Each guide covers waitlists, application steps, income limits, and parent caregiver pay options.
For informational purposes only — not legal, medical, or financial advice. Medicaid rules, eligibility, and waitlists change frequently. Always verify with your state's official Medicaid agency before making decisions. Cross-check with Medicaid.gov's official waiver page.
Oregon
Program Overview
Overview
Oregon has a Department of Human Services Office of Developmental Disability Services (ODDS) and a robust self-directed care system. Oregon's K Plan is a key Medicaid option.
Katie Beckett or similar pathway
Oregon does not have a Katie Beckett or TEFRA pathway. Children access services through ODDS Children's Intensive In-Home Services 1915(c) waivers (Medically Involved Children's, Medically Fragile/Hospital, Behavioral, and Children's HCBS), which count only the child's income, and through the K Plan (1915(k)), which provides in-home services without a waiting list.
Child-relevant waivers
Oregon's HCBS waivers through ODDS are the primary routes for individuals with developmental disabilities. For adults with physical disabilities or chronic illness who need nursing-facility level of care, Oregon's K Plan (1115 Medicaid waiver) integrates long-term services and supports through Coordinated Care Organizations. Adults with physical disabilities needing personal care and home health services should contact their CCO or the local Area Agency on Aging for Oregon's HCBS options including the In-Home Services waiver program.
Eligibility
Who qualifies
ODDS waivers serve individuals with intellectual and developmental disabilities who meet level-of-care criteria.
Financial and income rules
Oregon Health Plan (Medicaid) financial eligibility applies. Waiver-specific rules also apply.
Level of care
Level-of-care criteria are established through ODDS intake and assessment.
Age rules
ODDS serves individuals of various ages including children.
Getting Started
How to apply
Contact Oregon DHS ODDS for intake. Contact the local Area Agency on Aging for adult disability services.
Documents needed
Disability documentation, level-of-care assessment, and financial information are typically required.
Waitlist information
Several children's waivers have limited enrollment and small waiting lists, and the Children's Extraordinary Needs Waiver has about 1,300 children waiting. K Plan services have no waiting list.
Practical next step
Contact Oregon DHS ODDS and ask about HCBS waiver intake, eligibility, and self-directed care options. For non-Medicaid supports, contact Oregon VR or FACT Oregon.
Services & Support
Services available
ODDS waivers can cover residential services, supported employment, day services, in-home supports, and community inclusion.
Parent caregiver pay
Oregon's self-directed care system can compensate family members, and the Children's Extraordinary Needs Waiver (approved 2024) provides paid parent caregiving up to 20 hours per week for children with the highest medical or behavioral needs.
Equipment exchange & assistive technology
Access Technologies, Inc. (accesstechnologiesinc.org) — Oregon's statewide AT program offering free device demonstrations, short-term loans, a device reuse marketplace, and AT funding information. Available statewide.
Mental health and Medicaid coverage
Oregon Health Plan (Medicaid) covers behavioral health services through Coordinated Care Organizations (CCOs), which integrate physical and behavioral health. Covered services include outpatient therapy, psychiatric evaluations, medication management, crisis services, and community support. The Oregon Health Authority (OHA) oversees public behavioral health. Certified Community Behavioral Health Clinics (CCBHCs) provide enhanced services. Children can access mental health services through the EPSDT benefit. Oregon has invested in youth mental health and school-based services.
Additional notes
Oregon's self-directed care system is more developed than in most states. Families who want to choose their own support workers or have more control over how services are delivered should ask ODDS about self-directed options.
State-Specific Resources
Oregon Vocational Rehabilitation Services — Employment Services
Oregon VR (oregon.gov/odhs/vr) helps people with all kinds of disabilities find jobs that match their skills, interests, and abilities. Services include vocational counseling, job training, assistive technology, job placement, and job coaching. Services are free. VR also serves transition-age youth (ages 16+) and has developed partnerships with businesses. Phone: 1-800-292-2707.
Oregon Assistive Technology Program — Device Loans & Reuse
The Oregon Technology Access Program (otap-oregon.org) provides free device loans for trial or demonstration, hands-on demonstrations, and information on AT funding sources. Access Technologies, Inc. (accesstechnologiesinc.org) also manages the Oregon Statewide AT Program with device reuse and marketplace options. Services available statewide.
FACT Oregon — Family Advocacy & Support
FACT Oregon (factoregon.org) is a parent-led organization providing support, training, information, and advocacy for families of children with disabilities. The Support Line is staffed by parents and provides guidance on navigating systems, understanding services, and accessing resources. Call or text 503-786-6082 or 541-695-5416.
Oregon Early Intervention and Early Childhood Special Education (EI/ECSE)
Oregon's EI/ECSE services serve children birth to age 3 (and transition to age 5 for preschool services) with developmental delays or disabilities. Services are provided in homes and communities and are family-focused, building on family strengths. Referrals can be made by anyone. Contact local early intervention coordinators through your school district or ESD.
Oregon Alliance for Early Intervention (AEI) — Advocacy & Coordination
AEI (ocdd.org/alliance-for-early-intervention) engages parents and professionals in advocacy for Early Intervention and Early Childhood Special Education services. AEI provides training, networking, and leadership opportunities. Phone: 503-248-1815.
Paid Leave Oregon — Paid Family and Medical Leave
Paid Leave Oregon (paidleave.oregon.gov), effective January 2024, provides up to 12 weeks of paid leave to employees who need time off to care for a family member, address personal medical needs, or bond with a new child. Eligibility requires earning at least $1,000 in Oregon during the benefit year. Benefits replace a percentage of wages.
Disability Rights Oregon — Legal Advocacy & P&A
Disability Rights Oregon (droregon.org) is the state's Protection and Advocacy (P&A) agency, providing free legal services, advocacy, and information on disability rights, education rights, employment issues, assistive technology access, and abuse/neglect. Phone: (503) 243-2081.
Sources
Recent news for Oregon
KEZI · October 2, 2026 · Housing & Employment
The city of Eugene has launched a pilot program for a 24-hour taxi service specifically designed to be wheelchair-accessible for local residents.
KGW-TV Portland on MSN · October 2, 2026 · Medicaid & Waivers, Funding & Budget
The governor of Oregon and leaders from four other states are requesting that federal authorities delay the implementation of new Medicaid policy changes scheduled for January.
KFF Health News · October 2, 2026 · Medicaid & Waivers
As the debate over universal healthcare continues, Oregon is developing a plan to provide healthcare coverage to all its residents. This initiative comes as other states and federal candidates discuss expanding Medicaid and healthcare subsidies.
Community Tips & Experience
Comments reflect the personal experiences and opinions of individual community members only. They do not represent the views, positions, or endorsements of National Disability Resource Project or any of its staff, volunteers, or affiliated members. Always verify information with official agencies and qualified professionals before making decisions.
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