Public notice and request for comment on ODDS Medicaid waiver updates

The Oregon Department of Human Services Office of Developmental Disabilities Services (ODDS) seeks public comment on updates to its six 1915(c) Medicaid waivers:

• Adults' Home and Community-Based Services Wavier
• Children's Home and Community-Based Services Wavier
• Children's Extraordinary Needs Waiver
• Behavioral Waiver
• Medically Fragile Waiver
• Medically Involved Waiver

Summary of substantial updates

• Expanded eligibility for Medicaid services: This change affects all six waivers. The change will make it easier for children with low incomes to access waiver services. Why is this change happening? The Oregon Health Authority (OHA) is making this change to the Oregon Medicaid State Plan. ODDS is making this change to be consistent with OHA.
• Fewer forms to sign: We removed the requirement for a signature on the Freedom of Choice form and the Notice of Rights form. This makes getting services easier. People won't have to sign as many forms. Services coordinators and personal agents will still go over the forms with individuals and record this in their progress notes.
• Word and formatting changes: These are all technical changes. None of these changes affects individuals' services.

All six wavier applications and the announcement letter are available to read on the ODHS website. Print versions of the updates are posted in local community developmental disabilities programs and support services brokerages. To ask for a printed version, contact ODDS Medicaid Waiver/State Plan Analyst at 503-507-2083 or [email protected].

How to submit feedback on the proposed changes

1. Send an email to [email protected].
2. Send written comments to ODDS Medicaid waiver/State Plan analyst, 500 Summer Street NE E-09, Salem, OR 97301.

The deadline for comments is Feb. 27, 2026. We must receive comments by this date.

More information

You can get this document for free in other languages, large print, braille or a format you need. Email [email protected] or call 503-945-5811. We accept all relay calls.