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 other two. See this CIIS page for an overview Oregon’s intensive in-home programs for children, or this page on Developmental Disability services. As of 2024, Oregon received approval for a new 1915(c) waiver, Children’s Extraordinary Needs Waiver, which allows 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.

Advocacy Organizations in Oregon:

Last updated 6/12/2026

Programs in Oregon

  • Target Population: Children who have a physical or health disability.
  • Ages: 0-17
  • Levels of Care: Nursing Facility
  • Income Waiver: Yes, the waiver is based on the child’s income only. Parent income is not counted.
  • Waiver Type: 1915(c)
  • Spots: 212
  • Expiration Date: 6/30/2029
  • 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 modification services to individuals with physical disabilities ages 0-17 years who meet a nursing facility level of care.  This waiver operates with a concurrent 1915(b)(4) authority.
  • Online State Information: Children’s Intensive In-Home Services
  • Official Federal Information
  • How to Apply: Call 971-673-3000 for information or submit the relevant referral form on this page.
  • Waiting List: Oregon has 10 people with developmental disabilities, 19 medically fragile children, 1000 people with physical disabilities and 2415 others on its waiting list.
  • Target Population: Children who are medically fragile.
  • Ages: 0-17
  • Levels of Care: Hospital
  • Income Waiver: Yes, the waiver is based on the child’s income only. Parent income is not counted.
  • Waiver Type: 1915(c)
  • Spots: 123
  • Expiration Date: 6/30/2029
  • 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 modification services to individuals who are medically fragile ages 0-17 years who meet a hospital level of care.  This waiver operates with a concurrent 1915(b)(4) authority.
  • Online State Information: Children’s Intensive In-Home Services
  • Official Federal Information
  • How to Apply: Call 971-673-3000 or submit the relevant referral form on this page.
  • Waiting List: Oregon has 10 people with developmental disabilities, 19 medically fragile children, 1000 people with physical disabilities and 2415 others on its waiting list.
  • Target Population: Children who have developmental or intellectual disabilities.
  • Ages: 0-17
  • Levels of Care: Intermediate Care Facility
  • Income Waiver: Yes, the waiver is based on the child’s income only.
  • Waiver Type: 1915(c)
  • Spots: 165
  • Expiration Date: 6/30/2029
  • 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 modification services to individuals with intellectual disabilities or developmental disabilities ages 0-17 years who meet an ICF/IID level of care.  This waiver operates with a concurrent 1915(b)(4) authority.
  • Online State Information: Children’s Intensive In-Home Services
  • Official Federal Information
  • How to Apply: Call 971-673-3000 for information or submit the relevant referral form on this page.
  • Waiting List: Oregon has 10 people with developmental disabilities, 19 medically fragile children, 1000 people with physical disabilities, and 2415 others on its waiting list.
  • Target Population: Children who are medically fragile or have developmental or intellectual disabilities. Children must be in service groups 5m or 5b based on the Oregon Assessment, meaning they have the highest level of medical or behavioral needs. This program is designed to provide small amounts of paid parent caregiving, up to 20 hours per week.
  • Ages: 0-17
  • Levels of Care: Hospital, Nursing Facility, or Intermediate Care Facility
  • Income Waiver: Likely Yes
  • Waiver Type: 1915(c)
  • Spots: 155
  • Expiration Date: 6/30/2029
  • 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: To get on the waiting list, fill out this form or see this page for additional application information.
  • Waiting List: This waiver has a waiting list of approximately 1300 children. Oregon has 10 people with developmental disabilities, 19 medically fragile children, 1000 people with physical disabilities and 2415 others on its waiting list.
  • Target Population: Children who have developmental or intellectual disabilities.
  • Ages: 0-17
  • Levels of Care: Intermediate Care Facility
  • Income Waiver: Likely yes, as the waiver is open to families of all incomes
  • Waiver Type: 1915(c)
  • Spots: 11,942
  • Expiration Date: 10/31/2028
  • 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, and vehicle modification services to individuals with intellectual disabilities or developmental disabilities ages 0-17 years who meet an ICF/IID level of care. This waiver operates with a concurrent 1915(b)(4) authority.
  • Online State Information: Services for Children
  • Official Federal Information
  • How to Apply: Contact your Community Developmental Disabilities Program.
  • Waiting List: Oregon has 10 people with developmental disabilities, 19 medically fragile children, 1000 people with physical disabilities, and 2415 others on its waiting list.

Additional Information

  • As of 7/2024, Oregon received approval for a new 1915(c) waiver, Children’s Extraordinary Needs Waiver, which allows paid parent caregivers. The waiver is targeted to children under age 18 with high levels of medical or behavioral needs. Currently, the program only can serve 155 families, who can receive up to 20 hours of paid caregiving (from one parent or split between two parents). This paid caregiving is for attendant care only. See Children’s Extraordinary Needs Waiver for more information.
  • Parents of adult children over the age of 18 may be paid for services.