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550 (07/2026) Chapter 2:Eligibility • Section 10: Long-Term Care (LTC) services personal agents or CDDP service coordinators.
Are children receiving 1915(i) behavioral health services: children’s residential specialists. • For individuals whose mental health issues are the primary driver for the disability: The local County Office of Behavioral Health Services’ behavioral health specialists. • For children who are medically fragile, medically involved or have intensive behavioral issues: CIIS service coordinators. Service eligibility Individuals who have been determined eligible for DD services and have open Medicaid may receive LTC services. Like APD, those may include employment, transportation and ADL/IADL services, among others. Those who do not have Medicaid are eligible for case management only or, for children, the general fund Family Support Program provides a limited annual support allotment. The I/DD or CIIS disability determination is completed within 90 days and eligibility is approved through the ODDS system called Express Payment & Reporting System (eXPRS). Once the case is assigned to the appropriate case management staff, choice advising occurs, in which the individual decides which K plan and/or waiver services they are interested in, and an individual support plan (ISP) is created with the individual within 90 days from the date of the completed application for DD services or start of Medicaid eligibility. If the individual chooses a waivered service, then the Oregon Needs Assessment (ONA) will be completed by a qualified assessor and establish an institutional Level of Care (LOC) for an ICF/IID. Once the DD service eligibility information is submitted through eXPRS, the Technical Assistance Unit (TAU) will add the appropriate codes to the non-CAPS service eligibility system (SELG). Click here for a helpful chart: ODDS Cases…Who Does What? There are several types of DD service options available for individuals who meet the eligibility criteria. Each requires Medicaid eligibility through OSIPM, Child Welfare medical or HSD medical and have different codes in the SELG system. The different types are as follows: • DD Community First Choice K-State Plan “K Plan” (1915k) Amendment: A variety of services and supports that may include one of the following living arrangements regulated by ODHS|OHA, depending on the choice: a 24-hour residential program, a foster home, a supported living program, and community living in-home supports (personal support worker and/or community living supports agency). • DD Adult (1915c) waiver: Employment services including specialized medical supplies, vehicle modifications, family training and environmental safety modifications. • State general-funded services: These will be given in some cases on a limited basis until the individual is found to be eligible for Title XIX through Medicaid for those who require services or supports to maintain health and safety and are expected to be eligible for Medicaid. To be eligible for DD services, an individual must meet all three qualifications: • Oregon Needs Assessment (ONA)/Level of Care (LOC): An individual with I/DD must have a completed ONA submitted to establish LOC, verifying support requirements are similar to an intermediate care facility for