Home and Community-Based Services Waivers

In accordance with 42 CFR §431.10, the Medicaid agency is responsible for ensuring that a waiver is operated in accordance with applicable Federal regulations and the provisions of the waiver itself. The Medicaid agency may not delegate its authority over a waiver to another state entity. A waiver may be operated by the Medicaid agency or another state agency, provided that the other state agency and the Medicaid agency enter into an agreement that specifies the waiver administrative and operational activities and functions that the other agency performs under the supervision of the Medicaid agency.

SoonerCare operates six programs to provide home and community care as a cost-effective alternative to institutionalization. These are known as "waiver" programs because standard program requirements are waived to allow the program to operate. The waiver programs provide some services that otherwise are not covered under SoonerCare.

Public input is the cornerstone of developing and implementing waiver programs. We solicite any comments you may have regarding any of our waiver programs.

1915c Home and Community-Based Services Waivers  

The state of Oklahoma maintains the following waivers relating to integrated care.

Two waivers for the frail elderly and adults with physical disabilities age 21 and over who do not have intellectual disabilities or a cognitive impairment:

  • ADvantage: Serves frail elderly individuals age 65 or older and adult Oklahomans age 21 and older with physical disabilities who would otherwise require placement in a nursing facility.
  • Medically Fragile - This program serves qualifying individuals who meet hospital or skilled nursing facility level of care.

Four waivers listed below are for people with intellectual disabilities

  • Community Waiver: A division of DHS, DDS serves individuals who are 3 years of age and older who have intellectual disabilities and certain persons with related conditions who would otherwise require placement in an intermediate care facility for individuals with intellectual disabilities.
  • Homeward Bound Waiver: Serves individuals who are 18 years of age and older who have intellectual disabilities and certain persons with related conditions who: (1) would otherwise require placement in an ICF/IID; and (2) have been certified by the U.S. District Court for the Northern District of Oklahoma as being members of the plaintiff class in Homeward Bound et al. v. The Hissom Memorial Center et al., Case No. 85-C-437-e.
  • In-Home Supports for Adults Waiver: Serves the needs of individuals 18 years of age and older with intellectual disabilities who would otherwise require placement in an ICF/IID.
  • In-Home Supports for Children Waiver: Serves the needs of children ages 3 through 17 years with intellectual disabilities who would otherwise require placement in an ICF/IID.