Explainer

OK Community Waiver

Published on
August 31, 2023
Last updated
February 29, 2024
Written by
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Katie Wilkinson
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Learn about the Community Waiver in Oklahoma, a Medicaid program that provides home and community-based services for people with intellectual disabilities.
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The Community Waiver is a Medicaid program in Oklahoma that provides home and community-based services for people with intellectual disabilities. It is designed to help them live as independently as possible in their own homes or other community settings. The Community Waiver is one of the options available for people eligible for Medicaid and needing long-term care services. 

Overview of the Community Waiver

The Community Waiver was established in 1988 as the first Home and Community-Based Waiver for individuals with intellectual disabilities in Oklahoma. It serves people three years or older with an intellectual disability or a related condition that causes significant limitations in adaptive functioning. The Community Waiver uses a person-centered planning approach to provide services appropriate to the individual's needs and preferences. The individual's team, which consists of the individual, their legal guardian or advocate, and a Developmental Disabilities Services (DDS) case manager, evaluates the care recipient's needs and creates an annual plan of care. The DDS case manager supports and monitors the plan's implementation. 

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Eligibility requirements

To be eligible for the Community Waiver, an individual must meet the following criteria:

  • Be three (3) years of age or older
  • Have an intellectual disability or a related condition that causes significant limitations in adaptive functioning
  • Be determined to need an intermediate care facility for individuals with intellectual disabilities (ICF/IID) level of care
  • Be financially eligible for Medicaid
  • Opt to receive home and community-based services instead of institutional care
  • Have an annual plan of care that can be safely and effectively implemented within the waiver's cost limits

Services and supports

The Community Waiver offers comprehensive services and supports that help individuals live as independently as possible in their own homes or other community settings. Some of the services and supports available under the waiver are:

  • Residential services, such as group homes, supported living, companion services, daily living supports, and extensive residential supports
  • Employment services, such as supported employment, sheltered workshops, vocational habilitation training, and adult day services
  • Habilitation services, such as specialized therapies, behavioral support services, assistive technology devices, environmental modifications, personal emergency response systems, nursing services, nutritional consultation services, specialized medical supplies, transportation services, and respite care
  • Case management services
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Compensation for caregivers

The Community Waiver has a self-direction option, allowing individuals to choose their providers for some waiver services. This option gives individuals more control and flexibility over their services and supports. Under the self-direction option, individuals can hire their family members as paid caregivers for some residential and employment services. However, spouses and legal guardians are not eligible to be paid caregivers under this option. The self-direction option also requires individuals to have a representative who can assist them with managing their budget and hiring their providers.

Note: The difference between a legal guardian and a parent is that a legal guardian is appointed by the court to take care of a child when the parents are unable to do so, while a parent is someone who has a biological or adoptive relationship with the child. A legal guardian can have custody of the child, but the parents retain all legal parental rights and can terminate the guardianship. A parent is determined by the natural, adoptive, or custodial relationship with the child, while the court order determines a legal guardian.

A note from Givers

If you are interested in determining if you or your loved one qualifies for this program or other Medicaid programs that compensate family caregivers, please complete this form to get started. We will help you navigate the eligibility process and connect you with the best resources.

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