Oregon Medicaid State Plan

“What Are State Plans?
Under Section 1902 of the Social Security Act, all states must comply with some basic requirements. For example, each state must:

• Serve certain mandatory populations, such as poverty-level children and low-income pregnant women.
• Provide certain mandatory services, such as hospital care and physician services.
• Provide services that are “sufficient in amount, duration, and scope to reasonably achieve (their) purpose.”
• Provide services throughout the state.

A State Plan outlines how each state will meet these requirements. Once the Centers for Medicare & Medicaid Services (CMS) approves the original Plan, they must also approve all future changes to the Plan before any changes become effective.

Oregon Medically Fragile (Hospital) Model Waiver

“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.”