DDSD waivers

Some Oklahomans with developmental disabilities qualify for Medicaid services through the state’s developmental disabilities services division (DDSD) waivers. A waiver is a mechanism that allows the state to offer community-based services as an alternative to institutional services. The state offers four DDSD waivers:
In Oklahoma, over 5,100 children and adults with physical or mental disabilities were on a waiting list to receive services as of May 2022. The wait time for services was over 12 years. As part of the budget approved during the 2022 session, the Legislature appropriated $32.5 million intended to serve all families on the waiting list at that time, a process that the Department of Human Services expected to complete over 18-24 months. DHS identified 2,105 people still on the waitlist as of June 30, 2023; in addition, 1.028 applications had been received since May 2022.