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, some 5,619 children and adults with physical or mental disabilities were on a waiting list to receive services as of March 2021. The wait time for services was over 13 years in 2021. 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, a process that the Department of Human Services expects to complete over two years.