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:
- The Community Waiver, which providers community-based supports to adults with intellectual disabilities.
- Two In-Home Supports Waivers (one for children, one for adults) to provide supports to people with intellectual disabilities living at home.
- The Homeward Bound waiver, which provides services and supports to the Plaintiff Class of the Homeward Bound et al vs. The Hissom Memorial Center et al, and meets stipulations set by federal court for serving individuals who lived at Hissom for a specific period of time.
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.