Oregon Community First Choice Option Plan Straining Multnomah County I/DD Services Capacity

Since 2016, the number of people served by the Multnomah County Intellectual and Developmental Disability Services Division (IDDSD) rose by 14%. In part, the increase is due to state-level policy and funding changes to intellectual/developmental disability (I/DD) services and the Oregon K Plan.

In fiscal year 2014, Oregon Medicaid implemented the K-Plan, the Medicaid Community First Choice state plan option to expand supportive services. After Oregon Department of Human Services (DHS) implemented the K-Plan, the number of children eligible for services increased significantly. The K Plan removed most of the caps on services, and provided . . .