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The In-Home Supports Waivers (IHSW) were created in 1999 in response to the continually increasing numbers of individuals with developmental disabilities remaining on the waiver waiting list. These capitated waivers allow individuals and families to select services necessary for each individual to remain in his or her own home or family home. Individuals on the IHSW are assigned to Developmental Disabilities Services (DDS) case managers to assist them in locating, securing, and coordinating needed services.

Eligible children, ages 3 through 17, may receive needed services through the IHSW-Children.  Eligible adults, 18 years or older, may receive needed services through the IHSW-Adult.  These waivers are not cash payment programs and all services are provided through agencies contracting with the Oklahoma Health Care Authority. The IHSW-Children provides less funding than the IHSW-Adult because many services are already available to children through the Medicaid State Plan Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Program and the Oklahoma Department of Human Services Disabled Children's Program (DCP).

• To request a copy of the waivers, please call 1-888-287-2443 or send your request to the Oklahoma Health Care Authority, 4345 N. Lincoln Blvd. Oklahoma City, Oklahoma 73105. Attention: Health Policy 1915(c) Waivers. 

Eligibility

To be eligible for services funded through the IHSW, an applicant must:

• Meet all criteria listed in (c) of this Section; and

• Be determined by the Social Security Administration (SSA) to have a disability and a diagnosis of intellectual disability; or

• Be determined to have a disability and a diagnosis of intellectual disability as defined in the Diagnostic and Statistical Manual of Mental Disorders by the Oklahoma Health Care Authority (OHCA) Level of Care Evaluation Unit (LOCEU);

• Be 3 years of age or older;

• Be determined by the OHCA LOCEU to meet the ICF/IID Institutional Level of Care requirements per OAC 317:30-5-122;

• Reside in:

• The home of a family member or friend;

  • His or her own home;
  • A DHS Child Welfare Services (CWS) foster home; or
  • A CWS group home; and
  • Have critical support needs that can be met through a combination of non-paid, non-Waiver, and SoonerCare resources available to the individual and HCBS Waiver resources within the annual per capita Waiver limit agreed on between the State of Oklahoma and the Centers for Medicare and Medicaid Services (CMS).

How to Apply and Who to Contact:

Click here to Apply for Services

What to Bring:

• Completed Application
• Applicant's Birth Certificate
• Social Security Card
• Current Psychological Evaluation or IEP