State guide

Oregon

Programs, dollars, and people that serve autism families in Oregon. Federal protections always apply on top of what you see here.

Oregon overview

Oregon DHS Developmental Disabilities Services administers Oregon's K Plan (Medicaid HCBS waiver). Oregon uses a Support Services Brokerage model for self-directed services — a relatively unique structure that gives families more control. Contact your county DD program or brokerage to begin enrollment. FACT Oregon is the state's PTI center and one of the most well-resourced family advocacy organizations in the Pacific Northwest. The Oregon Health & Science University (OHSU) Institute on Development and Disability is Oregon's major clinical and research resource for autism evaluation and treatment.

Verify program names, URLs, and eligibility on official .gov sites — these change.

⏰ Act now — Medicaid waiver waitlist

Oregon K Plan / HCBS Waiver (ODDS)

Typical wait: varies by service type — Oregon uses an entitlement model for some services

Apply through Oregon ODDS (Office of Developmental Disability Services) the day of diagnosis — Oregon has moved toward an entitlement-based model for many DD services, but waitlists still exist for residential supports.

Oregon's K Plan covers a broad range of home and community-based services. Contact your local ODDS office to begin the eligibility process.

Apply or learn more →

Statewide resources

These four programs exist in every state and are the fastest entry points for most families.

Parent Training & Information (PTI)

Oregon Connections

(503) 581-8156

Federally funded — free help with IEPs, evaluations, and special ed rights.

State Autism Organization

Oregon Autism Coalition

State-level autism advocacy, family support, and community connection.

Insurance Coverage

Whether private insurance must cover ABA therapy in Oregon.

Oregon requires insurance to cover ABA therapy

HB 2408 · effective 2013

Through age 18No dollar capDiagnosis required

Covers ABA through age 18 with no dollar cap. Requires autism diagnosis and a licensed BCBA. Self-funded employer plans (ERISA) are exempt — confirm your plan type with HR and contact Oregon Insurance Division for help.

Self-funded employer plans (ERISA) are typically exempt — ask your HR department which type of plan you have.

Medicaid Waiver

Home and community-based services (HCBS) for autism families in Oregon.

Oregon Support Services Brokerage / K Plan Waiver

Oregon Department of Human Services (DHS), Developmental Disabilities Services

Varies

Typical wait time

Varies — eligibility-based for some services; wait for full waiver 2-5 years

Coverage highlights

  • ✓Respite
  • ✓Supported Living
  • ✗Therapy
  • ✓Employment Supports

Oregon has a distinctive brokerage model for self-directed services alongside traditional waiver services. The K Plan (also called ODDS) allows individuals to direct their own care budget. Oregon's Support Services Brokerage connects families with personal support workers. Contact your local DHS office to begin eligibility determination.

How to apply

Apply online →503-945-9941

Medicaid Managed Care

How Medicaid pays for ABA therapy in Oregon.

Oregon Health Plan

Covers ABA through all ages

How to find your plan

Visit oregon.gov/oha/healthplan or call the ONE Customer Service Center at 1-800-699-9075. Oregon uses Coordinated Care Organizations (CCOs) by region — your CCO depends on your county.

Major plans in this state

  • Health Share of Oregon (CCO)
  • Pacific Source Community Solutions (CCO)
  • Trillium Community Health Plan (CCO)
  • AllCare Health (CCO)

Oregon's Health Plan uses regional Coordinated Care Organizations (CCOs) to manage all care including behavioral health. Oregon is notable for covering ABA therapy for individuals of all ages with autism — not just children. Prior authorization is required. Contact your CCO to find in-network ABA providers.

⚠️ Prior authorization is required before starting ABA services.