How is this funded?
Brokerage services are funded by a mix of state and federal money. Depending on the service, Oregon receives a different federal match.
Brokerage services fall under the Title XIX Waiver (matched at the Federal Medicaid Assistance Percentage, or FMAP, rate, currently 64%), and K Plan (receives a 6% increase on the FMAP, currently 70%).
The K Plan
- Officially known as the Community First Choice Option, often referred to as the K Plan
- Part of the Affordable Care Act (sometimes referred to as “Obamacare”)
- Newly-created option for how states receive federal match dollars
- Incentivizes home and community based supports over institutions
- K Plan increases Oregon’s federal match by 6%
- Oregon is the second state in the country to implement the K Plan
- Today, the vast majority of services in brokerages are funded through the K Plan
Title XIX Waiver
- Federal program, funded at a lower match rate
- Unlike the K Plan, the waiver has caps on services
- Historically, most community-based services have been waiver services
- Today, the waiver covers:
–Home and Vehicle Modifications