ODHS Office of Developmental Disabilities Services (ODDS), I/DD Licensing
Licenses and certifies Medicaid agencies and foster care providers in Oregon's I/DD service system. Reachable at dd.licensing@odhs.oregon.gov.
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Oregon provider enrollment
How to Become a Medicaid Waiver Provider in Oregon
What Oregon requires before you can deliver home and community-based waiver services, in the order the state actually requires it. Every claim links to the official page it came from.
Provider rules change often — confirm fees and deadlines against the linked sources before you rely on them.
Overview
Becoming a waiver provider in Oregon
Two details will save you real grief in Oregon. First, the online application cannot be saved — it must be completed in one session, which takes roughly 15 to 20 minutes once your documents are assembled. Gather everything before you open it. Second, being certified is not being payable: after approval, the Provider Enrollment Unit handles the Provider Enrollment Agency Agreement, and you cannot be paid until the PEAA is signed. Between those two sits the substantive work, which is largely about your executive director. They must meet the standards in OAR 411-323 and hold a Medicaid Agency Orientation certificate, a current background check, CPR certification, and both mandatory abuse reporting training certificates — for adults and for children, regardless of which population you serve — plus a resume with three professional references. Fees are nonrefundable and nontransferable, and Oregon prioritizes applications where individuals need the service, few providers exist in the area, or the provider brings specialized skills or needed languages.
Who certifies you
The agencies that decide
ODDS Provider Enrollment Unit
Handles the Provider Enrollment Agency Agreement and insurance requirements after certification, at odds.providerenrollment@odhs.oregon.gov.
Visit siteBefore you apply
What has to be true first
Certification and at least one endorsement
To operate you must have agency certification and at least one service endorsement. Both are reviewed and renewed on the same two-year cycle.
SourceThe executive director carries the qualification
Directors must meet all the standards in OAR 411-323 and provide a Medicaid Agency Orientation certificate, a current background check, CPR certification, both mandatory abuse reporting training certificates — adults and children, regardless of the population served — and a resume with three professional references including phone numbers and emails.
SourceBusiness documentation is part of the application
Management agreements or contracts, a business plan, the payment receipt, a policies and procedures checklist, and a disclosure form covering ownership and control.
SourceFees are nonrefundable and nontransferable
Initial certification fees vary by endorsement; renewal certification is $500 with endorsement renewal fees varying by type. Fees are paid through the Medicaid agency portal before you apply.
SourceEnrollment
How to enroll in Oregon
Review OAR 411-323, complete Medicaid Agency Orientation, pay the fees, submit the online application in one sitting, respond to the department's requests, and sign the Provider Enrollment Agency Agreement before billing.
Application system: Prospective I/DD Provider Agencies — ODHS I/DD Licensing
- Read OAR 411-323 before anything else
The rule prescribes the standards for obtaining a certificate and endorsement to deliver person-centered services in community-based settings, and it is what your executive director must satisfy.
Source - Complete Medicaid Agency Orientation through an approved vendor
The MAO certificate is one of the executive director documents the application requires.
Source - Pay the fees through the Medicaid agency portal
The payment receipt is part of the business documentation submitted with the application, and fees are nonrefundable and nontransferable.
Source - Submit the online application in one session
The system does not let you save partway through. With documents ready it takes roughly 15 to 20 minutes.
Source - Answer the department promptly
The department contacts applicants when it needs more information, and states that missing a deadline may cause it to close your application.
Source - Sign the Provider Enrollment Agency Agreement
After approval the Provider Enrollment Unit handles the PEAA and insurance requirements — and you cannot be paid until the PEAA is signed.
Source
Fees, screening, and renewal
Two-year renewal cycle, with three to four months' notice
Certification and endorsements renew together every two years, and the department typically contacts agencies three to four months before renewal.
SourceService types
What you can be approved to deliver
Endorsed community services
Oregon I/DD Medicaid services under OAR chapter 411, division 323
Endorsements are service-specific
Division 323 covers professional behavior services, 24-hour residential programs, supported living programs, employment services, host home programs, direct nursing services, and community living supports — each endorsed separately.
SourceSites get their own provider number
Agencies need a Medicaid Agency Identification Number assigned by the Department, and for each licensed site or geographic location where direct services are delivered, a Medicaid Performing Provider Number.
Source24-hour residential and host home programs
A separate license application
Oregon publishes a distinct application for 24-hour residential and host home licensing alongside the agency and endorsement application.
SourceTimeline & cost
What this actually takes
Priority goes to filling gaps
Applications receive priority processing when individuals need the specific service, few providers exist in the area, the provider has specialized skills, or the provider speaks needed languages. Knowing where the gaps are can materially change your wait.
SourceCertified is not paid
Payment depends on the Provider Enrollment Agency Agreement being signed after certification, so build that step into your cash-flow plan rather than assuming approval starts the revenue.
SourceAfter approval
Staying compliant
Renew certification and endorsements together
Both are on the same two-year cycle, with renewal certification at $500 and endorsement renewal fees varying by type.
SourceODDS publishes a resource set for current agencies
Licensing maintains a separate resources page for current Medicaid agencies, distinct from the prospective-provider materials.
SourceConfirm by phone
What the state does not publish
Oregon does not publish these in a form we could verify, so we have not guessed at them. Ask directly — and if an answer here would help other providers, tell us and we will add it with its source.
- What is the initial certification fee for the endorsements you want, and what are the current endorsement renewal fees?
Ask: ODDS I/DD Licensing, dd.licensing@odhs.oregon.gov
- How long does review currently take from submission to certification, and how long does the PEAA add?
Ask: ODDS Provider Enrollment, odds.providerenrollment@odhs.oregon.gov
- Which services and which parts of Oregon currently qualify for priority processing?
Ask: ODDS I/DD Licensing, dd.licensing@odhs.oregon.gov
- What insurance does the Provider Enrollment Agency Agreement require?
Ask: ODDS Provider Enrollment, odds.providerenrollment@odhs.oregon.gov
Key contacts
Oregon provider contacts
Prospective I/DD Provider Agencies
The application steps, required documents, fees, renewal cycle, and priority processing.
Visit siteI/DD Licensing — Resources for Current Medicaid Agencies
What you will be working from once certified.
Visit siteOAR chapter 411, division 323
The rule setting certificate and endorsement standards, including executive director qualifications.
Visit siteFAQ
Oregon provider questions
Can I save the application and come back to it?
No. Oregon's online application must be completed in one session — you cannot save it once you start. With your documents ready it takes about 15 to 20 minutes.
Does certification mean I can bill?
No. After approval, the Provider Enrollment Unit handles the Provider Enrollment Agency Agreement and insurance requirements, and you cannot be paid until the PEAA is signed.
What does my executive director need?
To meet the OAR 411-323 standards and hold a Medicaid Agency Orientation certificate, a current background check, CPR certification, and both mandatory abuse reporting training certificates — adults and children, regardless of the population you serve — plus a resume with three professional references.
How often do I renew?
Every two years, with certification and endorsements on the same cycle. The department typically reaches out three to four months ahead. Renewal certification is $500, and endorsement renewal fees vary by type.
Can anything speed my application up?
Oregon gives priority when individuals need the specific service, few providers exist in the area, the provider has specialized skills, or the provider speaks needed languages — so where and what you propose to serve genuinely affects your position.
Looking for the family-facing guide? Browse state waiver guides