In-Home Supports Waiver for Adults — Oklahoma Human Services is seeking to amend the In-Home Supports Waiver for Adults (IHSW-A). The IHSW-A serves individuals with intellectual disabilities age 18 and over. The specific changes include removing the Homemaker service; adding the Educational Supports service; updating qualifications for case managers, initial level of care evaluators, and annual level of care evaluators to allow years of experience to be used in lieu of a bachelors degree; updating the incident reporting requirements to comply with CMS guidelines; removing the performance measure that requires an annual medical report be completed and related language; and updating service utilization projections.

Public Comment Period: February 2, 2026 – March 3, 2026

Proposed Effective Date: July 1, 2026, contingent on CMS approval