Starting an HCBS Agency in Oklahoma

What You Need to Know About Starting a Specific HCBS Agency in Oklahoma


These videos give an overview of the various Home and Community-Based Services (HCBS) available in Oklahoma for providers who want to learn how to start or operate an HCBS agency in the state. Each video explains the purpose of the service, provider requirements, licensing process, and how the program functions. Use these videos to better understand the responsibilities, standards, and steps involved in becoming or working with approved HCBS providers in Oklahoma. Explore each section to find the service that best matches your goals or area of interest.

Respite Care

Respite Care Services in Oklahoma offer short-term relief to unpaid primary caregivers of individuals with disabilities, chronic conditions, or aging-related needs. These services can be delivered in the home or community, ensuring the individual receives appropriate care while the caregiver rests or attends to personal responsibilities. Respite Care Services are authorized under Oklahoma Medicaid Home and Community-Based Services (HCBS) Waiver programs and the State Plan (when applicable).

 
 

Residential Support

Residential Support Services in Oklahoma offer individuals with intellectual and developmental disabilities (IDD), behavioral health needs, or long-term support needs a stable, home-like environment where they can receive supervision, personal care, and skill-building services. These services promote independence, ensure safety, and support community integration. They are covered under the Oklahoma Medicaid Home and Community-Based Services (HCBS) Waiver programs.

 
 

Supported Employment

Supported Employment Services in Oklahoma assist individuals with intellectual, developmental, and behavioral health disabilities in preparing for, obtaining, and maintaining meaningful employment. These services help individuals work in regular jobs alongside people without disabilities, earning competitive wages, and participating in their communities. Supported Employment is a covered service under Oklahoma Medicaid’s Developmental Disabilities Services (DDS) Waivers and may also be provided in coordination with Vocational Rehabilitation (OKDRS).

 
 

Personal Care

Personal Care Services in Oklahoma provide non-medical assistance with activities of daily living (ADLs) and instrumental activities of daily living (IADLs) to individuals with disabilities, chronic illnesses, or aging-related limitations. These services help individuals maintain independence in their homes and prevent unnecessary institutionalization. Personal Care Services are authorized under Oklahoma Medicaid’s Home and Community-Based Services (HCBS) programs and State Plan Personal Care.

 
 

Specialized Medical Equipment

Specialized Medical Equipment (SME) Services in Oklahoma ensure individuals with disabilities or chronic health needs have access to essential devices and products that promote independence and support health-related outcomes in home and community settings. These services are authorized under Oklahoma Medicaid’s Home and Community-Based Services (HCBS) Waivers, the ADvantage Waiver, and other long-term services and supports programs.

 
 

Skilled Nursing

Skilled Nursing Services in Oklahoma provide essential medical care to individuals with complex health needs who require nursing oversight in home or community-based settings. These services help individuals avoid institutional care by managing chronic conditions, providing post-acute care, and supporting long-term health goals. Skilled Nursing Services are authorized under Oklahoma Medicaid (SoonerCare) and several Home and Community-Based Services (HCBS) Waiver programs, including the Medically Fragile Waiver, ADvantage Waiver, and DDS Waivers.

 
 

Habilitation Services

Habilitation Services in Oklahoma focus on helping individuals with intellectual and developmental disabilities (IDD) acquire, retain, and improve life skills necessary for independent or supported living. Unlike rehabilitation (which restores lost function), habilitation teaches skills individuals may not have yet developed due to disability. These services are offered under Oklahoma Medicaid (SoonerCare) through Home and Community-Based Services (HCBS) Waivers, including the Community Waiver, In-Home Supports Waiver (IHSW), and Living Choice Program.

 
 

Adult Health

Adult Health Care Services in Oklahoma encompass a range of Medicaid-funded medical and personal support services for adults with disabilities, chronic illnesses, or aging-related needs. These services are designed to maintain health, manage chronic conditions, and support daily living activities — enabling individuals to remain in their homes or community settings. Services are authorized under SoonerCare (Oklahoma Medicaid) and several Home and Community-Based Services (HCBS) Waiver programs, including the ADvantage Waiver, Medically Fragile Waiver, and Living Choice Program.

 
 

Assistive Technology

Assistive Technology Services in Oklahoma help individuals with disabilities access, acquire, and use specialized equipment and devices that enhance their functional abilities and promote community inclusion. These services range from mobility aids and communication tools to environmental control devices and home-based modifications. Assistive Technology is available through Oklahoma Medicaid programs, including HCBS waivers and State Plan services.

 
 

Behavioral Health

Behavioral Health Services in Oklahoma provide support for individuals facing mental illness, developmental disabilities, behavioral challenges, or co-occurring disorders. These services aim to reduce crises, improve daily functioning, and promote recovery by using evidence-based interventions. Behavioral Health Services are covered under Oklahoma Medicaid (SoonerCare), various Home and Community-Based Services (HCBS) Waivers, and the Oklahoma Department of Mental Health and Substance Abuse Services (ODMHSAS).

 
 

Home Modification

Home Modification Services in Oklahoma help individuals with disabilities, chronic illnesses, or age-related needs live safely and independently in their own homes by making physical adaptations that reduce hazards and improve functionality. These services are authorized under Oklahoma Medicaid’s Home and Community-Based Services (HCBS) Waivers, including the ADvantage, Medically Fragile, and Developmental Disabilities Services (DDS) programs.

 
 

Nursing Facility Transition

Nursing Facility Transition Services in Oklahoma help individuals who reside in nursing homes or other institutional care settings move back into the community. These services assist with identifying housing, arranging supports, and securing one-time resources to ensure a safe and sustainable transition. Services are provided under Oklahoma Medicaid through the Living Choice program and Home and Community-Based Services (HCBS) waivers.

 
 

Community Integration

Community Integration Services in Oklahoma are designed to help individuals with intellectual, developmental, or physical disabilities actively participate in their communities. These services reduce isolation, build social skills, and promote personal growth by supporting individuals in accessing community events, volunteering, recreation, and relationship-building. They are authorized under Oklahoma Medicaid Home and Community-Based Services (HCBS) Waivers, particularly through the DDS Community Waiver, In-Home Supports Waiver, and Living Choice Program.

 
 

Therapy Services

Therapy Services in Oklahoma provide participants with physical, occupational, and speech-language therapy designed to enhance mobility, communication, daily living skills, and overall well-being. These services are essential for individuals with developmental disabilities, physical impairments, brain injuries, or chronic health conditions. Therapy Services are authorized under Oklahoma Medicaid (SoonerCare) and multiple Home and Community-Based Services (HCBS) Waiver programs.

 
 

Case Management

Case Management Services in Oklahoma help individuals with disabilities, chronic health conditions, or aging-related challenges access and manage the supports they need to live safely and independently in their communities. Case managers coordinate care, advocate for participants, and connect them with Medicaid-funded services and local resources. These services are authorized under Oklahoma Medicaid Home and Community-Based Services (HCBS) Waivers, including the ADvantage Waiver and Developmental Disabilities Services (DDS) programs.

 
 

Non-Medical Transportation

Non-Medical Transportation (NMT) Services in Oklahoma help individuals with disabilities and other waiver-eligible participants travel to and from waiver services, community activities, volunteer roles, and employment opportunities. These services are essential for promoting independence, reducing isolation, and ensuring full participation in daily life. NMT is covered under Oklahoma Medicaid’s Home and Community-Based Services (HCBS) Waivers, including the ADvantage, DDS, and Living Choice programs.

 
 

Home Health

Home Health Care Services in Oklahoma provide skilled nursing, therapy, and personal assistance to individuals recovering from illness, managing chronic health conditions, or needing long-term medical oversight. These services are designed to help individuals maintain health, safety, and independence while avoiding unnecessary hospitalization or institutionalization. Home Health Services are covered under Oklahoma Medicaid (SoonerCare), Home and Community-Based Services (HCBS) waivers, and the State Plan.

 
 

Meal & Nutrition

Meal & Nutrition Services in Oklahoma ensure that individuals with disabilities, chronic conditions, or age-related needs receive appropriate meals to support their health and enable them to remain in home and community settings. These services can include meal preparation, delivery, nutrition planning, and dietary education. Meal & Nutrition Services are covered under Oklahoma Medicaid’s Home and Community-Based Services (HCBS) Waivers, including the Advantage Waiver, Medically Fragile Waiver, and DDS Waivers.

 
 

 

Our Client Portal offers a wealth of resources that you can explore related to various programs and state requirements.