Oregon ODDS outlines $6.37 billion budget, plans to refocus high-cost SACU program

At an April 2025 informational hearing of the joint interim subcommittee on human services, Dana Hittle, interim director of the Office of Developmental Disability Services (ODDS) at the Oregon Department of Human Services, presented an overview of ODDS programs, caseload growth and the governor’s recommended budget for the 2025–27 biennium.

Hittle said the ODDS portion of the department’s budget in the governor’s recommended budget is about $6.37 billion, funded roughly 63% with federal Medicaid match and 37% with state general fund. She told the committee the increase from the 2023–25 legislatively approved budget is driven primarily by caseload growth and higher average cost per case, including greater utilization of in‑home services and updated provider rate models.

The presentation included statewide program and enrollment figures: ODDS serves about 38,261 individuals (12,764 children and 25,497 adults) and reported an 80.5% enrollment increase since the implementation of the Community First Choice “K plan” in July 2013. Hittle said the agency currently operates six 1915(c) Home and Community Based Services waivers and the statewide 1915(k) Community First Choice authority, explaining that the K plan is an entitlement-like state plan option that requires statewide provision without limiting by age or severity of disability.

Hittle described the Stabilization and Crisis Unit (SACU) as the highest per‑case cost in ODDS — about $105,787 per person per month — and said SACU had a resident count of 79 as of January 2025.…