The Department of Human Services (DHS) and the Oregon Health Authority are seeking public comment on the submission of the following Medicaid 1915(c) Home and Community-Based Services waiver: Aging and People with Disabilities Waiver Renewal (0185). The proposed waiver is available online: http://www.oregon.gov/DHS/SENIORS- DISABILITIES/DD/DataReports/APD%20Waiver%20Renewal%20Draft%208-22-16.pdf. The following is a summary of substantive changes proposed for the Aging and People with Disabilities Waiver: * Request to add new service – Wellness Education. Wellness Education materials assist waiver participants to obtain, process, and understand information needed to assist in the management and prevention of chronic conditions. * In collaboration with National Quality Enterprise, Centers for Medicare and Medicaid Services and DHS, Office of Developmental Disabilities Services, the Quality Improvement System has been revised to more accurately determine quality assurance and quality improvement through performance measures, remediation and system improvements. * Increase the projected unduplicated number of participants. * Update cost estimates for the waiver period January 1, 2017- December 31, 2021. A hard copy of the waiver can also be obtained from any Aging and People with Disabilities or Area Agency on Aging field office or at the Barbara Roberts Human Services Building located at 500 Summer St NE, Salem OR. Comments can be sent to trevor.j.waskin@state.or.us or mailed to Aging and People with Disabilities 500 Summer St NE Salem OR 97306 and should be received no later than September 27, 2016.