The Centers for Medicare and Medicaid Services (CMS) approved the amendments to the Level One, Self-Empowered Life Funding (SELF), and Individual Options (IO) Waivers this week. The changes will be effective April 1, 2017 and include the following:
See the waiver amendments or read the approval letters from CMS.
See more about Ohio's State Transition Plan.
ICF/DC Consent Information
Process Change effective
ICF Directors, ICF Evaluator Staff, DC Superintendents, DC
Matt Turner, MHA4
February 22, 2017
Subject: Notification of Change in
Process for ICF evaluators
process for processing a consent has been updated. The full memo is
at the below link.
For full details please click to open notice
February 22, 2017
Budget Creates Additional Waivers, Increases Options
before the House Finance Committee, Director Martin shared Executive
Budget recommendations for state fiscal years 2018 and 2019,
state-funded waivers targeted to support people interested
in moving out of a facility and those on a waiting list.
Overtime Rule to be Refiled
5123:2-9-03 places a limit on the number of hours an independent
provider may provide home and community based services in a work week
and establishes exceptions to the limit.
on feedback offered by stakeholders, the department is designating
the rule “to be refiled”, affording time for additional dialogue with
people participating in waiver services and their families.
Public Notice: TDD Amendment Changes
reflects the final step in a multiple year effort to enroll people
who received services under the Transitions DD waiver in alternative
Ohio DD waivers that meet their health, safety and welfare needs.
Regional Sessions for ICF Reimbursement
In March, DODD
will host regional sessions addressing proposed changes in the
upcoming state budget that would modernize an aging intermediate care
facility (ICF) reimbursement system. Presentations will detail background
on current recommendations and a time frame for implementation.
Training & Tools
If you have
username and password for any DODD online application, you have
access to training at DODD
MyLearning. The list of training available will continue to grow
and already includes Internal Compliance, Community Integration, and
Our February BBT
Brown Bag Thursday features Stacy Collins and members of the
Medicaid and billing teams discussing the redesign of Adult Day
How to Report
from the MUI Registry Unit at DODD discusses
abuse of people with disabilities in Ohio, the importance of
reporting abuse, and why cases of abuse often go unreported.
Chats on HCBS
Live Chats on
the proposed HCBS/Adult Day waiver modification will be held on February
22 and March
3 to help answer any questions about the upcoming implementation.
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On February 9, the Department conducted a public hearing on proposed new administrative rule 5123:2-9-03 (Limit on Number of Hours an Independent Provider May Provide Home and Community-Based Services in a Work Week). The rule was developed in response to the U.S. Department of Labor Home Care Final Rule which applies minimum wage and overtime protections to domestic service workers, including those who provide services to individuals enrolled in Medicaid Home and Community-Based Services (HCBS) waivers administered by the Department.
Rule 5123:2-9-03 places a limit on the number of hours an Independent Provider may provide HCBS in a work week and establishes a process and the circumstances under with the limit may be exceeded. Based on feedback offered by stakeholders, the Department is designating the rule "to be refiled" to afford time for additional dialogue with individuals and families who receive HCBS.
February 17, 2017
Subject: Helpful Hints
The purpose of this
communication is to provide guidance for ICF/DCs related to the DODD Imagine
portal for completing level of care work and transitioning individuals from
ICF/DCs to waivers.
Key information to remember
when transitioning a person between ICF and waiver services:
Changes to DODD portal and
usage of form 9401
To: ICF Directors, DC
Superintendents, CB Superintendents, COG Directors
From: Amy Coey
Date: February 16, 2017
to DODD portal and usage of form 9401
The purpose of
this communication is to provide information about the new level of care
letter function in the DODD portal and notify ICF/DCs about the usage of
ODM form 9401
As a new function to the DODD portal, ICF/DCs will have access to Level of
Care notification letters for those individuals who reside in their
Beginning Thursday, February 23, 2017, LOC determination letters will be
mailed out and electronic copies saved into the DODD portal under each
Individuals or the guardian on behalf of the individual, will receive
letters via mail. All letters will be stored electronically in the
SharePoint folder associated with each individual in the DODD portal.
Applicable letters include:
Effective immediately: ICFs and DCs should no longer submit ODM 9401
forms to County Department of Job and Family Services for changes in income
or death of an individual. If there is a change in income or death of
an individual, the ICF or DC must call or email their local CDJFS to report
All questions related to this memo or Level of Care should be directed to LOC@dodd.ohio.gov
DODD will be hosting 4 regional sessions to present changes to the ICF Reimbursement methodology as being proposed in the FY18-19 budget.
As required by the FY16-17 budget, DODD contracted with a reimbursement expert (Public Consulting Group or PCG) to make recommendations to modernize the current methodology which is over 20 years old. Coy Jones of PCG will present analyses conducted which led to the recommendations proposed in the budget and also detail timeframes for implementation.
Please register for the session of your choice using the links below. Each presentation will be the same so there is no need to attend multiple sessions and space is limited. Please contact Josh Anderson of DODD should you have questions at Joshua.Anderson@dodd.ohio.gov.
Session March 7, 2017 from 10:00 a.m.-12:00 p.m. location Ohio Department of Natural Resources - Columbus, OH
Session March 8, 2017 from 10:00 a.m.-12:00 p.m. location Hamilton County Board of DD - Queensgate Facility - Cincinnati, OH
Session March 9, 2017 from 10:00 a.m.-12:00 p.m. location Summit County Board of DD - Talmadge, OH
Session March 10, 2017 from 10:00 a.m.-12:00 p.m. location Lucas County Board of DD - Toledo, OH
Manager of Operations
Department of Developmental Disabilities
Division of Medicaid Development and Administration