Home and Community-Based Services Waivers

Waivers are one way to pay for services that help people with developmental disabilities live their lives. 

The department administers three different types of waivers. The Individual Options, Level One, and Self-Empowered Life Funding waivers each have different spending limits and offer some different services.

By braiding together multiple funding sources, such as local county board of developmental disability levy funds and Ohio Medicaid benefits, a person with developmental disabilities may be able to have their service needs met without a waiver.

​Contact your local county board of developmental disabilities if you need additional supports to see if they can be provided through a waiver or other resources.

Currently, DODD administers three waivers

The Self-Empowered Life Funding (SELF) Waiver is Ohio's first participant-directed waiver. It lets people direct where and how they receive services. This is known as self-direction.


Eligibility: People must be willing and able to self-direct at least one waiver service, be able to have their health and welfare needs met through the SELF Waiver, need at least one SELF Waiver service, be Medicaid eligible, and have an intermediate care facility level of care. There are no age requirements for eligibility.

Participant-Directed Goods and Services

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Services provided by the SELF Waiver include

Support BrokerageRemote Monitoring & Equipment
Participant-Directed Homemaker/Personal CareGroup Employment Support
Residential RespiteFunctional Behavioral Assessment
Community RespiteClinical/Therapeutic Intervention
Adult Day SupportsParticipant-Directed Goods & Services
Vocational HabilitationParticipant/Family Stability Assistance
Career PlanningNon-Medical Transportation
Individual Employment SupportTransportation
Waiver Nursing Delegation 


Resources

All publications were accurate as of the date of publication. For additional information, see Rules in Effect

The Level One Waiver allows for minimal paid support and relies heavily on natural supports assisting people to live in community settings of their choice with supports instead of living in an institution.

Eligibility: People must meet be Medicaid-eligible and have an intermediate care facility level of care. There are no age requirements.

Services provided by the Level One Waiver include

Homemaker/Personal Care Adult Day Supports
Participant-Directed Homemaker/Personal Care Vocational Habilitation
Remote Monitoring & EquipmentCareer Planning
Community, Residential, and Informal RespiteIndividual Employment Support
Non-Medical TransportationCareer Planning
TransportationIndividual Employment Support
Specialized Medical EquipmentGroup Employment Support
Environmental Accessibility AdaptationsHome Delivered Meals
Personal Emergency Response SystemsWaiver Nursing Delegation
Money Management


See the handbook for a complete list of services and more information.

Resources

All publications were accurate as of the date of publication. For additional information, see Rules in Effect.

The Individual Options (IO) Waiver is a more comprehensive waiver that allows people to live in community settings of their choice with supports instead of living in an institution. The IO Waiver has a higher funding limited waiver services are developed in order to meet a person's individualized needs.

Read more about the prior authorization process.

Eligibility: People must meet Medicaid eligibility criteria and have an intermediate care facility level of care. There are no age requirements.

Homemaker/Personal Care Adult Day Supports
Participant-Directed Homemaker/Personal Care Vocational Habilitation
Remote Monitoring & EquipmentCareer Planning
Shared LivingIndividual Employment Support
Community and Residential RespiteCareer Planning
Non-Medical TransportationIndividual Employment Support
TransportationGroup Employment Support
Adaptive and Assistive EquipmentHome Delivered Meals
Environmental Accessibility AdaptationsInterpreter
Personal Emergency Response SystemsNutrition
Money ManagementWaiver Nursing and Waiver Nursing Delegation


See the handbook for a complete list of services and more information.

              

Proposed Waiver Changes

The following amendments have been proposed to the Centers for Medicare and Medicaid Services.

Proposed effective on Jan. 1, 2018.

SELF Waiver Amendment
LV1 Waiver Amendment 
IO Waiver Amendment


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Expanded Adult Day Supports

In 2017 through a partnership with stakeholders, adult day services expanded to prioritize person-centered planning, community employment, and community membership. Learn more.

Home and Community-Based Services Waiver Settings

Waiver services are intended to help people engage in community life and, as a result, must be provided in settings that support access to the community.

Learn more about requirements for waiver settings.

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Waivers provide funding for needed supports when no other resources are available. If you need assistance, contact your local county board of developmental disabilities about possible resources.

Learn more about waiver enrollment.

Waiver Waiting List

Each of Ohio's county boards of developmental disabilities maintains the requests of people seeking a waiver if no waiver is available.

Learn more about Ohio's waiver waiting lists and proposed changes.

Ohio Medicaid Program

The Ohio Medicaid program provides a wide range of services, including preventative care, mental health services, dental, and vision.                                          

LMan With Thumbs Up (2).jpgearn about the variety of services offered, who qualifies, and how to apply for Ohio's Medicaid program by visiting Medicaid.Ohio.gov.

People enrolled in a home and community-based services waiver administered through DODD have the option to enroll in a managed care plan instead of the traditional fee-for-service program for their primary and acute care needs.

Managed care plans offer benefits such as

  • Expanded provider networks and help finding providers
  • A dedicated toll-free number for questions and 24-hour nurse advice line
  • Health and wellness programs
  • Multiple ways to give feedback on the quality of the care you get
  • Additional benefits like vision, dental, and transportation

    Enrollment in a managed care plan is optional, and waiver services will stay the same. Managed care plans will be used for the primary and acute care needs. Learn more.