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

DODD administers three waivers

The Self-Empowered Life Funding or 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 Brokerage Remote Monitoring and Equipment
Participant-Directed Homemaker/Personal Care Group Employment Support
Residential Respite Functional Behavioral Assessment
Community Respite Clinical/Therapeutic Intervention
Adult Day Supports Participant-Directed Goods and Services
Vocational Habilitation Participant/Family Stability Assistance
Career Planning Non-Medical Transportation
Individual Employment Support Transportation
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 instead of living in an institution.

Eligibility: People must 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 & Equipment Career Planning
Community, Residential, and Informal Respite Individual Employment Support
Non-Medical Transportation Money Management
Transportation Waiver Nursing Delegation
Specialized Medical Equipment Group Employment Support
Environmental Accessibility Adaptations Home Delivered Meals
Personal Emergency Response Systems


Resources

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

The Individual Options or 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 limit. Waiver services are developed in order to meet a person's individualized needs.

Read more about the prior authorization process.

Eligibility: People must be Medicaid-eligible 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 and Equipment Career Planning
Shared Living Individual Employment Support
Community and Residential Respite Career Planning
Non-Medical Transportation Individual Employment Support
Transportation Group Employment Support
Adaptive and Assistive Equipment Home Delivered Meals
Environmental Accessibility Adaptations Interpreter
Personal Emergency Response Systems Nutrition
Money Management Waiver Nursing 
Waiver Nursing Delegation




Enrolling in a Waiver

Waivers are one way to pay for the services a person with developmental disabilities needs. You may be able to have your needs met without using a waiver, if other resources are available, such as


  • funding or services through a county board of developmental disabilities,
  • services using Ohio Medicaid benefits,
  • and other local services.

Your county board will work with you to help you find and coordinate services to meet your needs, using all of the resources available.


If you do need to enroll in a waiver, your county board can help you to complete that process, as well. 


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Talk with your county board of developmental disabilities about the support you need and what services may be available.  
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Your 
county board of developmental disabilities uses a few different assessment tools to get to know you, what support you might need, and what support you might be able to access. You can have people who know you well with you during an assessment to help you answer questions.
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Waivers are only one way to pay for services. If you do need a waiver, you will need to apply for state Medicaid benefits as well. Your county board of developmental disabilities can help you. You can also complete the application for Medicaid benefits and check on your benefits online. Learn more about how Medicaid benefits work at benefits.ohio.gov
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To keep your services current, each year you may need to update some of the information you gave during your assessment. Your county board of developmental disabilities can help you make sure your assessments are up to date. You can also ask for new assessments when your needs change.

Approved Waivers
CMS approved amendments to the Level One, SELF, and IO Waivers on 10/26/18. All changes will be effective 1/1/19, including:

  • New Assistive Technology service in all three waivers
  • New Community Transition service in the IO Waiver
  • Modification to change Remote Monitoring to Remote Supports
  • Elimination of Remote Monitoring - Equipment Service
  • Elimination of Assistive Technology Assessment component of Career Planning in all three waivers
  • Elimination of Personal Emergency Response System service in Level One Waiver

Level One Approval and Amendment Letter

IO Approval and Amendment Letter

SELF Approval and Amendment Letter


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.

Participant-Direction

Each of DODD’s waivers includes an option for participant-directed homemaker/personal care, giving people enrolled in a waiver more control and authority to decide who provides needed services and how those services are providedLearn more.


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.


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.