​​​​​​​​​Home and Community Based Waivers

A Home and Community Based Services waiver is one way to fund supports and services for people with developmental disabilities.

FAQ's:

FAQ for Waiver Nursing

Proposed changes to the IO, Level One and SELF waiver applications effective September 1, 2017

The TDD waiver closed June 30, 2017

Currently, DODD administers three waivers

Modified Waiver Services

Participant-Directed Goods and Services
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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: Individuals 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 of at least one SELF waiver service, be Medicaid eligible, and have an ICF level of care. There are no age requirements for eligibility.

Services provided by the SELF waiver include:

​Support Brokerage
​Remote Monitoring & Equipment
​Community Inclusion (Personal Assistance/Transportation)
​Integrated Employment
​Residential Respite
​Functional Behavioral Assessment
​Community Respite
​Clinical/Therapeutic Intervention
​Adult Day Supports
​Participant-Directed Goods & Services
​Vocational Habilitation
​Participant/Family Stability Assistance
​Supported Employment - Enclave
    See the handbook for a complete list of services, and more information.


  • Participant-Directed Goods and Services
  • SELF Waiver Technical Guide (PDF)
  • SELF Waiver-Guidelines to Reporting MUIs (PDF)
  • SELF Waiver Employment First Form (PDF)
  • SELF Waiver Pre-Screen Participant Direction Tool (PDF)
  • SELF Waiver - Children with Intensive Behavioral Needs Checklist (PDF)
  • SELF Waiver Participant-Directed Goods and Services Guidelines (PDF)
  • SELF Handbook (PDF)
  • SELF 1915 C CMS Waiver Application(PDF) 
  • SELF Waiver App Approved Renewal July 2015
  • SELF Approval Letter
  • The Level 1 waiver allows for minimal paid support and relies heavily on natural supports assisting individuals to live in community settings of their choice with supports instead of living in an institution.

    Eligibility: Individuals must meet be Medicaid-eligible and have an ICF level of care – there are no age requirements.

    Services provided by the Level 1 Waiver include:

    ​Homemaker/Personal Care
    ​Residential and Informal Respite
    ​Community Respite
    ​Transportation
    ​Personal Emergency Response Systems
    ​Specialized Medical Equipment
    ​Environmental Accessibility Adaptations
    ​Emergency Assistance
    ​Supported Employment
    ​Day Habilitation

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

    Resources

  • Level One Waiver Handbook
  • Application (PDF)
  • Level I Prescreen Tool (PDF)
  • Level One Approved Waiver Amendment
  • Level One Approval Letter
  • The Individual Options (IO) waiver is a more comprehensive waiver which allows invdividuals to live in community settings of their choice with supports instead of living in an institution. The IO waiver has a higher funding limitand waiver services are developed in order to meet a person's invdividualized needs.

    Read more about the Prior Authorization process.

    Eligibility: Individuals must meet Medicaid eligigibility criteria and have an ICF level of care – there are no age requirements.

    Services provided by the IO waiver include:

    Homemaker/Personal Care
    ​Ohio Shared Living
    ​Residential & Informal Respite
    ​Transportation
    ​Personal Emergency Response Systems
    ​Specialized Medical Equipment
    ​Environmental Accessibility Adaptaions
    ​Emergency Assistance
    ​Supported Employment
    ​Day Habilitation
    ​Community Respite

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

    Resources

  • Individual Options Waiver Handbook (PDF)
  • Application (PDF)
  • Prior Authorization process – Ohio Administrative Code 5123:2-9-07
  • IO Approved Waiver Amendment
  • Skilled Nursing Task Assessment Form
  • Nursing Task Assessment Form - Completion Guidelines
  • IO Waiver Nursing Services County Boards (PDF)
  • IO Waiver Nursing Training - Providers Families (Video)
  • IO Waiver Nursing Training - Providers Families (PDF)
  • IO Approval Letter
  • Eligibility: The TDD Waiver is for people with developmental disabilities who are Medicaid-eligible, have been enrolled in the Ohio Home Care Waiver then later determined to have an ICF or developmental disabilities level of care, can have their health and welfare needs met through a combination of waiver and other paid or unpaid supports, need at least one TDD waiver service each month, and are willing to participate in the development of an individualized service plan.

    Services provided by the TDD waiver include: adult day health center services, emergency response services, home-delivered meals, home modification services, out-of-home respite services, personal care aide services, supplemental adaptive and assistive devices, supplemental transportation, and waiver nursing.

    ​Adult Day Health Center Services
    ​Emergency Response Services
    ​Home-Delivered Meals
    ​Home Modification Services
    ​Out-of-Home Respite Services
    ​Personal Care Aide Services
    ​Supplemental Adaptive & Assistance Devices
    ​Supplemental Transportation
    ​Waiver Nursing

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

    Resources

    DD Transition

    Email questions and feedback to TDDinbox@dodd.ohio.gov