How Services are Funded

Services are funded in three ways:

  • Home and Community-Based Services (HCBS) Waiver Program Individuals live in community settings of their choice, and direct their care within the limits of their budget (i.e., funding levels, type of services). Funding and services are based on each individual and determined by a standard assessment tool. Individuals can hire and remove providers as they desire.

    Federal Medicaid funds cover approximately 60 percent of the cost, and the County Board or DODD is responsible for the remaining amount. Because there is a limit to county and state funds, there is a waiting list for Ohio waivers in most counties.
  • Facility-based Care: Individuals reside in a privately operated Intermediate Care Facility (ICF) or a state-operated Developmental Center (DC), which provides all services, as well as room and board. The funding is "owned" by the facility – if an individual chooses to move, they secure services and funding through an opening at another ICF or DC, or a waiver; the facility has an opening for another individual to move in.

    Federal Medicaid funds cover approximately 60 percent of the cost, and the state is responsible for the remaining amount. Link to either the facility based care page or the pages for the ICFs and DCs

  • Locally Funded Services: Individuals reside in a community-based setting, and receive services from their County Board, or another organization. Services vary by county, and may include day services, transportation, and school programs.