Services and Settings Transition Plan

Ohio is building a system that supports people who use waiver-funded home and community-based services (HCBS) to have opportunities to fully access community life through waiver settings in the community, expanded day service options, and assurance of privacy and rights at home.

Recognizing that community life is not simply the absence of an institution, the Centers for Medicare & Medicaid Services implemented regulations to ensure that people receiving services and supports through HCBS waivers are assured full opportunity to participate in their community. All state governments are developing plans to comply with federal settings regulations for waiver recipients.

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Developmental Disability Waivers

Wassdaaq2q2.jpgaivers are one way to fund the services and supports that people need to live their lives.


Waiver Settings
Ohio's settings suitability rule (OAC 5123:2‐9‐02) establishes standards to ensure that IO, LV1 and SELF waiver services maximize opportunities for people to access the benefits of community living and receive services in the most integrated setting.
Adult Day Services and Employment Services 
aaaa12221.jpg Providers design day services that connect people with community life.

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Ohio's Transition Plan
Medicaid home and community-based services (HCBS) waivers seek to ensure that those accessing waiver services are afforded full access to community living.
What this means for providers
Providers continue to follow the settings suitability rule (OAC 5123:2-9-02) and keep their provider certification up to date with settings locations. Providers may need to make changes to their services to ensure full access to the community for the people they serve.