Our system, both here in Ohio and nationally, is experiencing change. The expectations of and for individuals with developmental disabilities rightfully is increasing, and individuals want to more fully participate in their communities. Also, outside forces are causing us to look at how services are offered, including new federal regulations from the Centers for Medicare and Medicaid Services (CMS). Our system must evolve to respond to these needs, and that leads to a significant amount of change.
This section of the DODD website offers more information about some of the forces driving change in Ohio's system. Those forces include: (Link bold text to the corresponding page on our future)
- CMS Transition Plan: A new rule from the Centers for Medicare & Medicaid Services (CMS) says that federal Medicaid funds can no longer be used to pay for waiver services that are offered in or adjacent to institutions or settings that have the effect of isolating people. Ohio had developed a plan for how the state will come into compliance with the new rule.
- 2016-2017 Budget: Governor John R. Kasich's FY2016-17 Executive budget made a historic investment in Ohioans with developmental disabilities. Nearly $300 million was added to DODD's budget to increase opportunities for individuals to participate in their communities, and to live fuller lives.
- Independent Provider Changes: On October 6, United States Supreme Court Chief Justice John Roberts denied an application that would have stayed implementation of the U.S. Department of Labor's Home Care Final Rule. The rule applies to minimum wage and overtime. Additionally, on December 9, the Ohio General Assembly clarified in law that an Independent Provider who provides services to an individual on Medicaid is not a public employee. Currently, all Ohio independent providers are paid at a rate that meets or exceeds federal minimum wage standards. DODD will make overtime payments to eligible independent providers who bill for more than 40 hours in a work week for dates of service beginning January 1, 2016.
There are a lot of components to these changes. To break down these topics, below is a series of documents that offer more information about a specific area in a short and easy-to-understand format. Read these documents to learn more about specific topics, and share them with the individuals you serve and work with.