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Ohio Shared Living (OSL) is an option for people on the IO waiver to get help with personal care and activities in the home of a live-in caregiver or the person accessing services. OSL creates opportunities for people to live in stable, familiar environments where they can gain confidence as they learn skills and personalize their own place.

People in OSL can access other waiver services, including adult day, vocational habilitation, and employment or career services.
OSL providers are paid to plan supports like assistance with personal care, supervision, support services, housekeeping, involvement in community activities, and any other services outlined in a service plan. 

Caregivers can be family, friends, roommates, or staff who work for a provider company. Many people enjoy friendships with their OSL caregivers, and good living arrangements can last a long time.

It can take time to match the right OSL provider with the right person and setting. Those hoping to be an OSL provider could become certified and offer respite as a means of getting experience and meeting people considering OSL. People enrolling in the IO waiver as a result of an emergency situation may consider OSL as an option.
Although being a caregiver is a full-time commitment, work outside the home is possible having planned for supports that align with the service plan. During a short-term absence, respite services can be accessed by those providing OSL services. People can also receive support through homemaker/personal care (HPC) services on days that OSL services are not provided..

The Ohio Shared Living service applies whether or not the caregiver is related to the person receiving the services of the caregiver.

It is only authorized using a daily rate and has no 15-minute unit option available.

Ohio Shared Living has one daily rate for independent providers and one daily rate for agency providers.

It has a higher provider reimbursement rate available than Adult Family Living and Adult Foster Care previously offered.

While the amount of increase is not the same for every Ohio Developmental Disabilities Profile (ODDP) funding range, there is at least a slight increase for every range.