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Guidance: Single Maximum Spending Amount for Level One Waiver

One component of the DODD Billing Concession guidance allows for the individual maximum spending amounts established for specific groups of services within the Level One Waiver to be combined into a single maximum spending amount. This is intended to allow county boards of developmental disabilities to authorize needed services without the budgetary constraints that might otherwise limit access to services. 

The single maximum spending amount is not an automatic entitlement for spending up to that amount. As with all waiver services, expenditures are only permissible for services that are determined to be necessary to ensure the health and safety of the person being served, identified through the person-centered planning process, and authorized by the service and support administrator at the county board.

While portions of the single maximum spending amount come from the budget limitations for adult day array services and Non-Medical Transportation, the single maximum spending amount is available for children as well as adults. In the context of minor children, the expectation is that natural supports that were present prior to the coronavirus (COVID-19) state of emergency will continue to be present throughout its duration.

The closure of schools may, however, result in a child’s need for services and support throughout the weekday daytime hours while parents or other legally responsible adults are out of the home due to employment requirements. If needed, the estimated number of service hours needed to satisfy such a need is 35 to 40 hours per week.

DODD is hopeful this temporary single maximum spending amount will give county boards increased flexibility to meet the needs of people with disabilities using Level One Waivers.

DODD has set up a dedicated web page for department communications and links to helpful resources that will advise people with disabilities, their families, service providers, direct support professionals, county boards of developmental disabilities, and the community at large.

For specific questions about COVID-19 and additional information and resources, DODD urges you to use the Ohio Department of Health’s call center. Call 1-833-4-ASK-ODH (1-833-427-5634), or visit coronavirus.ohio.gov