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ICF Intensive Behavioral Support Rate Add-on

Supporting youth with complex behavioral health needs and their families is a statewide priority. In collaboration with the governor's office, the Ohio Department of Medicaid, the Ohio Department of Job and Family Services, the Ohio Department of Mental Health and Addiction Services, and Ohio Family and Children First, DODD developed the Intensive Behavior Support Rate Add-on (IBSRAO) rule. This rule will enable Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICFIID) to receive enhanced reimbursement through a per diem rate add-on for providing short-term, intensive behavioral support to youth ages 10 through 17 with a dual diagnosis of mental illness and intellectual disability, violent and aggressive behaviors toward self and others, and a history of significant trauma. Frequently these youth are unable to get intensive treatment and supports in their home. There is a need to be placed in an out-of-home residential setting to get the youth stabilized and determine the support needs of the family. This rule is one component of a statewide initiative to support youth with complex behavioral health needs and their families. 

There are two steps in the process of receiving a rate add-on for a youth. First, for an ICFIID to be eligible to receive a rate add-on for a youth pursuant to the IBSRAO rule, the ICFIID must complete an application and submit it to DODD. The application will be reviewed by staff from DODD and ODM. 

Second, the department will accept referrals for youth to be considered for a rate add-on. Anyone can submit a referral for youth to be considered for a placement at an approved ICFIID. The youth do need to be known to the local county board of developmental disabilities and Family and Children First Council as they will need to approve the referral being submitted. DODD staff will be reviewing referrals on an individual basis and determine admissions based on the referral, supporting documentation, a Child and Adolescent Strengths Assessment (CANS), and a meeting with the family and the local team supporting the youth. 

For this round of applications, DODD has broadened the potential applicant pool to include the following models: 

  • Providers with experience serving youth with intellectual and developmental disabilities who have complex behavioral health needs. The selected provider will be expected to serve children throughout Ohio as referred by DODD.  The provider will also develop relationships with the county board of the youth’s residence. 

  • Providers with experience serving youth with intellectual and developmental disabilities who have complex behavioral health needs and plan to partner with a county board(s) of developmental disabilities. In this model, one or more county boards will collaborate to identify and refer youth residing in those counties to DODD who can be supported by the provider once approved by DODD to meet the criteria for the add-on. 

Applications will be accepted until 5 PM on Friday, November 19, 2021. There will be an opportunity to submit questions for clarification until 5 PM on Monday, November 1, 2021. Please submit questions to the ICF Rate Add-on inbox at ICFRateAddOn@dodd.ohio.gov. Please include IBSRAO application question in the subject line of your email. Responses will be posted on the DODD website and will be sent out in department communication. 

DODD is hosting a Live Chat for providers interested in applying for the IBSRAO through the Teams platform on November 1, 2021, 3-4 PM. Providers can use the following information to access the Live Chat at that time: 


Join on your computer or mobile app  

Click here to join the meeting  


Join with a video conferencing device  


Video Conference ID: 111 150 627 7  

Alternate VTC instructions  


Or call in (audio only)  

+1 614-721-2972,,370076004# 

Phone Conference ID: 370 076 004#