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Available for people using the Individual Options Waiver
Ohio Shared Living

Ohio Shared Living is often called OSL for short. It provides an option for someone with a developmental disability to get the support they need while living with a paid caregiver.

Caregivers make long-term commitments to sharing a home, helping with daily routines, and inviting someone with a developmental disability to be part of their family, resulting in lifelong relationships. OSL caregivers support people with developmental disabilities in a home setting, either the home of the live-in caregiver or the home of the person accessing services.

Service Planning

This service may be available based on an understanding of each person's needs, discovered during an assessment then listed in their individual service plan.

OSL is available to people enrolled in the Individual Options, or IO Waiver. Other IO Waiver services including Respite, Adult Day, Vocational Habilitation, and employment or career services are still available to people participating in Ohio Shared Living.

People enrolling in the IO Waiver as a result of an emergency situation may consider OSL as an option. 

Unlike Adult Family Living or Adult Foster Care, OSL applies regardless if the caregiver is related to the person receiving the services of the caregiver.

The OSL service may be authorized when one or more adult caregivers who reside with the person provide twenty percent or more of the personal care and support services needed. 

Providing this Service 

Agency and independent providers that have a Medicaid provider agreement and are DODD-certified can provide this service.

Ohio Shared Living caregivers are paid to provide hands-on care and supportive services. Caregivers provide or help to coordinate the services outlined in a person’s service plan. That can include things such as cooking meals, providing transportation, and planning activities during the day. Caregivers may also provide assistance with personal care, supervision, housekeeping, and involvement in community activities.

It can take time to match the right OSL provider with the right person and setting. Those hoping to be an OSL provider may want to become certified providers offering respite services as a means of getting experience and meeting people who may be considering OSL.

Although being a caregiver is a full-time commitment, caregivers can work outside the home, having planned for needed supports that align with the person's 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 services on days that OSL services are not provided.

Parents cannot be OSL caregivers for their minor children, and OSL caregivers cannot provide services for their spouse. Like all certified providers, OSL caregivers receive a background check and are carefully screened.

A maximum of four people with developmental disabilities can live in a home in which a person receives OSL services. 

Training Requirements for this Service

Providers must complete the initial provider certification and annual training requirements to deliver this service.

Billing and Payment Information

All services must be delivered as specified in the individual service plan and authorized in Payment Authorization for Waiver Services, known as PAWS, to be successfully submitted for payment through eMBS.

Rates and limits for Ohio Shared Living are contained in the service rule's appendix.

Ohio Shared Living has separate daily rates for independent providers and provider agencies. 

Neither the medical, behavioral, nor complex care add-on apply to OSL services.