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DODD Waiver Simplification and Improvement

The Ohio Department of Developmental Disabilities (DODD) is committed to improving the lives of Ohioans with developmental disabilities and their families through the simplification and improvement of the Level One and Self-Empowered Life Funding (SELF) waivers. By focusing on the efficiencies of both waivers while exploring other innovative service methods, DODD intends to improve waiver services while advancing self-direction and community integration.  The goal is to provide increased flexibility, autonomy, and choice for Ohioans with developmental disabilities and their families through the services in each waiver.  The services available in the waivers should meet each person and family’s individualized needs and preferences while sustaining an efficient, equitable, and effective support system. 

The goal of simplifying and improving the Level 1 and SELF waivers will be to maintain the best of both waivers combined with creative ideas around supports and create services that provide more flexibility.  This will provide individualized support for people to select the desired services based on their unique needs and goals within an established annual budget. 

Starting in February 2021, DODD is convening a subcommittee under the auspices of the Waiver Workgroup, consisting of advocates, stakeholders, and county boards to participate in the design, development, and implementation of any changes to the Level 1 or SELF waiver services.  The subcommittee members will be responsible for sharing the work and progress of the group with the stakeholders they represent to ensure sufficient opportunity for frequent feedback from a wide range of perspectives.  Additionally, virtual town hall meetings will be held early in the process to allow for input from all interested people. 

DODD looks forward to working with its stakeholders and is excited for the potential to move Ohio’s system another step forward by meeting the needs of Ohioans with developmental disabilities and their families in simpler, more flexible ways while maintaining quality, cost-effectiveness, and compliance. 

Consultative Services – Participant Direction

Through a competitive request for proposal process, DODD is excited to announce Applied Self-Direction (ASD) has been selected to provide consultative services in conjunction with DODD’s efforts to simplify and improve participant-direction in the Level 1 and SELF waivers.  ASD will provide 100 hours of consultative services related to participant direction and will be available to assist DODD staff and the subcommittee working on this initiative.

ASD has extensive experience in participant-direction of home and community-based waiver services, as well as experience in utilizing the principles associated with the person-centered planning process. Since 2014, ASD has provided consulting and technical assistance services to over 50 state agencies and Medicaid managed care organizations to enhance their participant-directed service offerings. The ASD team combines decades of experience from unique vantage points, including serving in leadership capacities as state administrators of participant direction programs, directors of state and federal agencies for people with developmental disabilities, and decades of experience in the consulting and Medicaid provider sectors.

ASD will help inform DODD and the subcommittee in the following ways:

  • Reviewing DODD’s existing participant-directed services and financial management services contract.
  • Attending workgroup meetings, providing information, and facilitating discussions to help achieve consensus.
  • Providing information about budget authority and employer authority with a focus on the benefits and barriers associated with co-employment, common law employment, and an agency with choice arrangement.
  • Providing information and strategies to incorporate the principles of participant direction into the person-centered planning process.
  • Assisting DODD staff with the development of a draft framework for the improved and simplified role of the financial management service.

Waiver Simplification and Improvement Feedback Survey

This survey is designed for Ohioans with developmental disabilities and their families to provide feedback about Ohio's Level One and SELF waivers. The survey opened February 3, 2021 and will close on April 16, 2021.

The feedback will be used to inform the Waiver Workgroup as decisions are made about improving and simplifying Ohio's waivers.

Take Survey

 

Virtual Town Halls

DODD thanks the advocacy and family organizations who hosted town hall opportunities for people with disabilities and their families to provide feedback about the improvement and simplification of the Level 1 and SELF waivers.

 

Date: Monday, April 5, 2021

Hosts: The Arc of Ohio and People First of Ohio

 

Date: Tuesday, April 6, 2021

Host: Interagency Work Group on Autism, OCALI and Autism Society of Ohio

 

Date: Wednesday, April 7, 2021

Host: The University of Cincinnati Center for Excellence in Developmental Disabilities (UCCEDD)

 

Date: Friday, April 9, 2021

Host: Ohio Self-Determination Association (OSDA)

DODD is compiling the information received from the town halls and will provide a summary here when it is available.

Waiver Simplification and Improvement Subcommittee

External organizations and all individual members are listed below.

Organization

Description

Advocacy and Protective Services, Inc. (APSI)

Advocates for outcomes that promote dignity, respect, and enhanced quality of life for individual persons with developmental disabilities.

The Arc of Ohio

A grassroots organization which advocates for human rights, personal dignity and community participation of individuals with developmental disabilities through legislative and social action, information and education, local chapter supports and family involvement.

Ohio Association of County Boards (OACB)

Provides advocacy, communications, professional development, and technical assistance to all 88 of Ohio's county boards of developmental disabilities.

Ohio Health Care Association (OHCA)

Represents more than 1000 assisted living communities, home care and hospice service providers, providers of care and services to individuals with intellectual and developmental disabilities (ID/DD), and skilled nursing care facilities. 

Ohio Provider Resource Association (OPRA)

Supports and provides advocacy for community-based service providers to ensure the availability of programs, services and funding adequate to support and assist individuals with developmental disabilities as they strive to achieve a life of increasing independence, productivity and integration.

Ohio Self-Determination Association (OSDA)

Empowers people with disabilities by expanding awareness of self-determination principles, provide valuable training resources, and promote advocacy efforts.

Ohio Waiver Network (OWN)

Represents organizations who want to work together to advance waiver services for those with developmental disabilities. 

 

Name

Organization

Steve Beha

Ohio Department of Developmental Disabilities

Christine Brown

OSU Nisonger Center - Advocate

Dana Charlton

Ohio Self Determination Association

Lisa Comes

Ohio Association of County Boards

Karin Crabbe

Franklin County Board of Developmental Disabilities

Nyoka Craddolph

Ohio Department of Developmental Disabilities

Stacie DelliQuadri

Trumbull County Board of Developmental Disabilities

Jacqueline George

Ohio Department of Medicaid

Angie Gerding

Advocacy and Protective Services, Inc.

Abby Hammond

Ohio Department of Developmental Disabilities

Tamara Hartley

Ohio Department of Developmental Disabilities

Rachel Hayes

Ohio Provider Resource Association

Tonya Hitchens

Guernsey County Board of Developmental Disabilities

Susan Hussein

Ohio Department of Medicaid

Debbie Jenkins

Ohio Health Care Association

Polly Malthaner

Ohio Department of Developmental Disabilities

Monica May

Clermont County Board of Developmental Disabilities

Jessica McGonigle

Ohio Department of Developmental Disabilities

Lyndsay Nash

Ohio Department of Developmental Disabilities

Nicole Northrup

Ohio Department of Developmental Disabilities

Becky Phillips

Ohio Department of Developmental Disabilities

Ruth Smith

Trumbull County Board of Developmental Disabilities

Lori Stanfa

Ohio Association of County Boards

Gary Tonks

The Arc of Ohio

Annette Wood

Ohio Waiver Network

Kim Wynn

Clermont County Board of Developmental Disabilities

Allison Zuhosky

Franklin County Board of Developmental Disabilities

 

Subcommittee Meetings and Notes

02/22/2021

Waiver Subcommittee Notes - February 22, 2021

03/08/2021

Waiver Subcommittee Notes – March 08, 2021

03/22/2021

Waiver Subcommittee Notes – March 22, 2021

04/05/2021

Wavier Subcommittee Notes – April 5, 2021 

04/19/2021

9:00 AM – 11:00 AM

Click here to join the meeting

 

Join with a video conferencing device

682042763@t.plcm.vc

Video Conference ID: 112 129 384 7

Alternate VTC dialing instructions

 

Or call in (audio only)

+1 614-721-2972,,557015135#

Phone Conference ID: 557 015 135#

05/03/2021

9:00 AM – 11:00 AM

Click here to join the meeting

 

Join with a video conferencing device

682042763@t.plcm.vc

Video Conference ID: 112 129 384 7

Alternate VTC dialing instructions

 

Or call in (audio only)

+1 614-721-2972,,557015135#

Phone Conference ID: 557 015 135#

05/17/2021

9:00 AM – 11:00 AM

Click here to join the meeting

 

Join with a video conferencing device

682042763@t.plcm.vc

Video Conference ID: 112 129 384 7

Alternate VTC dialing instructions

 

Or call in (audio only)

+1 614-721-2972,,557015135#

Phone Conference ID: 557 015 135#