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Definitions

Individual Options Medicaid Waiver Services

Commonly know as the I/O waiver, the Individual Options Waiver provides funding to individual waiver recipients that allows them to pay for services and supports without which the person would have to move into a long-term care facility or nursing home. With the waiver, Medicaid will allow people to stay in their homes and get support rather than requiring them to live in an Intermediate Care Facility for the Mentally Retarded (ICF/MR).  The I/O Waiver currently provides the following services:  Homemaker/Personal Care, Home Modifications and Adaptations, Transportation, Respite Care, Social Work, Home-delivered meals, Nutrition, Interpreter Services, Specialized Adaptive or Assistive Medical Equipment and Supplies, Supported Employment, Day Habilitation, Adult Day Services.


Level One Medicaid Waiver Services

The second of the two Home and Community Based Waivers administered through the Ohio Department of MRDD, the Level One waiver provides funding to individual waiver recipients that allows them to pay for services and supports without which the person would have to move into a long-term care facility or nursing home. The Level One waiver offers a variety of services with set spending limits. Recipients of Level One waiver funding choose from a list of certified Level One waiver providers for the services and supports they need. These fund limited services are generally provided to individuals living at home with their families.


Supported Living Services (Non-Medical)

Supported Living is a non-Medicaid funding service that allows individuals with MRDD that are eligible for County Board services but not recipients of Medicaid waiver funds to live as independently as possible in their own communities, with support from public funds. These funds are managed by local County Boards and pay for services and supports provided by certified Supported Living providers. The only service available through this funding source is Supported Living defined as "the services and supports necessary to maintain as much independence as possible in a community setting."  Supported Living is a way to assist individuals with MRDD to live as independently as possible in their own communities, with support from public funds. Services may be provided in the home of the individual, who lives on his/her own, or in the family home in which the individual resides. An individual may share supported living with up to three other individuals in a supported living arrangement. Service providers chosen by the individuals sharing services may not also be the landlord. Services and supports are identified on an Individual Service Plan (ISP).


Adult Day Services

Adult day services will be available for adults enrolled on Individual Options and Level One Medicaid waivers administered by the Ohio Department of Mental Retardation and Developmental Disabilities (DODD).


Intermediate Care Facilities

Intermediate Care Facilities for the Mentally Retarded or ICFs/MR are facilities providing four (4) or more beds that are funded directly with Medicaid dollars. These are generally larger facilities that meet all of the standards outlined by the Centers for Medicaid and Medicare Services. Funding is attached to a "bed" (rather than a person) and is paid on a per diem basis. Intermediate Care Facility for the Mentally Retarded (ICFMR) is licensed by the ODMRDD, to be operated by a specific provider at a specific location. The Department of Health (DOH) certifies the licensed facility as meeting the Federal requirements for funding as an ICFMR. The provider is responsible for all aspects of care for the individual, including financial matters, transportation, habilitation, and medical needs.


Agency Contacts/List Serves

There are two easy ways to add or delete someone from your Agency Contact/OPRA List Serves:

  1. To subscribe or unsubcribe from OPRA List Serves, Click Here or visit our website at www.opra.org, click on Membership then List Serve.
  2. To add or change your Agency Contacts, please log into your My Account and click on the Agency Contact link.  You will see the following information listed below.  You can add, edit or change the following information for your agency.

HR Director Name :
HR Director Email :

PR Director #1 Name :
PR Director #1 Email :
PR Director #1 Setting :

PR Director #2 Name :
PR Director #2 Email :
PR Director #2 Setting :

CFO Name :
CFO Email :

IT Contact Name :
IT Contact Email :

Other Name :
Other Email :


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