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Residential Services

The Morgan County Board of Developmental Disabilities provides funding for residential support services for individuals throughout the county. Many individuals reside in their own home and with supports are able to live a healthy and safe life. Other individuals continue to reside with their family and receive drop-in services to give them more opportunities to gain skills and access their community. There are also three homes in the county that individuals live together and receive shared residential services to assist them with daily living skills and also increase opportunities.

What Is A Waiver? 

The Home and Community Based Waiver Programs are based on the framework of Support Living. The benefit of Waiver Programs for the state and local governments is that it draws down additional federal dollars for use in serving individuals.

The waiver program is a program that provides funding for residential services to people who choose to live in the community and receive services rather than live in an institutional setting such as an intermediate care facility for the developmentally disabled.

The waiver program is funded from Federal, State and Local monies. This program is important for states because with waivers the federal government will pay for approximately 60% of the cost of the service, rather than the state or local county governments being responsible for 100% of the cost of services.

The Ohio Department of Job and Family Services in conjunction with the Ohio Department of Developmental Disabilities request a certain number of "waiver slots" for the entire State of Ohio. Waivers are then allocated to County Boards by the Ohio Department of Developmental Disabilities, based on the population of the county and that counties’ ability to provide the "matching" 40% of the cost of services.  Hence, there are only a certain number of waivers in the state that may be used for individuals who have a developmental disability.

People on a waiver can get the same kind of service as Supported Living (i.e. 24 hour staffing per day, a few hours per week, help to handle their money, grocery shopping, doctors appointments, medications, cooking, transportation, equipment, home renovations, etc.) The county board is authorized to determine what level of support a person needs through their Medicaid waiver; however, individuals and their families are an active participant in developing their plans and services.

A person may live with their family or live in their own home. They could begin receiving services in their family home and move to a community home at a later time, and their waiver funding will follow them. With a waiver the person can move out of a county and funding will follow them, but they cannot move out of state if they want to keep funding through the waiver. People use their own benefits (social security and/or wages) to pay for their room and board or living expenses. The waiver pays the cost of the staffing and services only.

Waiver Eligibility
  • Financial - cannot exceed financial savings or monthly income of over $1,500. 
  • Level of Care- must meet 1 to 3 substantial functional limitations, based on the age of the individual per the Ohio Administrative Code. (Such as: self help, communication, self-direction, capacity for economic self-sufficiency, etc.). 
  • Must be eligible for County Board Services, and be a resident of the State of Ohio. 

Waiver Benefits

For the person on the waiver program, there are more choices about where they live, whom they live with, and who will provide their direct services. Being on a waiver automatically qualifies the individual for a monthly Medicaid Card and stops any existing ‘spend down’ for Medicaid. Waiver programs also assist county and state governments financially by helping with the cost of services. In order to be enrolled on a waiver the individual must be Medicaid eligible.

Types Of Waivers

Currently in the State of Ohio there are two types of Waiver Programs that serve individuals with developmental disabilities. These are the Individual Options (IO) Waiver and the Level 1 Waiver. Both of these programs are in the process of major transition as the State of Ohio is undergoing a significant change with Medicaid reform.

IO Waiver 
  • The Individual Options Waiver (IO Waiver), is a Medicaid-funded waiver for people who have developmental disabilities. 
  • Funding ranges are determined by the Ohio Developmental Disabilities Profile (ODDP). 
  • Services could include Homemaker/Personal Care, Adult Foster Care, Adult Family Living, Remote Monitoring, Remote Monitoring Equipment, Environmental Accessibility Adaptations, Transportation, Residential Respite, Community Respite, Social Work, Home-Delivered Meals, Nutrition, Interpreter Services, Adaptive and Assistive Equipment, Adult Day Waiver Services, Non-Medical Transportation. 

Level I Waiver 
  • This waiver's focus is to provide limited services to maintain individuals within their family homes and/or provide the families with increased respite services. It may also assist individuals who reside in the community and need limited supports to maintain their independence. A person can get services in their family home or in their own home. 
  • Each year you can use any combination of Homemaker/Personal Care, Informal Respite, Institutional Respite, or Transportation, up to a combined total of $5000. 
  • Every three years, starting from your initial date of enrollment, you can use any combination of personal emergency response systems, environmental accessibility adaptations, and specialized medical equipment and supplies. 
  • If you are an adult, each year you can access Adult Services. If you need special equipment for your Supported Employment job, the Level 1 Waiver may also be able to help pay for this equipment.