Medicaid Waivers: Getting Support to Live in Your Community
Medicaid waivers help people with developmental disabilities get the services and support they need to live in the community instead of in an institution. There are three types of waivers available in Ohio. Each one is a little different, and your Service and Support Administrator (SSA) can help you figure out which one is the right fit for you.
What Is Medicaid?
Medicaid is a federal program that helps people with low incomes pay for health-related services. It is funded by both the federal government and the state of Ohio. The specific services covered are outlined in what is called a State Plan.
What Is a Home and Community-Based Waiver?
A Home and Community-Based Waiver is extra Medicaid funding that goes beyond the basic State Plan. It pays for additional services and supports that help people live in the setting of their choice, such as their own home or an apartment in the community. This funding comes from a combination of federal, state, and local levy dollars.
The Three Ohio Waivers
SELF Waiver (Self-Empowered Life Funding)
The SELF Waiver is Ohio’s first participant-directed waiver. That means you get to decide where and how you receive your services. This is called self-direction, and it puts you in the driver’s seat.
Who is eligible? You may qualify for the SELF Waiver if you:
- Are willing and able to self-direct at least one waiver service
- Can have your health and safety needs met through this waiver
- Need at least one SELF waiver service
- Are enrolled in Medicaid
- Meet an Intermediate Care Facility (ICF) level of care
There is no age requirement for this waiver.
Level 1 Waiver
The Level 1 Waiver provides a smaller amount of paid support. It is designed for people who have strong natural supports, like family or friends, already helping them. It supports individuals in living in the community setting of their choice instead of in an institution.
Who is eligible? You may qualify if you are enrolled in Medicaid and meet an ICF level of care. There is no age requirement.
Individual Options (IO) Waiver
The Individual Options Waiver offers more comprehensive support. It is designed for people who need a higher level of services to live safely and independently in their community. Services are built around each person’s individual needs.
Who is eligible? You may qualify if you meet Medicaid eligibility requirements and have an ICF level of care. There is no age requirement.
Residential Options Counseling
If you or a family member are thinking about residential services or living arrangements, you have the right to get information about all of your options. The Residential Options Counseling Pamphlet was created to help people understand their choices around waivers and Intermediate Care Facilities.
This pamphlet is also used for annual planning for ICF residents, transition planning for people in licensed residential facilities, and pre-admission counseling.
Understanding Your Assessment
SCBDD uses an Ohio Assessment to determine immediate and current need for people with disabilities. Videos are available that walk through how to set up a DODD Portal account and how to view your completed assessment.
Have Questions?
Not sure which waiver is right for you or your family member? We are here to help. Contact us or reach out to your Service and Support Administrator to get started.