Medicaid Home and Community Based (HCBS) Waivers

In Ohio, there are four Medicaid Home and Community-Based (HCBS) waivers that are locally administered by County Boards of Developmental Disabilities; the Individual Options (IO) waiver, Level One waiver, and S.E.L.F. (Self Empowerment Life Funding) waiver. All of these waivers are administered at the state level by the Ohio Department of Developmental Disabilities once eligible. The Ohio Department of Job and Family Services maintains overall authority for all Ohio Medicaid programs and services.
There are county specific waiting lists for both the IO and Level One waivers. Enrollment on either waiver is based upon state defined priorities and internal county review of need. Contact your SSA or the Board’s Intake and Eligibility number office for assistance in completing the paperwork required to be placed on the waiver waiting list.
County Boards may request a specific number of IO and Level One waivers each quarter to the Ohio Department of Developmental Disabilities, which will approve these requests if there is available capacity. Enrollment on a waiver is coordinated by a Board Service and Support Administrator (SSA).
IO Waiver Covered ServicesIO Waiver Handbook
  • Homemaker/Personal Care
  • Home Modifications (Environmental Accessibility Modifications)
  • Respite Care
  • Social Work
  • Home-Delivered Meals
  • Nutrition
  • Interpreter Services
  • Specialized Adaptive or Assistive Medical Equipment and Supplies
  • Supported Employment
  • Adult Day Services
Level One Waiver Covered Services: Level One Handbook
  • Homemaker/Personal Care
  • Institutional Respite
  • Informal Respite
  • Transportation
  • Personal Emergency Response Systems
  • Specialized Medical Equipment and Supplies
  • Environmental Accessibility Adaptations
  • Emergency Assistance
  • Supported Employment
  • Adult Day Services
SELF Waiver Services: SELF Waiver Handbook
  • Support Brokerage
  • Community Inclusion (Personal Assistance, Transportation)
  • Integrated Employment
  • Functional Behavioral Assessment
  • Clinical/Therapeutic Intervention
  • Participant-Directed Goods and Services
  • Participant/Family Stability Assistance
  • Remote Monitoring
  • Remote Monitoring Equipment
  • Residential Respite
  • Community Respite
  • Adult Day Supports
  • Vocational Habilitation
  • Supported Employment – Enclave
  • Non-Medical Transportation
If you would like to know more about waivers, contact your Service and Support Administrator (SSA), the Board’s Medicaid Services Manager, or see any of the following handbooks: