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Ohio State Medicaid Waiver Program Application Guide

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  • Ohio State Medicaid Waiver Program Application Guide

    Waiver Overview:

    Ohio has three different waivers that all work for children and adults of all ages with developmental and intellectual disabilities like autism. The Level One Waiver has 19,200 spots, the Individual Options Waiver has 30,500 spots, and the Self Empowered Life Funding Waiver has 3,500 spots. Please see this page to compare and contrast these waivers.

    The big issue is that there is a huge waitlist to get on these waivers. We couldn’t find an exact number on the web, but estimates range from 50,000-70,000. Based off of our research on other states, this means you can expect a wait time of a least 5 years. These waivers provide a huge amount of funding for the unique expenses neurodiverse children need, but this kind of wait is unacceptable.

    Who Can Apply?

    Circumstances/Diagnosis: Any child or adult who is diagnosed with either an intellectual and/or developmental disability (this includes autism). The state requires that individuals need an intermediate care facility level of care to qualify. This just means that the individual is unable to get through their day without a lot of supervision.

    Income: Income eligibility is only based on the child’s income and not the parents income. This means that your child is financially eligible for the waiver if they don’t have an income.

    What do I get?

    These waivers cover assistive technology (like Goally), participant-directed goods and services, participant-directed homemaker/personal care, waiver nursing delegation, support brokerage, community and residential respite, non-medical transportation, transportation, functional behavioral assessment, vocational habilitation, career planning, individual employment support, clinical/therapeutic intervention, participant/family stability assistance, group employment support, remote support

    How do I apply?

    You can apply for any of these waivers by calling your County Board for Developmental Disabilities

    What does the Goally Team Think?

    Get on the waiting list as soon as possible but don’t wait to get services. Ohio’s waitlist for medicaid services is terrible, but their county resources are fantastic; we’ve had lots of Goally parents get their devices covered through county offices. Please checkout some of the

    Goally Waiver Scorecard

    Website clarity and ease of navigation: 3/5
    Access and requirements of qualification: 0/5
    Healthcare coverage: 4/5

    Other online resources for Ohio:

    Ohio Family and Children First helps coordinate services for families with special needs. Call your county’s office by clicking your county at the bottom of the page.
    CAP4Kids hsa a ton of resources for parents including social skills groups, education recommendations, and camps.
    Ohio Center for Autism and Low Incidence (OCALI) provides tons of great resources for how to navigate Ohio’s resources.
    You can contact Ohio Department of Disabilities here

    Telephone Resources

    Ohio Family and Children First Phone numbers by county
    OCALI contact numbers by agency
    Last edited by Nate; 07-06-2020, 08:52 PM.