Ohio Department of Mental Retardation and Developmental Disabilities certified provider in the following Individual Options (I/O) services, Level One (L-1) services, and Supported Living.

Individual Options (I/O) services

Homemaker/Personal Care
Adult Foster Care
Transportation Mileage other than to access adult day services
Supported Employment- Enclave
Non-Medical Transportation - per trip
Non-Medical Transportation - per mile
Adult Day Support
Vocational Habitation

Level One (L-1) services
Homemaker/Personal Care
Transportation
Non-Medical Transportation - per trip
Non-Medical Transportation - per mile
Day Habitation
Adult Day Support
Vocational Habitation

Supported Living

Definition Of Services
“Homemaker/personal care (HPC)” means the coordinated provision of a variety of services, supports and supervision necessary for the health and welfare of an individual which enables the individual to live in the community. These are tasks directed at increasing the independence of the individual within his/her home or community. The service includes tasks directed at the individual’s immediate environment that are necessitated by his or her physical or mental condition, including emotional and/or behavioral and is of a supportive or maintenance type. This service does not include tasks supporting the individual provided through center-based day habilitation. Without this service, alone or in conjunction with other waiver services the individual would require institutionalization.
The homemaker/personal care provider should perform such tasks as assisting the individual with activities of daily living, personal hygiene, dressing, feeding, transfer, and ambulatory needs or skills development. “Skills development” is intervention that focuses on both preventing the loss of skills and enhancing skills that are already present that will lead to greater independence within the residence or the community. The provider may also perform homemaking tasks for the individual. These tasks may include cooking, cleaning, laundry and shopping, among others. Homemaking and personal tasks are combined into a single service titled homemaker/personal care because, in actual practice, single individual provides both services and does so as part of the natural flow of the day. For example, the provider may prepare a dish and place it in the oven to cook (homemaking), assist the individual in washing up before a meal and assist him/her to the table (personal care), put the prepared meal on the table (homemaking), and assist the individual in eating (personal care). Segregating these activities into discrete services is impractical.
Services provided may include the following:

1. Basic personal care and grooming, including bathing, care of the hair, and assistance with clothing;
2. Assistance with bladder and/or bowel requirements or problems, including helping the individual to and from the bathroom, and/or other toiletry training and needs.
3. Assisting the individual with self-medication or provision of medication administration for prescribed medications through deligated nursing and assisting the individual with, or performing health care activities;
4. Performing household services essential to the consumer’s health and comfort in the home (e.g., necessary changing of bed linens or rearranging of furniture to enable the individual to move about more easily in his or her home);
5. Assessing monitoring and supervising the individual to ensure the individual’s safety, health, and welfare.
6. Light cleaning tasks in areas of the home used by the consumer;
7. Preparation of a shopping list appropriate to a individual’s dietary needs and financial circumstances, performance of grocery shopping activities as necessary and preparation of meals;
8. Personal laundry;
9. Incidental neighborhood errands as necessary, including accompanying the individual to medical and other appropriate appointments and accompanying the individual for the short walks outside the home.

Adult foster care” means personal care and supportive services (e.g. homemaker, chore and medication oversight to the extent permitted under state law) provided in a private home by an unrelated principal care giver who lives in the home and whose primary legal residence is that home. Adult foster care is furnished to adults who receive these services in conjunction with residing in the home. Adult foster care services, their associated activities and skill development proximate the rhythm of life that naturally occurs as part of living in the family home. Homemaker and chore services are furnished to the individual as a component of adult foster care. Due to the environment provided by foster care, segregating these activities into discrete services is impractical.

“Non-medical transportation” means transportation that is used by waiver enrollees solely to access adult day support, vocational habilitation, supported employment-enclave, and/or supported employment-community services as specified by their individual service plan (ISP). Whenever possible, family, friends, neighbors or community agencies can provide this service without charge shall be used.

“Transportation mileage” means a transportation service offered by a provider other than medical transportation available through Ohio’s approved Medicaid state plan and non-medical transportation.

Adult day support” means non-vocational day services needed to assure the optimal functioning of individuals who participate in these activities in a non-residential setting.

“Vocational habilitation” means services designed to teach and reinforce habilitation concepts related to work including responsibility, attendance task completion, problem solving, social interaction, motor development and safety.

“Supported Employment services” consist of intensive ongoing supports that enable participations for whom competitive employment at or above the minimum wage is unlikely absent the provisions of supports and who because of their disabilities need supports to perform in a regular work setting. Supported employment does not include sheltered work or other similar types of vocational services in specialized facilities.

Supported employment enclave – means supported employment services provided to waiver enrollees who work as a team at a single work site of the “host” community business or industry with initial training, supervision and ongoing support provided by on-site staff.

“Day habilitation” means assistance with acquisition, retention or improvement in self-help, socialization and adaptive skills which takes place in a non-residential setting separate from any home or facility in which the individual resides. Services shall normally be made available four or more hours per day on a regularly scheduled basis for one or more days per week unless provided as an adjunct to other day activities included in an individual’s plan of care.

“Adult day support” means non-vocational day services needed to assure the optimal functioning of individuals who participate in these activities in a non-residential setting.

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