State-Funded Waiver Allocation Process Set

A plan to allocate the 3,000 new state-funded waivers has been set, and distribution of those waivers soon will begin.

The FY2016-17 Executive Budget funds approximately 3,000 state-funded waivers to bring down the waiting list, and to give individuals considering or living in an Intermediate Care Facility (ICF) the option to live in the community with a waiver.

With the funding approved, a work group representing County Boards, providers, individuals and families, and DODD staff was formed to develop a plan to distribute the waivers.

“There were many ways we could have approached the distribution of these waivers, and the group arrived at a fair, objective method,” said John Martin, Director of DODD. “The plan ensures every county receives some waivers, and that we’re advancing the state as a whole.”

The following is a summary of the projected waiver distribution:

  • 400 Diversion Waivers: These waivers will offer individuals who are considering moving into an ICF the option to live in a community setting with waiver supports. Prior to admission to an ICF, individuals will learn about the option of a waiver.
  • 800 Exit Waivers: These waivers will help individuals who currently live in an ICF and want to leave to do so. A third party will interview individuals in ICFs who also are on the waiting list to determine if they still want a waiver.
  • 1,864 Waiting List Waivers: These waivers will bring down the waiting list; currently, there are 40,000 on the waiting list, about 20,000 of whom have an immediate need. The 1,864 waivers for the waiting list will be comprised of 1,000 SELF Waivers and 864 Individual Options (IO) Waivers. Learn more about the allocation process in this presentation, and review the Frequently Asked Questions below.

“We’re excited that Governor Kasich and the legislature supported expanding services by adding state funding for waivers,” Director Martin said. “We hope that demonstrating the impact this has on individuals and responsibly managing this process will pave the way for future increases.”

Waiting List Waiver Allocation – Frequently Asked Questions

How did you determine how many waivers designated for waiting list reduction will go to each county?

There will be two tiers of distribution:

  1. Tier 1: To bring all counties to the statewide median, 969 waivers will be allocated to County Boards who are below the median. Allocation will be capped based upon per capita income – counties in the top 50 percent will not exceed a 30 percent increase from current enrollment, and counties in the lower 50 percent will not exceed a 50 percent increase.
  • Tier 2: The remaining 895 waivers will be distributed proportionately based upon population. To ensure that all counties receive some state-funded waivers, any county whose enrollment increases 10 percent or greater as a result of Tier 1 will not receive additional waivers in Tier 2.

What types of waivers will each County Board receive?

Every county will receive at least three waivers – one SELF Waiver, and two Individual Options (IO) Waivers. This chart lists how many waivers each County Board will receive.

Are County Boards required to distribute all of the waivers they receive?

Yes, County Boards should distribute all of the waivers they receive. If a County Board isn’t able to do so, the waivers will be redistributed to other counties.

It’s very important that all waivers are distributed by the end of the biennium – this will help DODD request additional funding to increase waiver enrollment in the future.

How soon will the waivers be available?

County Boards have received information about the number of waivers that they will receive. Waivers will be distributed evenly over the next two years to manage cost increases and the workload of County Boards. The first group of individuals should be enrolled later this fall, and all waivers will be distributed by the end of the biennium (June 30, 2017).

DODD will monitor the both the number and pace of the waiver distribution to ensure individuals are enrolled in all of the waivers.