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FOR OHIOANS  >  Programs  >  HCBS Waivers
Waiver Services
Medicaid waivers allow individuals with disabilities and chronic conditions to receive care in their homes and communities rather than in long-term care facilities, hospitals or intermediate care facilities. These waivers also allow individuals to have more control over their care and remain active in their community.

Individuals must require a specific level of care and meet the financial criteria in order to enroll on an Ohio home and community-based care waiver.

What is “Level of Care”?

A level of care is a non-financial eligibility component of the Medicaid long-term care programs. An individual who wants to be enrolled on a waiver must meet the specific level of care that is required for that waiver. All individuals must meet and exceed the requirements of a protective level of care, which includes a need for supervision or assistance with activities of daily living (such as mobility, dressing or eating) or medication administration and assistance with instrumental activities of daily living (such as shopping, meal preperation or accessing the community).

  • Nursing Facility (NF) Level of Care: A Medicaid home and community-based waiver that requires a nursing facility level of care provides services as an alternative to nursing facilities, hospitals or rehabilitation facilities. Individuals can either have an “Intermediate Level of Care”, which includes assistance with activities of daily living and skilled nursing, or “Skilled Level of Care”, which indicates a higher need such as an unstable medical condition. Waivers that require a nursing facility level of care are administered by Ohio Medicaid or the Ohio Department of Aging.
  • Intermediate Care Facility for Individuals with Intellectual Disabilites (ICF-IID) Level of Care: This level of care includes the presence of a substantial developmental delay or a severe chronic disability. A Medicaid home and community-based waiver that requires an ICF-IID level of care provides services as an alternative to institutional care and are administered by the Ohio Department of Developmental Disabilities.

Home and Community-Based Waivers
Enrollment on a specific waiver is dependent upon several factors including age, financial criteria, and level of care needs. Click on the links below to learn more about a waiver that could fit your needs.

Nursing Facility (NF) Level of Care Waivers:
Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF-IID) Level of Care Waivers: