Public Notice and Request for Comment

Pursuant to the provision of title 42 Sections 441.301 and 441.304 of the Code of Federal Regulations, public notices are required for any of the following: new 1915(c) waiver, new 1915(i) state plan amendment, renewal of a 1915(c) waiver, and any amendment to a 1915(c) waiver that includes one or more substantive changes.

Public Notice: Heightened Scrutiny Packages for NF-based LOC System-Residential Settings

Post Date 11/19/2018
End Date 12/19/2018
Purpose The purpose of this posting is to provide public notice and receive comments on 59 residential settings that may furnish the assisted living service in the My Care and Assisted Living waivers. The state has determined there is sufficient evidence to demonstrate these settings possess the required home and community-based characteristics and do not have institutional qualities. Evidence packages for these setting will be submitted to the Centers for Medicare and Medicaid (CMS) for heightened scrutiny review.
Initiative/Amendment NF-LOC System: Residential Heightened Scrutiny Packages.
Summary Heightened Scrutiny Review Request Summary
Detail Site Specific Evidence Packages


A non-electronic copy of the Heightened Scrutiny Packages may be obtained by calling 1 (855) 926-0994.

Comments must be submitted by midnight of the comment period end date using one of the following options:

  • E-mail:
  • Written comments sent to:
       Attn: Heightened Scrutiny Package
        Ohio Department of Aging, 1st Floor
        Division for Community Living
        246 North High Street
        Columbus, OH 43215
  • FAX: (614) 466-9812 (Please include Attn. Heightened Scrutiny Packages in the subject line)
  • Call toll-free to leave a voicemail message 1 (855) 926-0994
  • Courier or in-person submission to Attn: Department of Aging, 246 North High Street, Columbus OH 43215