ICFs and HCBS Waivers

As of October 1st, 2021, county board of developmental disabilities are required to list the following resources for Intermediate Care Facilities or ICFs:

  • ICF is an abbreviation of “Intermediate Care Facility.”
  • An ICF is a place where someone with a disability can choose to live and get the services needed to help him/her live their life.
  • An ICF has staff that can help you, 24 hours a day.
What is a waiver?

Waivers are one way to pay for services that support someone with developmental disabilities. The Ohio Department of Developmental Disabilities administers three types of waivers: the Individual Options Waiver, the Level One Waiver, and the Self-Empowered Life Funding Waiver.  Federal and local levy funds fund these Waivers.   

More than 40,000 Ohioans with developmental disabilities are enrolled on a waiver, with access to services while living on their own, with family, with a roommate, or with a paid caregiver.

How do I know if I’m eligible for a waiver?

All waiver services provided to a person must be medically necessary. Individuals need to have a Waiting List Assessment completed to help identify areas of unmet needs.  Identified unmet needs may be addressed through community-alternative resources, local funding, or waivers. Please contact your Service Coordinator if you are interested in scheduling an assessment.

Where can I find out about the different types of waivers?
  • Click here to learn about the Level One waiver
    Within this link you will find:
    • A description of what a Level One Waiver is.
    • Examples of services available through the Level One Waiver.
    • General eligibility guidelines for a Level One Waiver.
    • Applicable funding limits for Level One Waivers.
  • Click here to learn about the IO waiver
    Within this link you will find:
    • A description of what an Individual Options (IO) Waiver is.
    • Examples of services available through the Individual Options (IO) Waiver.
    • General eligibility guidelines for an Individual Options (IO) Waiver.
    • Applicable funding limits for Individual Options (IO) Waivers.
  • Click here to learn about the SELF waiver
    Within this link you will find:
    • A description of what a Self-Empowered Life Funding (SELF) Waiver is.
    • Examples of services available through the Self-Empowered Life Funding (SELF) Waiver
    • General eligibility guidelines for a Self-Empowered Life Funding (SELF) Waiver
    • Applicable funding limits for Self-Empowered Life Funding (SELF) Waivers
Where can I get a waiver?

You apply for a waiver at your county DJFS office. Tell your local county board of developmental disabilities that you have applied, and on what date you applied.

How do I qualify for a waiver?

You must require the same level of care as individuals who lives in a long-term care facility, and you must meet the income requirements for Medicaid waivers.

What is a waiting list for waivers?

Each county board of developmental disabilities establishes waiting lists when there are not enough resources to meet the needs of everyone requesting services. If you ask for a service that has a waiting list, a county board will document your request along with the date and time, and place your name on the list if you were to accept the services within the next 12 months.