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Medina County Board of Developmental Disabilities





A waiver is basically a way for people with developmental disabilities to have paid services and supports. The waiver sets aside certain Medicaid rules in an effort to provide an alternative to institutional or group home placement. A waiver allows you to obtain the supports and services needed to live in the home you choose. Some of the services paid for by a waiver include: personal care, respite, transportation, social work, nutrition, adult day services, accessibility adaptations, supported employment and medical equipment.

To qualify for a waiver, you must meet an ICF/MR Level of Care and financial criteria determined by Medicaid. If you are eligible for Medicaid, you will not necessarily receive a waiver. Other factors such as the type and extent of disability are also considered when determining a person’s eligibility. These factors are reviewed on an annual basis. There are only a set number of waivers available in Ohio. Waivers are provided based on priorities set by the State of Ohio. These priorities help decide who should receive waivers. An individual may qualify for waiver services, but if they are lower on the priority list and none are available, an individual may be placed on a waiting list.


Waiver Types

The Ohio Department of Developmental Disabilities has created an easy-to-read guide to compare wavier services with ease.

Comparing DODD Waivers


Level 1 and Individual Options (IO) Waivers

Currently the Medina County Board of DD administers Level 1 Waivers and Individual Options (IO) Waivers. Each covers many of the same services but they differ in the amount of money available. Level 1 waivers provide a maximum amount of $5,000 per year. Individual Options waivers offer a much higher amount of coverage, up to $500,000 a year depending on many different factors. Each waiver also has the ability to increase amounts if an emergency situation should occur. Medina County residents can apply for a waiver by contacting the Medina County Board of Developmental Disabilities’ Service and Support Administration Office at 330.764.8988. Knowledgeable staff can help you with the application process and give you detailed information on each type of waiver that is available.


Self Empowered Life Funding (SELF) Wavier

The SELF Waiver is Ohio's first participant-directed waiver. Participants direction means individuals with developmental disbailities have authority to make decisions about their waiver services and accept responsibility for taking a direct role in managmaing services.

Ohio Home Care Waiver

The Ohio Home Care Waiver is a limited-enrollment, cost-capped program for people with serious disabilities and unstable medical conditions. Individuals must be eligible for Medicaid coverage in a nursing home or hospital. Contact Medina County Job and Family Services, 330.722.9283 for more information about the Ohio Home Care Waiver.

Waiting Lists

A waiting list is one way of keeping track of individuals who ask for a specific service. A waiting list is created when we don’t have the resources to provide the service to everyone who asks for it. Waiting is never easy, however with limited resources and funding, county boards across the state have had to establish waiting lists for what dollars are available. It is critical that each county maintain their waiting lists with integrity and fairness.

Basically, waiting lists are established in a "first come, first served" manner. In other words, individuals are placed in chronological order on the list according to the date they requested the service.The date and time that you requested a waiver will be documented on the list. An individual will always maintain their order on a waiting list, even if they refuse the waiver at the time it is offered. However, an individual may move up on the waiting list if an energency situation arises or if they are enrolled in a priority category.

Emergency Situations:

  • The loss of an individual's home
  • The loss of a caregiver
  • Abuse, neglect or explotation of the individual
  • Health and safety conditions that pose a serious risk of immediate harm or death
  • A change in an individual's emotional or physical condition that requires a major adjustment in services.

Priority Categories

Written in the Ohio Revised Code (ORC), priority categories help county boards rank the importance of an individuals needs. For example, someone living with and aging caregiver is often offered a waiver before someone on the chronological waiting list. Their priority puts them in a category of higher need.

Placement Information

If you are placed on a waiting list for a waiver or other service, we will contact you at least annually to inform you of:
  1. your status on waiting lists
  2. to verify that you still would like to receive waiver services
  3. to discuss alternative supports that may be available to you

If you are currently on waiting list for a waiver, and would like information about your current placement on the list, please call 234-802-0129 or email

If you disagree with your placement on the waiting list, your Due Process Rights can also be explained at that time.


Waivers and waiting lists are often complicated and sometimes overwhelming topics. Should you have any questions, please feel free to contact our Service and Support Adminstration Offices at 330.764.8988 or email