1. Program Definition and Services

Support Brokerage Services in Ohio assist individuals enrolled in self-directed Medicaid waiver programs by helping them manage their services, hire support staff, and navigate person-centered planning. The program aims to help maintain individuals with disabilities in the community, averting the need for long-term services and supports while empowering participants to make informed choices about their care. Services include:

• Live guidance and operational assistance with participant-directed service structures (Employer Authority Support, Budget & Fiscal Oversight Assistance, Crisis Prevention Planning, and Recordkeeping & Documentation)
• Structured training and developmental advocacy within the local care network (Person-Centered Planning Support, Service Coordination, Advocacy & Education, and Monitoring & Follow-Up)

2. Regulations

The program is governed by the following regulations:

• Ohio Administrative Code (OAC) Rule 5123-9-47 (Support Brokerage Under the SELF Waiver)
• Ohio Administrative Code Rule 5123-9-40 (Self-Empowered Life Funding Waiver Component)
• Ohio Administrative Code Chapters 5160-44, 5160-45, and 5160-46
• Federal Home and Community-Based Services Settings Final Rule (42 CFR § 441.301)
• Ohio Revised Code Chapter 5126

3. Licensing or Certification

Providers must be certified by the Ohio Department of Developmental Disabilities (DODD) under the SELF Waiver program and follow all Ohio Department of Medicaid HCBS waiver requirements.

4. Responsible State Agency

The Ohio Department of Medicaid (ODM) administers waiver funding, while operational oversight, provider certification, and programmatic compliance are managed by the Ohio Department of Developmental Disabilities (DODD).

5. Application Process

The application process is conducted through the electronic Ohio Medicaid Provider Network (MPN) or the DODD Provider Certification Portal. Providers must submit forms online.

6. Required Documentation

Providers typically need to submit:

• Proof of compliance with state safety and operational rules
• Agency policies and procedures
• Staff qualifications and training records
• Proof of general and professional liability insurance

7. Timeline for Approval

The exact timeline fluctuates based on agency capacity. Providers should contact their regional office or state agency for current processing timeframes.

8. Pre-Application Process

Prospective providers must complete specific foundation tasks before applying. They must establish their business entity with the Ohio Secretary of State and secure an IRS EIN and a Type 2 Organizational NPI.

9. Pre-Application Training

The state hosts mandatory administrative and compliance training sessions online, including specialized DODD modules on self-direction and the support broker track. Access details are provided to qualified applicants.

10. Additional Notes

• Providers must ensure that intensive care settings meet all state accessibility and environmental safety guidelines
• In-Home Personal Care must be provided directly by the certified agency's employed personnel
• All direct care staff must conduct mandatory background clearances and fingerprinting screenings
• Providers must maintain detailed records of face-to-face services for Medicaid documentation and billing

Why Choose Waiver Consulting Group?

Starting or expanding your Medicaid waiver-funded agency can feel overwhelming, but it doesn't have to be. At Waiver Consulting Group, we simplify the process by guiding you through licensing, compliance, provider enrollment, policies & procedures, and regulatory approvals in any state.

With proven expertise, a structured process, and ongoing support, we take the guesswork out of launching your healthcare business. Whether you're a first-time entrepreneur or an established provider looking to expand, our team ensures you stay compliant, competitive, and fully operational.

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