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New Waiver Reimbursement Methodology
The ODDP is an assessment tool which calculates a funding range based on specific circumstances related to the individual. The ODDP allows individuals with similar needs and circumstances to access comparable levels of waiver services throughout Ohio. The ODDP does not replace nor is it to be used to develop an Individual Service Plan (ISP) that is based on the assessed needs of an Individual. The costs of the services outlined in the ISP are compared to the ODDP range assigned. When the cost of the assessed needs cannot be met in the assigned funding range further review is needed via a Prior Authorization process.
The ODDP and the statewide provider rates, as established in administrative rule, are applied universally to all waiver enrollees. This waiver reimbursement method is defined in the rule on waiver reimbursement: DODD administrative rule 5123:2-9-06.
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The Acuity Assessment Instrument (AAI) is the standardized instrument used by Ohio to assess the relative needs and circumstances of an individual compared to other adults in a non-residential setting when receiving Adult Day Array Services. All individuals who receive or seek to receive any of the HCBS - funded Adult Day Waiver Services need to have this assessment completed. The assessment questions measure the amount of staff time required to assist individuals with personal needs and day activities. The score is used to assign the staff intensity ratio at which the services are to be provided and assign costs.
Individuals who are not receiving HCBS – funded day services but receive day services along with waiver funded individuals may also have the assessment done. This will help to assure that the staff intensity ratios for the waiver individuals are maintained.
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Questions or comments about content on this webpage?
Contact: Brian Harrigan / (614) 387-0580 / brian.harrigan@dodd.ohio.gov