CMS Approves Individual Option Waiver Amendment

Wednesday, May 11, 2011

The following information appeared in the May 11, 2011, issue of Pipeline, a publication of the Ohio Department of Disabilities:

On May 6, DODD received notification that the Centers for Medicare and Medicaid Services (CMS) has approved the most recent amendment to the DODD-operated Individual Options (IO) waiver. In accordance with the approved amendment, the following changes will be in effect as of July 15, 2011:

Freedom of Choice Form
County Boards of DD no longer will be required to send the Freedom of Choice form (indicating that an individual wishes to be on a waiver instead of residing in an institution) to DODD’s Medicaid Waiver Unit as part of the Initial and Re-Determination Waiver Packets. County Boards must continue to maintain copies of the signed Freedom of Choice form in the individual’s file at the local level, however.

Four New Services
The following four new services will be available under the IO waiver pending approval of corresponding Administrative Rules, which are currently being reviewed by JCARR:

Remote Monitoring: The monitoring of an individual in his or her residence by remote monitoring staff using one or more of the following systems: live video feed; live audio feed; motion sensing system; radio frequency identification; web-based monitoring system; or, other device approved by the Department. The system shall include devices to engage in live two-way communication with the individual being monitored as described in the individual's ISP. To address potential issues of privacy, informed consent for using this service will be documented in the ISP. Remote Monitoring shall be used only to reduce or replace the amount of Homemaker/Personal Care an individual needs.

  • Remote Monitoring Equipment: Defined as the equipment used to operate systems   such as: live video feed; live audio feed; motion sensing system; radio frequency identification; web-based monitoring system; or, other device approved by the Department. It also includes the equipment used to engage in live two-way communication with the individual being monitored. Individuals will be required to lease, rather than purchase, Remote Monitoring Equipment. 

Community Respite: Services provided to individuals unable to care for themselves, that are furnished on a short-term basis due to the absence (or need for relief ) of those persons who normally provide care for the individuals. Community Respite shall be provided only outside of an individual’s home in a camp, recreation center, or other place where an organized community program or activity occurs. Community Respite is limited to 60 calendar days of service per waiver eligibility span.  

Adult Family Living: Similar in nature to Adult Foster Care, Adult Family Living means personal care and support services provided to an adult by a caregiver who is related and lives with the individual receiving services.  Adult Family Living is provided in conjunction with residing in the home, and is part of the rythm of life that naturally occurrs when people live together as a family. 

Respite service as currently defined under the IO Waiver has been modified in the following ways:

  • The service name has been changed to Residential Respite;
  • The types of providers have been amended. This service now may be provided in unlicensed residential settings; and
  • A 90 calendar-day limitation has been placed on the use of this service.

In addition, clarification has been made regarding the subject of guardians being paid providers, which states that unrelated guardians cannot provide waiver services to those individuals for whom they are guardians.

Posted by Franklin Hickman

AddThis Social Bookmark Button

blog comments powered by Disqus

Newest Articles

Your Attorneys

* Certified in Elder Law by the National Elder Law Foundation

Professional Affiliations