Workforce Challenges & DDS Waiver Services Analysis
Individual Directed Goods & Services Definitions (4 of 5)
Ohio Participant-Directed Goods and Services
Participant-Directed Goods and Services means Services, equipment, or supplies not otherwise provided through the self-empowered life funding waiver or through the Medicaid state plan
that address a need identified in the individual service plan and meet all of the following requirements:
(a) The services, equipment, or supplies are required to assist the individual with achieving one of more of the following outcomes: (i) Decrease the need for other medicaid home and
community-based services; (ii) Promote inclusion in the community; (iii) Increase the individual's safety in his or her home.; (iv) Increase the individual's independence; (v) Improve
cognitive, social, or behavioral functions; or (vi) Develop or maintain personal, social, or physical skills.
(b) The individual does not have funds to purchase the services, equipment, or supplies, and they are not available through another source.
(c) The services, equipment, or supplies are required to ensure the health and welfare of the individual.
(d) The services, equipment, or supplies are the least costly alternative that reasonably meets the individual's assessed need as evidenced through the county board's established cost
comparison process. The services, equipment, or supplies are for the direct medical or remedial benefit of the individual.
Excluded: (a) Experimental treatments; (b) Items used solely for entertainment or recreational purposes; (c) Tobacco products or alcohol; (d) Items considered by the federal food and drug
administration as experimental or investigational; (e) New equipment or supplies or repair of previously approved equipment or supplies that have been damaged as a result of confirmed
misuse, abuse, or negligence; (f) Equipment, supplies, and devices of the same type for the same individual, unless there is a documented change in the individual's condition that warrants the
replacement; (g) Home modifications that are of general utility or that add to the total square footage of the home; or (h) Items that are illegal or otherwise prohibited through federal or state
regulations.
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