Assessment-a formal or informal evaluation of an individual’s needs for supports and specialized services.  Evaluation findings form the basis for determining that individual’s level of care (LOC) and for writing his/her Individual Service Plan (ISP). 

BVR-Bureau of Vocational Rehabilitation.  A state agency which may provide funding for services, equipment and supports that prepare a less abled individual for employment. 

BCII-Bureau of Criminal Identification and Investigation.  This agency provides a criminal record check used to determine the eligibility of a person to be certified by ODMR/DD as a Medicaid service provider. 

CBMR/DD-County Board of Mental Retardation/Developmental Disabilities.  The powers and duties of this political subdivision are defined in ORC 5126.05. 

CDJFS-County Department of Job and Family Services. 

Class Members-litigants in a specific class action lawsuit, i.e. Sermak, Barbara C., Sidles, and Martin.  For additional information, contact the local county boards of mr/dd. 

Control Number-number assigned by ODMR/DD to each waiver recipient for internal tracking purposes.   

COG-Council of Government.  Where common Government entities form a council for the purposes of sharing resources and providing expertise unavailable to smaller government entities.  

CRIS-E-Client Registry Information Systems-Enhanced.  Database maintained by ODJFS. 

FFP-Federal Financial Participation.  The portion of waiver payments agencies reimbursed to Ohio from the United States Department of Health and Human Services. 

Form 2-ODMR/DD Monthly Roster of Services Form.   

FY-Fiscal Year.  Time measurement used by state governmental agencies which extends from July 1^st of one year to June 30^th of the following calendar year. 

HCBS-Home and Community-Based Services.  Part of the Social Security Act which permits states to request a waiver of existing Medicaid rules to allow Medicaid funding to be used for home and community-based services on behalf of Medicaid –eligible individuals who would otherwise be institutionalized.   

HCFA-Health Care Financing Administration.  An arm of the U.S. Department of Health and Human Services which is responsible to administer and promulgate regulations governing Medicare/Medicaid.   

ICF/MR-Intermediate Care Facility for the Mentally Retarded.  A residential facility which is established pursuant to section 1905 (c) of the Social Security Act to provide Medicaid-funded services. 

IIF-Individual Information Form.  Completed annually by the local County Board of MR/DD and submitted to ODMR/DD.  The data collected includes information on average daily membership of county boards of mr/dd and services individuals are receiving. 

IO-Individual Options.  A waiver approved under the authority of section 1915 (c) of the Social Security Act under which federal reimbursement is provided for designated home and community-based services to person who, without such services, would be subject to institutionalization. 

ITS-Incident Tracking System.  The system used by County Boards of MR/DD, Investigative Agents and the Ohio Department of MR/DD to track all health and safety concerns. 

ISP-Individual Service Plan.  Developed to identify specific services and supports needed and desired by an individual.  The ISP describes all services and supports necessary, regardless of payor source, for a particular individual to maintain health and safety and prevent institutionalization.  The ISP should explain how each support service is intended to meet a need as indicated in the most recent assessment of the individual’s functioning levels. 

LMAA-Local Medicaid Administrative Authority.  This is when ODJFS has shifted some of the Medicaid responsibilities to a smaller government agency, like County Boards. 

LOC-Level of Care.  One of the determinants of eligibility for a waiver or for Medicaid-funded services in various institutional environments. 

Medicaid Case Number-a ten-digit identification number assigned by ODJFS to an individual’s file.  This number may change. 

Medicaid Claim Number-the twelve digit number assigned by ODJFS to an individual for purposes of payment for Medicaid services as authorized for that individual on his/her PAWS.  This number must be the same as on the individual’s current Medicaid card.  On the PAWS form, this number is called “Medicaid Recipient Billing No.” 

MR/DD-Mental Retardation/Developmental Disabilities. 

MUI-Major Unusual Incident.  Defined in ODMR/DD rule as an event of alleged, suspected, or actual occurrence involving an individual with mental retardation/developmental disabilities that is not consistent with routine operation, policies, procedures, or the care and habilitation plan of the individual. 

NF-Nursing Facility.  A residential facility which is established pursuant to section 1919 (a)-(d) of the Social Security Act to provide Medicaid funded services. 

OAC-Ohio Administrative Code.  Contains the rules filed by departments of state governing the operation of programs under their authority. 

OBRA-Omnibus Budget Reconciliation Act.  A Waiver approved under section 2176 of Public Law 97-35 under which federal reimbursement is provided for designated services to persons who are determined to be inappropriately placed and currently residing in nursing homes, but who elect to leave the nursing homes and live in the community. 

ODJFS-Ohio Department of Job and Family Services. (Formerly known as ODHS) 

ODMR/DD-Ohio Department of Mental Retardation/Developmental Disabilities 

ORSC-Ohio Rehabilitation Services Commission. 

PASARR-Pre-Admission Screening/Annual Resident Review.  The system used to determine eligibility for nursing facility placement and/or specialized services. 

Patient Liability-the amount that a consumer owes per month toward his/her care.  This amount is determined by ODJFS on an individual basis, and is related to a consumer’s income. 

PAWS or PAS-Payment Authorization for Waiver Services.  The ODMR/DD form that authorizes payment for HCBS Waiver Services. 

POS-Purchase of Service.  Refers to a previous contractual arrangement between the Ohio Department of Mental Retardation/Developmental Disabilities and a person, agency, or governmental entity to provide community-based residential services to individuals determined to be eligible to receive these services.  Most of these individuals are now funded through the RF Waiver. 

Protocol-a document and uniform process which is followed to identify allowable services paid for by the waiver which are necessary to meet health and safety of individuals and prevent their institutionalization.  

Provider Agreement-a contract between ODJFS and a provider of Medicaid services in which the provider agrees to comply with the terms of the provider agreement, ODJFS, state and administrative code. 

Provider Pool-a listing of ODMR/DD-certified wavier/supported living providers who have expressed an interest to a specific County Board of MR/DD or responded to an RFP to provider waiver/supported living services within the county.  The provider pool is maintained by the County Board of MR/DD.  This listing is made available to persons receiving services and supports.  These individuals may select a provider who is a member of the pool or may select a certified provider who is not a member of the pool, but who is otherwise qualified to provide supports which the individual requires. 

QA-Quality Assurance.  A structured method of measuring and documenting quality of services. 

Redet.-Redetermination.  A process of reassessment of an individual’s continued eligibility for waiver services.  Redetermination activities begin for each individual enrolled on a waiver at least three months prior to the date ending his/her current waiver span.  New assessments must confirm continued Medicaid eligibility, and care to be used as guidelines for writing a new ISP appropriate for the individual’s needs as described in the assessment report(s). 

Resident Number-assigned by ODMR/DD Information Systems for identification.  The majority of the numbers have seven digits, and a few are only six digits.  Twice yearly each county board is to report on the IIF what services, if any, each eligible person residing in that county has received.  On the IIF form this number is called, “Client Number.”  Waiver services are not directly related to this number. 

Residential Advisory Group-a statutory mandated component of supported living administration which requires a County Board of MR/DD to convene a group of individuals to provide input and to discuss issues relative to the operation of supported living in the county.  At a minimum, this group must be comprised of an individual receiving supports, a County Board of MR/DD representative and a provider. 

RFP-Request for Proposal.  One of the two methods by which providers may be included in the provider pool.  This method affords the County Board of MR/DD the opportunity to deny pool access to certain providers that do not meet their defined expectations. 

RFW-Residential Facility Waiver.  A Medicaid program that provides direct support services to individuals in licensed facilities. 

Service Coordinator-the single “in charge” individual named on a consumer’s ISP who is responsible directly or through delegation for helping that consumer access and coordinate services. 

SL-Supported Living.  Defined as assistance directed toward individuals with disabilities which enables them to live as independently as possible in their own communities with supports as they choose. 

SNF-Skilled Nursing Facility. 

SN-Skilled Nursing. 

SOC-Southern Ohio Council.  A government entity that provides administrative services to County Boards of MR/DD in Southern Ohio. 

SSA-Service and Support Administrator.  The person in charge of writing the ISP’s and connecting individuals with services and resources. 

SSDI-Social Security Disability Income. 

SSI-Supplemental Security Income. 

SSN-Social Security Number.