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Glossary of Terms

Term

Definition

Abuser Registry

The Abuser Registry lists individuals who have committed abuse, neglect, misappropriation of funds, a failure to report an incident, or who have engaged in improper sexual relations with an individual who has a developmental disability.

Advocacy

Activities in support of people with developmental disabilities including rights protection, legal and services assistance, and system or policy changes.

APSI

Advocacy and Protective Services Inc. is an agency that provides guardianship services to people with developmental disabilities, age 18 or older, who otherwise would not be able to advocate for themselves.

Assessment

A formal or informal evaluation of an individual's needs for supports and specialized services. Evaluation findings form the basis for determining an individual's level of care (LOC), and for writing a person's Individual Service Plan (ISP).

Assistive Technology

Assistive Technology (AT) can be a device that is used to increase, maintain, or improve the functional capabilities of a person with a disability or a service that directly assists a person with a disability in the selection, acquisition, or use of an assistive technology device. Examples of AT include augmentative communication devices which assist a person who cannot communicate through speech to communicate with others, and adaptive equipment which assists a person to write (such as an adapted pencil or arm brace), or move objects in the person's environment (such as a switch or remote control device).

Behavior Support Plan (BSP)

Defines how services and supports are used to address behavior issues for a person.

CARF

Council on Accreditation of Rehabilitation Facilities performs a review regarding the quality of care in residential facilities. Successful surveys result in CARF Accreditation.

Case Manager

A case manager is another term for a Service and Support Administrator (SSA -- see below).

CBDD

County Board of Developmental Disabilities. The powers and duties of this political subdivision are defined in ORC 5126.05. Ohio has 88 County Boards of DD -- one in each county.

COEDI

Children's Ohio Eligibility Determination Instrument (and Ohio Eligibility Instrument, OEDI), are tests to determine the eligibility of persons for state and county developmental disabilities services.

COG

Councils of Government.

County Board of Developmental Disabilities (CBDD)

County Board of Developmental Disabilities. The powers and duties of this political subdivision are defined in ORC 5126.05. Ohio has 88 County Boards of DD -- one in each county.

County Board-eligible

Refers to a person who meets the eligibility requirements that permit a County Board of Developmental Disabilities to deliver services.

County Dispute Resolution

An opportunity to dispute an action related to Medicaid or non-Medicaid services with a County Board of Developmental Disabilities, before a state hearing.

CPT

Cost Projection Tool.

Developmental Center (DC)

An Intermediate Care Facility (ICF) for the Mentally Retarded (Medicaid terminology) under the managing responsibility of the Department of Developmental Disabilities. Ohio has ten state-operated DC's.

Developmental Delays

Developmental Delays refer to conditions that represent a significant delay in the process of child development. The delays may involve cognitive, physical, communicative, social/emotional, and adaptive areas of development. Without special intervention, these delays may affect the educational performance of the child.

Developmental Disabilities

Conditions that may impair physical or intellectual/cognitive functions or behavior, and occur before a person is age 22.

Disability

A mental or physical condition that is restricting or limiting, or interferes with various activities.

Disability Waiver

A waiver issued by the Ohio Dept. of Job and Family Services (ODJFS) so that people under age 60 can receive services in their home instead of going to live in a nursing home or hospital.

DODD

The Ohio Department of Developmental Disabilities -- acronym used after October 5, 2009, following passage of Senate Bill 79,removing the words "Mental Retardation and" from the state agency's name. (Replaces ODMRDD acronym)

DRA

Daily Rate Application: A program used in calculating Daily Billing Units.

Family Support

Persons identified by the individual with disabilities as either family members or significant others who provide necessary support.

Family Supported Services

Locally-paid services, rather than waiver services.

Group Home

A home for persons with disabilities that generally has 16 or fewer residents.

Habilitation

Training in life skills, such as housekeeping, that have not been otherwise learned.

HCBS Waiver

A Home and Community Based Services Waiver allows a person to get services that are not normally covered under the state's Medicaid plan.

Home Choice

A program that allows for people leaving institutions to access some funding to help make the transition to the community.

Home Modifications

Home modifications are adaptations made to a home to allow for easier and safer access due to specific needs resulting from a disability.

ICFMR (ICF)

Intermediate Care Facility for the Mentally Retarded (federal language): A Medicaid-funded residential facility that teaches living skills to help people live in less restrictive environments. The acronym ICFMR, while still in statutory language, now may be represented as "ICF" with the remainder dropped.

IDS

Individual Data System: A client-centric data management system that is the single point of access to data collections about individuals the DODD serves, and/or supports. The IDS replaced the IIF (see this Glossary) and goes further to serve as a 'parent folder' for all systems applications. The houses all data about an individual, and allows users to modify multiple records without repeatedly using the client search function.

IHP or ISP or IP

Individual Habilitation Plan. Individual Service Plan. Individual Plan. These outline what type of training or other supports may be needed to help people gain the living skills they need.

Independent Living

Independent living involves the belief that individuals with disabilities have the same rights and responsibilities as other people in society. Thus, services provided to the public should be accessible to persons with disabilities, and systems of support should be made available to help individuals with disabilities live within the community, and lead more independent lives.

IO Waiver

The Individual Options Waiver is a home and community-based waiver to let people receive the services they need in their own homes.

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 avoid 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.

Job Coach

In supported employment, the Job Coach provides one-on-one training to an individual on the job, until that individual is able to complete tasks to the employer's satisfaction. As the worker becomes proficient, the Job Coach begins spending less time training the worker. The Job Coach continues to monitor the worker occasionally, and is available when needed to assist with retraining and other support that the worker might need.

Level 1 Waiver

This waiver offers several different services with set spending limits. Some limits can be changed with prior approval from the local County Board of Developmental Disabilities.

LOC

Level of Care is a determination of the help needed to guarantee a person's health and safety.

Martin Settlement

A legal agreement that allowed for a total of 1500 individuals with disabilities to receive Individual Options (IO) waiver services, enrolling during the years 2008 and 2009, and paid for through funds appropriated under the Martin v. Strickland Settlement of 2006.

MBI-WD

Medicaid Buy-In for Workers with Disabilities. (Also: MBI) A program to help people with disabilities who work maintain Medicaid coverage and not lose their benefits.

Medicaid Card Services

The Medicaid services that are available to people with and without a waiver.

Medicaid Case Number

This is a ten-digit, permanent identification number assigned by ODJFS to an individual's file.

Medicaid Match

The federal government requires that the state/local government match federal government funds for Medicaid reimbursement services. In Ohio, this is about 60 percent federal and 40 percent state match.

Mental Retardation

Mental Retardation is defined as, 'significantly below-average general intellectual functioning (IQ 70-75 or below), existing concurrently with deficits in adaptive behavior, and manifested during an individual's developmental period, which is before the age of 22.' Mental retardation is a developmental disability. Use of the terminology is fading from usage except for medical diagnoses and federal statutory language. Preferred terms are 'intellectual disability,' 'cognitive disability,' or the broader term, 'developmental disability.'

MI/DD

MI/DD stands for Mental Illness/Developmental Disabilities. Previously the 'dual diagnosis' reference was MR/MH, an acronym fading from usage and referring to "Mental Retardation/ Mental Health."

MR/MH (see also MI/DD)

Mental Retardation/ Mental Health: (See 'mental retardation', above -- this acronym fading from usage as well) An MR/MH diagnosis may also be termed a 'dual diagnosis', wherein an individual exhibits both mental retardation and mental health issues. "MI/DD" is now preferred, and stands for Mental Illness/Developmental Disabilities"

MUI

Major Unusual Incident: The reporting system mandated by Ohio law that sets procedures to review and report allegations of abuse, neglect and other potentially serious incidents that occur in the Developmental Disabilities system.

NF

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

NICS

Notification of Individual Change in Status.

ODDP

Ohio Developmental Disabilities Profile is an assessment tool for individuals enrolled on the Individual Options (IO) Home and Community Based Waiver.

ODMRDD

Ohio Department of Mental Retardation and Developmental Disabilities: The name of the Ohio Department of Developmental Disabilities before dropping the words 'Mental Retardation and' in October 2009, following passage of Senate Bill 79.

OEDI

Ohio Eligibility Determination Instrument (diagnostic) for ages 16 and over. This refers to a test to determine the eligibility of persons for state and county Developmental Disabilities services.

onset age

The age of a person when a condition, such as a developmental disability, first is found to be present.

ORC

Ohio Revised Code. Contains the laws of the State of Ohio.

P.L.A.Y.

Play and Language for Autistic Youngsters (P.L.A.Y.)is a program of play and parental coaching developed by Dr. Richard Solomon of Ann Arbor, Michigan, to help children emerge from the 'shell' of Autism Spectrum Disorders (ASD) and choose and enjoy social interactions.

PAR

Prior Authorization Request

PASRR

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

Patient Liability

The amount that the consumer owes, per month, toward his/her care. This amount is determined by the Ohio Dept. of Human Services on an individual basis, and is related to a consumer's income.

PAWS

Payment Authorization for Waiver Services. The form that authorizes payment for HCBS (see above)Waiver services.

PCP

Person Centered Planning emphasizes the needs and choices of the individual when planning services.

People First

An advocacy organization that directly involves people with disabilities in a variety of local, state, and national issues, projects, and programs.

PICT

Preliminary Implementation Component Tool: A tool used by County Boards and the DODD to identify and allocate capacity on Home and Community-Based waivers administered by the Department.

Provider

A person or agency that delivers services to people with disabilities.

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 DODD-certified waiver/supported living providers who have expressed an interest to a specific County Board of Developmental Disabilities, or responded to an RFP, to provide waiver/supported living services within the county. The provider pool is maintained by the County Board, and 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 are to be used as guidelines for writing a new ISP appropriate for the individual's needs as described in the assessment report.

Residence County

County where a person lives -- used in preparing certain forms.

Resident Number

Assigned by DODD Information Systems for identification. The majority of the numbers have seven digits and a few are six digits. Twice yearly, each County Board reports on the IIF (IDS) what services, if any, each eligible person residing in that county has received. On the IIF(IDS)form this number is called, 'client number'. Waiver services are not directly related to this number.

Respite Care

A service designed to provide temporary residence for a person with a disability who ordinarily lives with family or friends, or to assume temporary responsibility for care of the person in his or her own home. This service provides back-up support, and in some cases relief, to people responsible for care of an ill or disabled person who ordinarily lives in their household.

Self-Advocacy

People with developmental disabilities, either individually or in groups, speaking or acting on behalf of themselves, or on behalf of issues that affect people with disabilities.

Self-Determination

An initiative built on the principles of freedom, authority, support, responsibility, and confirmation. Self-Determination gives people with disabilities the freedom to decide how they will live, work and participate in the community; the authority to decide how the money allocated to them will be spent; the supports that will allow that person to lead the life they choose; the responsibility of assuring that the money they are using is spent in a useful and appropriate manner; and confirmation that the person and his or her family are critical to making life decisions and designing the system to help them.

Service Coordination

The management of a person's set of services, typically by a government entity. See SSA, below.

Service Coordinator

A Service Coordinator is another term for a Service and Support Administrator (SSA - see below)

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.

SSA

A Service and Support Administrator (SSA) -- also called a service coordinator or case manager-- works with individuals and providers of services to coordinate services. For families who have a member with a disability, the SSA should provide the family with the resources and support the family needs to ensure that their family member with a disability receives services that are essential to their well-being, as well as monitor progress.

State Hearing

An opportunity to dispute an action related to Medicaid, before a hearing officer from ODJFS.

State Plan

A term used to describe the services available in Ohio through the Medicaid card.

Supported Employment

Paid employment in community settings for persons with severe disabilities who need on-going support to perform their work. Support can include on-the-job training, transportation or supervision.

Supported Living

Supported Living is a service model based on principles that emphasize a person’s choice, self-determination and community integration.

TCM

Targeted Case Management is the coordination of specialized services for an individual that helps them get the needed services, evaluates if the services are appropriate and monitors them. TCM is a Medicaid-reimbursed service,

Transition Planning

Transition Planning is a coordinated set of activities focused on improving the academic and functional achievement of a student with disabilities to promote the student's movement from school to post-school activities. Post-school activities can include college, vocational training, employment, continuing and adult education, adult services, independent living, or community participation. Good transition planning is outcome-oriented, and focuses on results that help the student reach post-school goals. For students with disabilities, transition planning occurs during an Individualized Education Program (IEP) meeting.

Waiting List

Each County Board of Developmental Disabilities establishes a waiting list when there are not enough resources to meet the needs of everyone requesting services. If a person asks for a service that has a waiting list, a county will document the request, along with the date and time it was requested, and place the person's name on the list if the service is desired within the next twelve months.

Waiver

Waiver is usually used in reference to the Home and Community-Based Waiver program where a state has applied for and received permission to use Medicaid funds to assist and keep people with disabilities in the community. Many of the restrictive requirements of using Medicaid monies are usually waived in these programs.

Waiver Span

A consecutive 365 days, during which an individual's waiver is expected to be authorized. Ordinarily, the first day of an individual's span would be the same date of the year in which that individual first received waiver funding. In a Leap Year, a waiver span is 366 days.