Ohio Level 1 Waiver ABA Therapy: Your Complete Guide to Funding and Provider Matching

What Is the Ohio Level 1 Waiver?

The Ohio Level 1 waiver is a Medicaid home and community-based services (HCBS) waiver designed specifically for children and adults with autism spectrum disorder (ASD) or other developmental disabilities who require a significant level of support. It is administered by the Ohio Department of Developmental Disabilities (DODD) through local county boards of developmental disabilities. The waiver allows families to receive funding for services that help individuals with autism live and thrive in their own homes and communities, rather than in institutional settings.

One of the most common uses of the Level 1 waiver is to cover applied behavior analysis (ABA) therapy, a scientifically proven intervention for children with autism. ABA therapy focuses on teaching communication, social, and daily living skills while reducing challenging behaviors. Through the waiver, families can access BCBA-led ABA services at no cost to them, provided they meet eligibility requirements.

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How Does the Level 1 Waiver Fund ABA Therapy?

The Level 1 waiver covers a range of services, including:

• ABA therapy (assessment, treatment planning, direct intervention, and supervision by a Board Certified Behavior Analyst)
• Behavioral consultation
• Parent training and support
• Respite care
• Transportation
• Assistive technology and adaptive equipment

ABA therapy under the waiver is typically delivered by a team led by a BCBA. The BCBA designs and oversees the treatment plan, while registered behavior technicians (RBTs) or behavior therapists implement the therapy in the child's natural environment, such as home, school, or community settings. The waiver covers both direct therapy hours and supervision time, ensuring quality and fidelity.

Is ABA Therapy Fully Covered?

Yes, for eligible individuals, the Level 1 waiver pays for ABA therapy in full, with no copays or deductibles. However, the waiver has a cost cap based on the individual's needs and available funding. Families should work with their county board and provider to ensure the therapy plan fits within the waiver's budget. If additional hours are needed, families may explore other funding sources, such as private insurance or the Ohio Autism Scholarship.

Eligibility Requirements for the Level 1 Waiver

To qualify for the Ohio Level 1 waiver, your child must meet the following criteria:

• Diagnosis: A formal diagnosis of autism spectrum disorder (ASD) or another qualifying developmental disability.
• Age: The waiver is available for children and adults of all ages, but most families apply during early childhood (ages 3-18).
• Functional limitations: The child must demonstrate significant limitations in three or more areas of major life activity, such as self-care, receptive and expressive language, learning, mobility, self-direction, capacity for independent living, or economic self-sufficiency.
• Level of care: The child must require a level of care typically provided in an intermediate care facility (ICF) or nursing facility. This is determined through an assessment by the county board of DD.
• Residency: The child must be an Ohio resident and eligible for Medicaid.

It is important to note that the Level 1 waiver is not an entitlement. There are a limited number of slots per county, and waitlists may exist. Families should contact their local county board of DD to begin the eligibility determination process.

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How to Apply for the Level 1 Waiver (Step-by-Step)

Applying for the Level 1 waiver involves several steps. Here is a general overview:

Step 1: Contact Your County Board of DD

Locate the county board of developmental disabilities for the county where you live. You can find contact information on the Ohio DODD website. Call and ask about the Level 1 waiver application process. They will likely schedule an intake appointment.

Step 2: Gather Documentation

You will need to provide:

• Your child's autism diagnosis (from a qualified professional such as a developmental pediatrician, psychologist, or psychiatrist)
• Medical and school records that demonstrate functional limitations
• Proof of Ohio residency and income information (for Medicaid eligibility)

Step 3: Complete the Eligibility Assessment

A case manager from the county board will conduct an assessment using the Ohio Eligibility Determination Instrument (OEDI) or similar tool. This assessment evaluates your child's needs and determines whether they meet the level of care criteria.

Step 4: Apply for Medicaid (if not already enrolled)

If your child is not already on Medicaid, you will need to apply through the Ohio Department of Medicaid. The county board can guide you through this process. Many children with autism qualify for Medicaid based on disability, regardless of family income.

Step 5: Wait for a Waiver Slot

Once eligibility is confirmed, your child's name is placed on the waiver registry. When a slot becomes available, the county board will notify you and help you develop a service plan. This can take months or even years, depending on your county. It is wise to apply as early as possible.

Step 6: Choose a Provider and Start Services

After a waiver slot is assigned, you can select an ABA provider. This is where Start with ABA can help. Our free matching service connects families with vetted, BCBA-led providers who accept the Level 1 waiver and understand the Ohio system.

Finding a BCBA-Led ABA Provider That Accepts the Waiver

Not all ABA providers accept the Ohio Level 1 waiver. Some only work with private insurance or Medicaid fee-for-service. When searching for a provider, look for those that specifically mention experience with DODD waivers and county board funding. Key questions to ask:

• Do you accept the Ohio Level 1 waiver?
• Are you a BCBA-led practice?
• Do you provide services in the home, clinic, or community?
• What is your typical wait time for new clients?

Start with ABA simplifies this search. We maintain a network of qualified providers across Ohio who are familiar with waiver requirements. Simply tell us your county and your child's needs, and we will match you with up to three providers for free.

How Start with ABA Helps Families Get Matched

Start with ABA is a completely free service that acts as a bridge between families and ABA providers. We are not a clinic or insurance company. Our role is to help you find the right BCBA-led provider based on your location, your child's age and needs, and the funding source you have (including the Level 1 waiver).

Here is how it works:

• You fill out a short online form about your child and your preferences.
• Our team reviews your information and matches you with vetted providers who have open availability and accept the Level 1 waiver.
• You receive provider profiles and can schedule consultations at no cost.
• We follow up to ensure you are satisfied with the match.

Many families tell us that using Start with ABA saved them weeks of phone calls and research. We understand the Ohio waiver system and can help you navigate it.

Tips for a Successful Application and Therapy Journey

• Start early. The application and waitlist process can take a year or more. Begin as soon as your child receives an autism diagnosis.
• Stay organized. Keep copies of all documents, correspondence, and assessment results.
• Advocate at your county board. Attend meetings, ask questions, and ensure your child's needs are fully documented.
• Consider combining the waiver with private insurance. If your child has private insurance that covers ABA, you may be able to use both to maximize hours. Check with your county board about coordination of benefits.
• Choose a provider who communicates well. ABA therapy is most effective when parents and providers work as a team. Look for a BCBA who values parent training and collaboration.

Common Mistakes to Avoid

• Waiting too long to apply. Some families delay because they think their child is too young or too mild. But eligibility is based on functional limitations, not just diagnosis. Apply early.
• Assuming the waiver covers everything. The Level 1 waiver has a service budget. Work with your provider to prioritize goals and use hours efficiently.
• Not exploring other funding options. If the waiver waitlist is long, consider private insurance, the Autism Scholarship, or Early Intervention (Part C) for children under 3.
• Choosing a provider without checking credentials. Always confirm that the provider is BCBA-led and has experience with the waiver. Start with ABA only works with vetted providers.
• Neglecting parent training. The waiver covers parent training, which is critical for generalizing skills. Make sure your provider includes it in the service plan.

Ohio's Level 1 waiver is a powerful resource for families seeking ABA therapy for their child with autism. While the process can feel overwhelming, you do not have to do it alone. Start with ABA is here to help you find a qualified, BCBA-led provider who accepts the waiver and can begin services as soon as a slot opens. Visit startwithaba.com to get started today.