Ohio Individual Options (IO) Waiver Documentation Software
CareHub for IO Waiver providers, built for DODD compliance.
Serving providers in Ohio • See Ohio state page
About the IO Waiver
The Ohio Individual Options (IO) Waiver is the state's most comprehensive HCBS waiver for individuals with developmental disabilities, providing residential services, adult day support, vocational habilitation, and non-medical transportation. IO is administered jointly by DODD and county boards of developmental disabilities, with county boards handling local Service and Support Administration (SSA) and Major Unusual Incident (MUI) investigations. CareHub serves IO providers with DODD-aligned ISP templates, MUI workflows with immediate county-board notification, delegation-nurse oversight for medication administration, and OAC 5123 staff credentialing tracking.
Who qualifies
Ohioans with developmental disabilities who meet ICF/IID level-of-care criteria. Eligibility is determined through the county board of developmental disabilities and DODD assessment.
Services covered under IO Waiver
CareHub supports documentation for every service type in the waiver.
Residential Services
Group-home, supported-living, and shared-living arrangements.
Adult Day Support
Skill-building and community engagement programming.
Vocational Habilitation
Pre-employment and skill-building toward employment.
Non-Medical Transportation
Transportation to community activities and appointments.
Behavior Support
Behavioral consultation, planning, and ongoing intervention.
Homemaker/Personal Care
In-home personal-care and daily-living supports.
Key documentation requirements
What DODD expects providers to document.
Major Unusual Incident (MUI) Reporting
MUIs must be reported immediately to the county board with thorough investigation, root cause analysis, and prevention planning per OAC 5123 categories.
Individual Service Plan (ISP)
ISPs must follow DODD person-centered planning standards with documented outcomes and county-board SSA participation.
Medication Administration
Staff must complete DODD-approved training. MARs require delegation-nurse oversight documentation and error reporting per OAC 5123.
Quarterly Fire Drills
Ohio requires fire drills every 90 days (quarterly), not monthly. Documentation of each drill is required.
Staff Credentialing
DSPs must hold CPR/First Aid, medication administration certification, seizure first aid, and meet DODD annual competency requirements.
How CareHub helps IO Waiver providers
Purpose-built features for DODD compliance.
DODD-aligned ISP templates with county-board SSA workflow
MUI reporting with immediate county-board notification and OAC 5123 category classification
MAR with delegation-nurse oversight documentation and OAC 5123 error reporting
Quarterly fire-drill scheduler, automatic 90-day cadence per OAC 5123
Staff credentialing dashboard with DODD-required certifications
Compliance dashboard surfacing gaps before DODD audits
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Frequently Asked Questions
Common questions from IO Waiver providers.
How does CareHub handle MUI reporting?
CareHub guides staff through MUI documentation with category classification aligned to OAC 5123, tracks immediate reporting deadlines, and maintains investigation records for county-board submission.
Does CareHub schedule quarterly fire drills?
Yes. CareHub automatically schedules fire drills every 90 days per OAC 5123 (Ohio is quarterly, not monthly) and alerts supervisors when drills are due.
Can CareHub support delegation-nurse oversight?
Yes. CareHub MAR includes delegation-nurse oversight documentation as required under OAC 5123.
Does CareHub support Level One and SELF waivers too?
Yes. CareHub serves IO, Level One, and SELF waiver providers under one license.
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