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Transitions Developmental Disabilities (TDD) Waiver and Medicaid State Plan

 The Transitions Developmental Disabilities (TDD) Waiver was established in 2002 to accommodate individuals who were being served on the Ohio Home Care Waiver who had an intermediate care facility level of care. Effective January 1, 2013, operation and administration of the TDD Waiver has transferred to DODD. As a result, the Cuyahoga County Board of Developmental Disabilities now provides service and support administration to individuals enrolled on the TDD waiver. Support administrators (SAs) will develop Individual Service Plans (ISP's), submit budget proposals and perform all monitoring activities to ensure individuals are receiving necessary services.   


Since March 11, 2013, DODD has been assisting the process of enrolling providers for the TDD Waiver.  Due to Medicaid state plan enrollment requirements, the following provider types still need to apply directly through Ohio Department of Jobs and Family Services: Home Health Agencies and Independent (non-agency) nurses applying to provide services to individuals enrolled on the TDD.  See link below.

If you have any questions, you can email us at or call (216) 931-7474.       

Provider Training for TDD Providers

All providers are now required to have training in the rights of individuals with developmental disabilities as established in Ohio Revised Code 5123.62 and Major Unusual Incidents (MUI) definitions and reporting processes. Training is required prior to providing TDD services and annually thereafter. Please see this contact list for Office of Provider Standards and Review (OPSR) if you have any questions related to training. 

Links to Available Training:

If you are interested in becoming certified for other DD waivers (Individual Options, Level One and/or SELF) in addition to TDD see the information below:       

How to Become a Certified Waiver Provider

All independent providers, chief executive officers of agency providers and direct services employees of agency providers are required to become certified in order to provide services to individuals who are enrolled on a DD Waiver.  Below are the provider certification and training requirements for agency providers and independent providers:

TDD Waiver Billing

The Ohio Department of Medicaid will continue to process all claims for providers of TDD services.  Provider resources are located at Ohio's Medicaid Information Technology System (MITS).  

Click here for MITS Web Portal Billing Guide

The Ohio Department of Medicaid has added a new requirement effective 1/1/2015 for billing through the MITS system.  The new change in the rule is requiring the doctor's NPI number, this number can be found on the website below.  The doctor's name can be found in the Individual's plan.

NPI Number Lookup

If you are having issues related to claims for the TDD Waiver or state plan home health services, please see this memo.       

TDD Provider Forms

Below are commonly used forms suggested by DODD for the TDD Waiver.

Personal Care Aide Forms 

Nursing Forms

Medicaid State Plan

Attached is a letter regarding on Medicaid State Plan.

Frequently Asked Questions

Here are Frequently Asked Questions about the Transitions Developmental Disabilities Waiver.



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Cuyahoga County Board of Developmental Disabilities
1275 Lakeside Avenue East
Cleveland, Ohio 44114-1129
PHONE: (216)241-8230 - FAX: (216)861-0253