DODD Medicaid
Prior Authorization
Prior Authorization is a process that will help an individual request additional services when the individual funding level exceeds the maximum value of the funding range that is determined for the individual by the Ohio Developmental Disability Profile (ODDP).
More information about Prior Authorization can be found in the following administrative rules:
OAC 5101:3-41-12 is the ODJFS Prior Authorization Rule. This rule outlines the criteria and the timelines for Prior Authorization.
OAC 5123:2-9-06 Section (E)(9) of the waiver reimbursement rule references the Prior Authorization process.
Other useful information:
Prior Authorization Consumer Fact Sheet
Prior Authorization County Board Approval Sheet
Prior Authorization Attachment A: Budget Information
Prior Authorization County Board Checklist
Prior Authorization Helpful Hints
Prior Authorization Individual Request Form for IO Services
ODDP: A Handbook for Individuals and Families
Ohio's Waiver Reimbursement System: The Basics That You Need to Know
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Questions or comments about content on this webpage?
Contact: prior-authorization@odmrdd.state.oh.us