Ohio Participant-Directed Goods & Services (PDGS) Policy Manual

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The Ohio Participant-Directed Goods & Services (PDGS) Policy Manual provides a comprehensive operational and regulatory framework for agencies delivering participant-directed services under the Level One and SELF Medicaid Waivers in Ohio. Aligned with the Ohio Department of Medicaid (ODM) and the Ohio Department of Developmental Disabilities (DODD) regulations, this manual ensures full compliance with applicable state HHS and Medicaid Waiver guidelines, including Ohio Administrative Code 5123-9-32 and 5123-9-46.
The manual outlines key administrative structures, financial management protocols, client intake and service delivery procedures, safety standards, and quality assurance mechanisms specifically tailored to participant-directed services. It emphasizes person-centered planning, individualized service coordination, and client empowerment through self-direction of approved goods and services that promote independence, integration, and health outcomes.
Designed to support providers in delivering high-quality, accountable services, this policy manual also includes guidance on procurement of adaptive equipment, home modifications, and therapeutic tools in accordance with PDGS authorization requirements. It serves as an essential resource for administrators, care coordinators, and direct service professionals by offering clear policies, implementation strategies, and compliance procedures necessary for the effective delivery of participant-directed supports in Ohio’s HCBS system.