Frequently Asked Questions

Yes, subject to service authorization and staffing availability. In-home Direct Support availability is strongest in Franklin County and Central Ohio. Send a general inquiry with your county and requested hours so we can review current options.

Support may be able to continue, but a move needs review. For Remote Support, we check equipment, connectivity, and the setup in your new home. In-home staffing depends on location and requested hours. Contact us before the move so we can review availability and any service-plan or authorization changes with you.

You may refuse a particular service or support at any time without reprisal. Tell our team what you want to change, whether it is a staff match, one part of your support, or ending ongoing services. Declining a particular support and ending a service arrangement involve different follow-up. We can review the concern with you and your Service and Support Administrator (SSA), discuss alternatives, and explain any notice or transition arrangements that apply. Raise urgent concerns through the support contact provided at onboarding.

Ohio's Remote Support rule does not allow it in a Shared Living setting. If you want to explore a different arrangement, ask your county board's Service and Support Administrator (SSA) to review your needs, choices, backup support and Individual Service Plan (ISP). Changing services requires assessment and authorization; moving to Homemaker/Personal Care does not automatically qualify someone for Remote Support.

A mix of in-person Direct Support and Remote Support is called Hybrid Support. We review your goals, preferences, routines, and safety needs with you before proposing which hours could use Remote Support and which need someone in person. Your Service and Support Administrator (SSA) helps coordinate changes to your Individual Service Plan (ISP). Your family or guardian can be involved as appropriate. The balance can be reviewed as your needs or comfort with the service change.

For routine updates and non-urgent questions, use the care-team contact details provided at onboarding. For urgent after-hours safety concerns, use the on-call method provided for your service; the website contact form is for general inquiries. If your needs change, we can review them with you and your Service and Support Administrator (SSA) so your Individual Service Plan (ISP) stays aligned. Call 911 if there is immediate danger.

Start with our contact form. Share your county, the service you are interested in, requested hours, and a preferred start date if you have one. Do not include health records or other sensitive information in the form or an initial email. Your Service and Support Administrator (SSA) or case manager will usually help confirm authorization and funding. For a later referral review, we may need your Individual Service Plan (ISP), authorizations, relevant health and safety information, and consents. Ask our team which appropriate channel to use before sending records.

Complete the online contact form and we'll help set up a time that works for you.

Staff follow the response and escalation steps in your Individual Service Plan (ISP). For Remote Support, this can include reviewing an alert, contacting you through an authorized communication device, and contacting the designated backup person or in-person support. Staff call 911 when there is imminent danger and document the event and actions taken. Required incident notifications follow applicable reporting procedures. Remote Support depends on your authorized hours, equipment, and connection; call 911 directly if you need emergency help.

Timing depends on service authorization, staffing, your schedule, and any equipment setup. Onboarding usually includes an intake conversation, a review of your goals and support needs, alignment with your Individual Service Plan (ISP), staff matching, and technology setup and training when needed. Our team can give you an estimated start date after reviewing these steps with you.

The start date depends on required approvals, current staffing, your requested hours, and any equipment setup. Use our contact form to share your county, requested service, hours, and preferred start date. Leave health records out of the form. Our team can review availability and give you an estimate.

Remote Support may fit if you want more independence and would benefit from scheduled check-ins, reminders, or help responding to safety concerns during agreed service hours. The right balance of remote and in-person support depends on your goals, preferences, support needs, and home setup. We review those with you, your service coordinator, and any family or guardian involved in your plan before recommending services.

A parent may qualify to provide paid Homemaker/Personal Care for an adult child. Eligibility and authorized hours depend on provider qualifications, the parent's legal role, waiver requirements, and the approved support plan. Ask the Service and Support Administrator (SSA) to confirm the arrangement before relying on paid hours.

We review Remote Support inquiries from across Ohio. In-home Direct Support is primarily available in Franklin County and Central Ohio; nearby counties are considered based on staffing and schedules. Availability changes by service and requested hours. Start with a general inquiry containing your county, service, and requested hours so we can check current options. Leave health records and other sensitive information out of the contact form or initial email.

We support people across Ohio through Remote Support and related technology-enabled services. In-home Direct Support is primarily available in Franklin County and Central Ohio. Contact us to confirm what is available for your location and service type.

Medicaid waiver funding typically covers services approved through your Individual Service Plan (ISP) and service authorization. Your costs depend on your funding and the services requested. Ask your Service and Support Administrator (SSA) or case manager to confirm what is covered. Our team can review any proposed private-pay or uncovered services and their costs with you before you agree to them.

A Remote Support Associate (RSA) provides scheduled check-ins and responds to alerts during your authorized service hours. Our monitoring center is staffed around the clock; that does not mean every person receives 24-hour support. Equipment varies by plan. Camera-free sensors are separate from any optional live audio or video support authorized in your Individual Service Plan (ISP). During planning, review the equipment, placement, privacy controls, and whether any audio or video is recorded with our team and your guardian, if applicable.

We work with Individual Options (I/O), Level One, and Self-Empowered Life Funding (SELF) Medicaid waivers, county funding, and private pay arrangements. Coverage depends on your eligibility and the service authorization. Your Service and Support Administrator (SSA) or case manager can help confirm funding; our team can discuss the services you are looking for.

If a staff member is delayed or unable to work, our team follows a coverage process to arrange backup support, notify the appropriate supervisor, and communicate with you and the people involved in your support as needed. The response depends on the service, time of day, and your support needs. Use the contact method provided at onboarding to report a missed or delayed shift.

Internet, power, or equipment failures can interrupt Remote Support. Battery backup and local storage depend on the equipment in your home; stored data does not provide a live connection to staff during an outage. Your service plan should identify the backup contacts and actions for a loss of connection, including when in-person help is needed. Review these arrangements with our team before services begin, and report a problem through the support contact provided at onboarding.

Equipment depends on the support authorized in your Individual Service Plan (ISP) and the setup in your home. It may include an internet connection, a hub, communication devices, and sensors for movement, doors, or environmental conditions. Camera-free sensors are separate from any optional authorized audio or video support. Before services begin, review equipment, privacy settings, connection requirements, and outage arrangements with our team. Battery backup and local storage vary by device and do not guarantee uninterrupted support.

Contact your care team to review the new routine and the support hours you need. We can discuss schedule changes with you and your Service and Support Administrator (SSA), including any changes to authorization or staffing. Confirm the revised coverage before relying on a new schedule.

Our approach combines in-person support, Remote Support, and assistive technology around your goals and daily routine. You can discuss a mix of services instead of assuming the same setup works for everyone. Technology helps staff provide check-ins and respond to alerts during authorized hours, with response steps and privacy choices set out in your service plan.

We provide Remote Support, in-home Direct Support, Hybrid Support, and assistive technology options when appropriate. Direct Support includes Homemaker/Personal Care, which helps with daily activities at home and in the community. Hybrid Support combines remote and in-person help. The best fit depends on your goals, preferences, support needs, home environment, and funding. We start with a conversation and review the proposed plan with you and the people you involve in your support.

We support people in Ohio with developmental disabilities who need home and community services. Funding may come through an Ohio Medicaid waiver, county funding, or private pay. Medicaid waivers help pay for eligible services in homes and communities; the Individual Options, Level One, and Self-Empowered Life Funding (SELF) waivers have their own requirements. Availability depends on your location, support needs, and the services authorized in your Individual Service Plan (ISP). Send a general inquiry if you are unsure where to start.

Support is provided by Direct Support Professionals (DSPs) and Remote Support Associates (RSAs) who complete required background checks, onboarding, and ongoing training. Training includes safety, documentation, and CPR/First Aid when appropriate to the role. We consider your preferences, routines, communication style, support needs, and staff availability when matching staff. If the fit is not working, tell us so we can review it with you.

Depending on your services, you may work with Direct Support Professionals (DSPs), who assist you in person, and Remote Support Associates (RSAs), who provide support from our monitoring center. Staff complete required background checks, onboarding, and ongoing training. Certifications such as CPR/First Aid depend on the role and required duties.

Agreed hours help us align staffing, check-ins, and backup arrangements with your routine and service authorization. The monitoring center operates around the clock, but your Remote Support hours are those in your Individual Service Plan (ISP). If your routine changes, contact your care team to review the schedule and any needed authorization changes.

On-call leadership, regular supervision, documentation review, and incident and alert review support staff in their roles. Remote Support Associates (RSAs) work with response protocols and escalation guidance. In-home services include field supervision and quality checks based on the person's support needs and the services being delivered.

Use our contact form for a general inquiry with the county, requested services and hours, and preferred start date. Do not send health records, medication lists, behavior plans, or other sensitive records through the form or an initial email. Before sending a referral packet, ask our team which appropriate channel to use and which documents are needed. A later review may require the current Individual Service Plan (ISP), authorizations, relevant contacts and consents, a health and safety summary, and applicable support plans. The team can then confirm whether the packet is complete and discuss fit and timing.

Coordination starts with the Individual Service Plan (ISP) and a clear understanding of each provider's responsibilities. Documented shift notes and handoffs help with transitions, such as travel between home and a day program. Medication or care-plan changes need to reach the relevant support team through the established care-coordination contacts. When a transition needs overlapping support, we review the schedule and authorization with the team.

Planning starts with the person's goals, preferences, communication needs, and safety needs. The Individual Service Plan (ISP) identifies the support hours, equipment, placement, privacy choices, response triggers, and backup arrangements. Camera-free sensors are separate from optional audio or video support, which requires appropriate authorization. Discuss live access and any recording separately with the person and guardian, if applicable. We review how the support is working with the person and their team and adjust the plan as needs change.

Staff follow applicable Ohio incident-reporting requirements and the person's service plan. This includes reporting concerns to supervision, documenting actions, and making required notifications to the county board, Service and Support Administrator (SSA), and guardian when applicable. Major Unusual Incidents (MUIs) have specific reporting and follow-up requirements. Routine coordination uses the care-team contacts established at service start; urgent safety concerns use the designated on-call or escalation route.

Services and documentation are guided by the current Individual Service Plan (ISP) and authorizations. Staff are trained to document services, alerts, responses, and relevant follow-up. Quality assurance includes supervisory review, periodic record audits, incident and alert trend review, and performance evaluations. If a review identifies a mismatch between services and the plan, we raise it with the appropriate team for follow-up.

Our processes include required background checks, role-specific training, service documentation, incident reporting, and quality reviews. Training addresses person-centered practices, rights, safety, and documentation under Ohio Department of Developmental Disabilities (DODD) requirements. Electronic Visit Verification (EVV) records visits for services where it is required. Supervisory reviews, record audits, and incident and alert reviews help identify issues that need follow-up.

We offer Remote Support, in-person Direct Support, Hybrid Support, and assistive technology consultation and setup. Remote Support includes check-ins and responses to alerts during authorized service hours. Direct Support includes Homemaker/Personal Care, or help with daily activities at home and in the community. Hybrid Support combines in-person and remote services. Technology may include sensors and communication devices selected for the person's plan. The Individual Service Plan (ISP) and service authorizations define what is provided and when.

Capacity changes regularly. We review inquiries from any Ohio county. Remote Support may be available beyond our in-person staffing area; in-home Direct Support capacity is strongest in Franklin County and Central Ohio, with nearby counties reviewed individually. Begin with a general contact inquiry containing the county, requested service, hours, and preferred start date. Do not include health records or detailed risks in the form or initial email. Ask our team which appropriate channel to use for any records needed to assess fit.

Staff complete required Ohio background checks and onboarding prior to working independently. Training includes person-centered practices, rights, safety, and documentation, plus role-specific competencies (for example, CPR/First Aid and delegated nursing tasks when applicable, and Remote Support technology/protocol training). Ongoing training and performance review continue throughout employment.

The contact form starts a general inquiry. A referral decision depends on receiving the records needed for review and confirming authorization, service fit, and staffing. Ask the team to confirm that the packet is complete and give you an expected decision date. We may be unable to accept a referral if we cannot staff the requested hours, the location is outside available coverage, the authorization does not support the requested service, or the person needs a different level of care. We explain the reason and suggest alternatives when possible.

Each person has a designated case lead/care coordinator for day-to-day coordination, plus an on-call path for urgent issues. Use the case lead for routine coordination and documentation questions; urgent safety concerns should go through the on-call method provided at service start.

Remote Support Associates (RSAs) work on-site at our Columbus monitoring center. The center is staffed around the clock, with staff schedules arranged to cover service needs. Check the RSA description on the Careers page and confirm available shift blocks and rotation expectations with the hiring team. During a shift, you support multiple people, complete scheduled check-ins, review alerts, document events, and coordinate help according to each person's plan.

Share your availability during hiring. Available days, shift lengths, and opportunities for extra shifts depend on the role and coverage needs. Check the specific role description on the Careers page and confirm the schedule with the hiring team. Remote Support work is on-site at our Columbus monitoring center; Client Services Specialist work includes a rotating after-hours on-call requirement.

Requirements vary by role, so review the full description on the Careers page. Direct Support Professional (DSP) requirements include a high school diploma or GED, a valid driver's license, a reliable vehicle, and required screening. Remote Support Associate (RSA) applicants must be enrolled in or have graduated from an accredited college program, have strong computer skills, and meet the listed screening and other requirements. RSA work is on-site at the Columbus monitoring center. Client Services Specialist applicants need relevant experience and must join the rotating after-hours on-call schedule. The hiring team can explain required training and certifications for the role.

The Careers page lists pay information for each role. Review the specific description for base pay, any incentives or shift premiums, and benefits, then confirm the terms with the hiring team. Benefit eligibility, waiting periods, scheduled hours, and premiums may vary by position. Ask which terms apply to the role and schedule you are considering before accepting an offer.

A Direct Support Professional (DSP) helps people in their homes and communities with routines, personal care, meals, transportation, skill-building, and documentation. A Remote Support Associate (RSA) works on-site at our Columbus monitoring center, completing check-ins, reviewing alerts and authorized audio or video, documenting interactions, and coordinating help. RSAs support multiple people during a shift. Each person's service plan defines the support and equipment used.

The process typically includes an interview, required screening, orientation, and role-specific training before independent work. Training covers person-centered support, safety, documentation, and the duties of the role. Remote Support training also covers the monitoring platform and response procedures. Review the role's paid-training information on the Careers page, and ask the hiring team to confirm the required hours, training pay, schedule, and expected start date. Timing depends on screening and training requirements.

Possible paths include Lead Direct Support Professional (DSP), Field or Site Supervisor, Remote Support Lead, Trainer, and quality assurance or administrative roles. Coaching, cross-training, mentoring, and added responsibilities can help you prepare. Opportunities depend on available positions, your qualifications, and experience; discuss your interests with the hiring team or supervisor.

Use the Careers page to review role descriptions, locations, and listed schedules, then confirm current vacancies with the hiring team. Most field-based Direct Support roles are in Franklin County and Central Ohio. Remote Support roles are on-site at our Columbus monitoring center. Share your availability and role interests when applying so the team can assess a match.

Driving duties depend on the role and assignment. Direct Support can include transporting people to work, appointments, and community activities; other roles may require site visits. Review the specific role description on the Careers page and ask the hiring team to confirm the expected travel area, vehicle requirements, mileage reimbursement, and how work-related travel time is handled. Do not assume one travel arrangement applies to every position.

Remote Support staff use response protocols and escalation guidance to contact the appropriate lead or supervisor. In-home staff receive supervisory coaching, follow-up, and help with situations that need escalation. During onboarding, review the contacts and procedures that apply to your role, including how to get help during your scheduled hours.

Remote Support Associates (RSAs) use a monitoring platform to review information from the equipment authorized in each person's service plan. Depending on the setup, this may include movement, door, or environmental sensors, communication devices, and authorized live audio or video. Camera-free sensors do not mean every service uses the same equipment or excludes separate audio or video. Staff review alerts, communicate through the approved devices, document actions, and follow the person's response and escalation plan. Training covers the equipment and procedures used in your assignments.

Our roles offer hands-on experience supporting people with developmental disabilities, whether in homes, in the community, or from our monitoring center. You can build skills through training, coaching, and work with other support professionals. Review the role descriptions on the Careers page for the duties, working arrangements, and opportunities that fit your goals.