CMS Transition Information

Ohio's County Boards of Developmental Disabilities Services are facing new regulations from the federal government's Center for Medicare and Medicaid Services.  These rules will change the way they operate.

The new rules prohibit County Boards from providing case management and direct services to individuals with developmental disabilities who receive federal waiver funds.

As a result, the Ohio Department of Developmental Disabilities determined that County Boards can no longer provide the following services:

  • Adult day support (currently offered at our Calumet, Jergens, Kuntz and Liberty centers)
  • Transportation
  • Employment Services programs (job coaching, job placement, supported employment, community employment)

How will MCBDDS address these requirements?


Because the changes affect individuals receiving services, their families, private providers and County Board employees, the Montgomery County Board of Developmental Disabilities Services (MCBDDS) sought input from all of the previously mentioned groups and members of the community before developing a comprehensive Transition Plan to guide the changes that needed to take place.  (MCBDDS also created a graphic explanation of the Transition Plan.)

As part of its efforts to divest its Adult Services programs as required by mandate, MCBDDS issued a Request for Proposal for the operation and purchase of its Adult Services facilities in March 2017. Fourteen providers attended a manditory pre-proposal meeting March 23 to learn more about MCBDDS's Adult Day Support and Vocational Habilitation programs and tour the facilities, which are owned by the Montgomery County Commissioners. They were also able to ask questions of County Board staff, and meet individuals who currently attend programming in each building.

Providers who attended were invited to submit proposals that outline how they would develop programs for existing clients. The deadline to submit proposals was May 25. On that day, the Board received proposals for three of its four buildings: Calumet Center, Kuntz Center and Liberty Center. The Board has since learned the organization that submitted a proposal for Calumet Centeris not a certified provider, and its proposal has therefore been disqualified.

A committee will evaluate the remaining proposals based on the criteria provided in the Request for Proposal process. Negotiations will begin when this task is finished.  Further information will be shared after the evaluation and negotiation process are complete.