Worksheets, Authorization, & Funding


Below you'll find forms to request an authorization or revision as well as resources to understand the billing process. You can find more information on provider billing from the Ohio Department of Developmental Disabiliteies (DODD) here.


Procedures and Tip Sheets

Billing agency tips and list of billers

Agency provider billing codes

Independent provider billing codes

Denial codes

Rejected claims tip sheet


Residential

Residential worksheet

Residential live-alone work sheet

Independent provider residential worksheet

Household schedule 2017-2021


ADA and NMT

ADA worksheet: career planning details

ADA worksheet: local funded

ADA worksheet: waiver funded


Revisions

Provider Revision Request Procedure

NMT revision request form

Provider revision request

Provider revision request - move units


Can't find what you need? For questions or to report a concern, contact the Quality team at providersupport@hamiltondds.org or (513) 559-6736.