Request for Service

Region 2 Adams Ashland Brown Crawford Delaware Fairfield Fayette Franklin Gallia Highland Huron
Jackson Knox Lawrence Licking Madison Marion Morrow Pickaway Pike Richland Ross
Scioto Seneca Union Vinton Wyandot



Adams

Ashland

Brown

Crawford

Delaware

Request for Service
Posted 11/9/2009
CountyDelaware
Request ID R2219146
Sex Male
Age School Age
Program Waiver
Service Codes G0154 (Skilled Nurse in a Home Health Setting), T1000 (Private Duty/Independent Nursing Service(s)), T1003 (LPN/LVN Services), T1002 (RN Services)
Schedule MonTueWedThursFriSat Sun
 7a-3p, 11p-7a 7a-3p, 11p-7a 7a-3p, 11p-7a 7a-3p, 11p-7a 7a-3p, 11p-7a 7a-3p, 11p-7a 7a-3p, 11p-7a 
Special Considerations Consumer requires nurse with ventilator experience
Contact  Brenda Stone, Case Manager
Phone: 614-729-6424
Complete by 11/24/2009

Request for Service
Posted 11/9/2009
CountyDelaware
Request ID R2219146
Sex Male
Age School Age
Program Waiver
Service Codes G0154 (Skilled Nurse in a Home Health Setting), T1000 (Private Duty/Independent Nursing Service(s)), T1003 (LPN/LVN Services), T1002 (RN Services)
Schedule MonTueWedThursFriSat Sun
 7a-3p, 11p-7a 7a-3p, 11p-7a 7a-3p, 11p-7a 7a-3p, 11p-7a 7a-3p, 11p-7a 7a-3p, 11p-7a 7a-3p, 11p-7a 
Special Considerations Consumer requires nurse with ventilator experience
Contact  Brenda Stone, Case Manager
Phone: 614-729-6424
Complete by 11/24/2009

Request for Service
Posted 11/9/2009
CountyDelaware
Request ID R2216826
Sex Female
Age School Age
Program Waiver
Service Codes T1019 (Personal Care Services)
Schedule MonTueWedThursFriSat Sun
 6a-7a two days per week/ 3p-8p 1 day per week 6a-7a two days per week/ 3p-8p 1 day per week 6a-7a two days per week/ 3p-8p 1 day per week 6a-7a two days per week/ 3p-8p 1 day per week 6a-7a two days per week/ 3p-8p 1 day per week   
Special Considerations Consumer requests provider with MRDD experience
Contact  Brenda Stone, Case Manager
Phone: 614-729-6424
Complete by 11/24/2009

Request for Service
Posted 11/9/2009
CountyDelaware
Request ID R2216826
Sex Female
Age School Age
Program Waiver
Service Codes T1019 (Personal Care Services)
Schedule MonTueWedThursFriSat Sun
 6a-7a two days per week/ 3p-8p 1 day per week 6a-7a two days per week/ 3p-8p 1 day per week 6a-7a two days per week/ 3p-8p 1 day per week 6a-7a two days per week/ 3p-8p 1 day per week 6a-7a two days per week/ 3p-8p 1 day per week   
Special Considerations Consumer requests provider with MRDD experience
Contact  Brenda Stone, Case Manager
Phone: 614-729-6424
Complete by 11/24/2009

Request for Service
Posted 11/12/2009
CountyDelaware
Request ID R25127446
Sex Male
Age Adult
Program Waiver
Service Codes G0156 (Home Health Aide in a Home Health Setting), T1019 (Personal Care Services)
Schedule MonTueWedThursFriSat Sun
 2pm-4pm or 1pm-3pm 2pm-4pm or 1pm-3pm 2pm-4pm or 1pm-3pm 2pm-4pm or 1pm-3pm 2pm-4pm or 2pm-3pm 2x monthly for 2 hours per day 2x monthly for 2 hours per day 
Special Considerations Consumer has pets, Consumer requires lifting, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs
Contact  Carolyn Aiken, Case Manager
Phone: 614-729-6347
Complete by 11/27/2009

Request for Service
Posted 11/12/2009
CountyDelaware
Request ID R25129950
Sex Female
Age Adult
Program Waiver
Service Codes T1019 (Personal Care Services)
Schedule MonTueWedThursFriSat Sun
 9am-11am 5pm-7pm back up for this 9am-11am 5pm-7pm back up for this 9am-11am 5pm-7pm back up for this 9am-11am 5pm-7pm back up for this 9am-11am 5pm-7pm back up for this 9am-11am 5pm-7pm back up for this 9am-11am 5pm-7pm back up for this (back up for 16 hours per month with 4 first hours per month) 
Special Considerations Consumer requests only independent providers, Consumer prefers female providers only, Consumer requires assistance with IADLs
Contact  Carolyn Aiken, Case Manager
Phone: 614-729-6347
Complete by 11/27/2009

Request for Service
Posted 11/18/2009
CountyDelaware
Request ID R2214700
Sex Male
Age School Age
Program Waiver
Service Codes T1019 (Personal Care Services)
Schedule MonTueWedThursFriSat Sun
 5:30 AM- 7:30 AM & 6 PM-10 PM 5:30 AM- 7:30 AM & 6 PM-10 PM 5:30 AM- 7:30 AM & 6 PM-10 PM 5:30 AM- 7:30 AM & 2:30 PM-10 PM 5:30 AM- 7:30 AM & 2:30 PM-10 PM 10 AM-6 PM  9 AM-2 PM BEHAVIOR PLAN in place 
Special Considerations Consumer has pets, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs, Consumer requests provider with MRDD experience
Contact  Barbara Sheets, Case Manager
Phone: 614-729-6426
Complete by 12/3/2009

Request for Service
Posted 11/20/2009
CountyDelaware
Request ID R2214683
Sex Female
Age Adult
Program Waiver
Service Codes T1019 (Personal Care Services)
Schedule MonTueWedThursFriSat Sun
  9:00am-1:00pm     3:00pm-9:00pm 
Special Considerations Consumer requests only independent providers, Consumer has pets, Consumer prefers female providers only, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs
Contact  Julie Fink, Case Manager
Phone: 614-729-6425
Complete by 12/5/2009

Fairfield

Request for Service
Posted 11/8/2009
CountyFairfield
Request ID R2235512
Sex Male
Age School Age
Program Waiver
Service Codes T1000 (Private Duty/Independent Nursing Service(s))
Schedule MonTueWedThursFriSat Sun
  approx. 2:30PM-8:30PM   approx. 2:30PM-8:30PM every other approx. 10 hours per day  
Special Considerations Consumer requests only independent providers, Consumer has pets, Consumer requests only non-smoker providers, Consumer requires transportation, Consumer requires lifting, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs
Contact  Linda Roll, Case Manager
Phone: 614-729-1028
Complete by 11/23/2009

Request for Service
Posted 11/11/2009
CountyFairfield
Request ID R22339609
Sex Female
Age Infant
Program Waiver
Service Codes G0153 (Speech and Language Pathologist in a Home Health Setting)
Schedule MonTueWedThursFriSat Sun
 ST 1 hr/wk Bremen area       
Special Considerations Consumer requests only agencies, Consumer requires nurse with ventilator experience
Contact  Lisa Delrosario-jayne, Case Manager
Phone: 614-729-6359
Complete by 11/26/2009

Request for Service
Posted 11/11/2009
CountyFairfield
Request ID R22311761
Sex Female
Age Young Adult
Program Waiver
Service Codes T1000 (Private Duty/Independent Nursing Service(s))
Schedule MonTueWedThursFriSat Sun
      8a-8p lancaster  
Special Considerations Consumer requests only independent providers, Consumer requests only non-smoker providers, Consumer requires lifting, Consumer prefers female providers only, Consumer requires assistance with ADLs
Contact  Lisa Delrosario-jayne, Case Manager
Phone: 614-729-6359
Complete by 11/26/2009

Request for Service
Posted 11/11/2009
CountyFairfield
Request ID R2238909
Sex Female
Age Adult
Program Waiver
Service Codes T1019 (Personal Care Services)
Schedule MonTueWedThursFriSat Sun
      12n-4p, PRN Lancaster  
Special Considerations Consumer requests only independent providers, Consumer has pets, Consumer requests only non-smoker providers, Consumer prefers female providers only, Consumer requires assistance with ADLs
Contact  Lisa Delrosario-jayne, Case Manager
Phone: 614-729-6359
Complete by 11/26/2009

Request for Service
Posted 11/13/2009
CountyFairfield
Request ID R223327JJ
Sex Male
Age Toddler
Program Waiver
Service Codes T1000 (Private Duty/Independent Nursing Service(s)), T1003 (LPN/LVN Services), T1002 (RN Services)
Schedule MonTueWedThursFriSat Sun
    9am-5pm 9am-5pm 6 hours flexible Pediatric experience, G-tube experience. 
Special Considerations Consumer requests only independent providers, Consumer requests only non-smoker providers, Consumer requires lifting, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs
Contact  Shelly Palumbo, Case Manager
Phone: 614-729-6455
Complete by 11/28/2009

Request for Service
Posted 11/19/2009
CountyFairfield
Request ID R22339609
Sex Female
Age Infant
Program Waiver
Service Codes G0152 (Occupational Therapist in a Home Health Setting)
Schedule MonTueWedThursFriSat Sun
 1 hr/wk Bremen area       
Special Considerations Consumer requests only agencies, Consumer requests provider with MRDD experience, Consumer requires nurse with ventilator experience
Contact  Lisa Delrosario-jayne, Case Manager
Phone: 614-729-6359
Complete by 12/4/2009

Request for Service
Posted 11/20/2009
CountyFairfield
Request ID R223JB993
Sex Male
Age Young Adult
Program Waiver
Service Codes G0156 (Home Health Aide in a Home Health Setting), T1019 (Personal Care Services)
Schedule MonTueWedThursFriSat Sun
 Needed M-F, 6 hrs  from 12/7-1/1      
Special Considerations Consumer requests only non-smoker providers, Consumer requires lifting, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs
Contact  Shari Martin, Case Manager
Phone: 513-206-7845
Complete by 11/30/2009

Fayette

Request for Service
Posted 11/16/2009
CountyFayette
Request ID R2247408
Sex Male
Age School Age
Program Waiver
Service Codes T1019 (Personal Care Services)
Schedule MonTueWedThursFriSat Sun
 covering breaks from school from 9a-5p, November 25 and 27 from 9a-5p     once a month for 4 hours, flexible time  
Special Considerations Consumer requires assistance with ADLs
Contact  Jennifer Wellington, Case Manager
Phone: (614) 729-6364
Complete by 12/1/2009

Franklin

Request for Service
Posted 11/10/2009
CountyFranklin
Request ID R22533478
Sex Female
Age Adult
Program Waiver
Service Codes G0151 (Physical Therapist in a Home Health Setting)
Schedule MonTueWedThursFriSat Sun
        
Special Considerations Consumer prefers female providers only, Therapy eval needed for home modifications or equipment only
Contact  Wendy Haas, Case Manager
Phone: 614-729-1539
Complete by 11/25/2009

Request for Service
Posted 11/12/2009
CountyFranklin
Request ID R225680SA
Sex Male
Age Adult
Program Waiver
Service Codes T1019 (Personal Care Services)
Schedule MonTueWedThursFriSat Sun
 E-mail responses only 1p-4p 1p-4p 1p-4p 1p-4p Worthington area zip 43235 If you are a CSTO, please inform consumer immediately upon interview and bring your CSTO paperwork w/ you  
Special Considerations Consumer has pets, Consumer requires assistance with ADLs
Contact  Catherine Bradshaw, Case Manager
Phone: (614) 729-6451
Complete by 11/27/2009

Request for Service
Posted 11/12/2009
CountyFranklin
Request ID R26567RLT
Sex Male
Age Adult
Program Waiver
Service Codes G0151 (Physical Therapist in a Home Health Setting)
Schedule MonTueWedThursFriSat Sun
 NEEDS ONGOING PHYSICAL THERAPY LIVES NEAR 23 south 10 mins south of Grove City.      
Special Considerations Consumer requests only agencies
Contact  Shelly Palumbo, Case Manager
Phone: 614-729-6455
Complete by 11/22/2009

Request for Service
Posted 11/13/2009
CountyFranklin
Request ID R2254970
Sex Female
Age Adult
Program Waiver
Service Codes T1019 (Personal Care Services)
Schedule MonTueWedThursFriSat Sun
 5-9P 5-9P 5-9P 5-9P    
Special Considerations Consumer requests only independent providers, Consumer requests only non-smoker providers, Consumer requires lifting, Consumer prefers female providers only
Contact  Emily Kurtz, Case Manager
Phone: 614-729-6362
Complete by 11/23/2009

Request for Service
Posted 11/13/2009
CountyFranklin
Request ID R223327JJ
Sex Male
Age Toddler
Program Waiver
Service Codes T1000 (Private Duty/Independent Nursing Service(s)), T1003 (LPN/LVN Services), T1002 (RN Services)
Schedule MonTueWedThursFriSat Sun
    9am-5pm 9am-5pm 6 hours flexible Pediatric experience, G-tube experience. 
Special Considerations Consumer requests only independent providers, Consumer requests only non-smoker providers, Consumer requires lifting, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs
Contact  Shelly Palumbo, Case Manager
Phone: 614-729-6455
Complete by 11/28/2009

Request for Service
Posted 11/16/2009
CountyFranklin
Request ID R22531688
Sex Male
Age Adult
Program Waiver
Service Codes G0152 (Occupational Therapist in a Home Health Setting), G0151 (Physical Therapist in a Home Health Setting)
Schedule MonTueWedThursFriSat Sun
 up to 1 hr, 1 visit only any day       
Special Considerations Therapy eval needed for home modifications or equipment only
Contact  Megan Vanwinkle, Case Manager
Phone: 614-729-6368
Complete by 11/26/2009

Request for Service
Posted 11/17/2009
CountyFranklin
Request ID R2254959
Sex Male
Age School Age
Program Waiver
Service Codes T1000 (Private Duty/Independent Nursing Service(s))
Schedule MonTueWedThursFriSat Sun
 2pm-8pm 2pm-8pm 2pm-8pm 2pm-8pm 2pm-8pm occassional hours occassional hours 
Special Considerations Consumer requests only independent providers, Consumer requests provider with MRDD experience
Contact  Andrea Taphorn, Case Manager
Phone: 614-729-1002
Complete by 11/27/2009

Request for Service
Posted 11/18/2009
CountyFranklin
Request ID R22527847
Sex Female
Age School Age
Program Waiver
Service Codes G0152 (Occupational Therapist in a Home Health Setting), G0151 (Physical Therapist in a Home Health Setting)
Schedule MonTueWedThursFriSat Sun
 Need PT or OT  Eval for possilble  home modifications     
Special Considerations
Contact  Jamie Milem-oettinger, Case Manager
Phone: 614-729-1522
Complete by 11/28/2009

Request for Service
Posted 11/18/2009
CountyFranklin
Request ID R26580RL
Sex Male
Age School Age
Program Waiver
Service Codes G0156 (Home Health Aide in a Home Health Setting), T1019 (Personal Care Services)
Schedule MonTueWedThursFriSat Sun
     Consumer lives Pickaway/franklin county line. Needs back up for afterschool. 4-5 hours respite  
Special Considerations Consumer requests only independent providers, Consumer has pets, Consumer requests only non-smoker providers, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs
Contact  Shelly Palumbo, Case Manager
Phone: 614-729-6455
Complete by 12/3/2009

Request for Service
Posted 11/20/2009
CountyFranklin
Request ID R22512025
Sex Female
Age Adult
Program Waiver
Service Codes T1019 (Personal Care Services)
Schedule MonTueWedThursFriSat Sun
 1-5P  1-5P  1-5P  1-5P 
Special Considerations Consumer requests only independent providers, Consumer has pets, Consumer prefers female providers only
Contact  Emily Kurtz, Case Manager
Phone: 614-729-6362
Complete by 11/30/2009

Request for Service
Posted 11/20/2009
CountyFranklin
Request ID R22534099
Sex Female
Age Adult
Program Waiver
Service Codes G0156 (Home Health Aide in a Home Health Setting), G0154 (Skilled Nurse in a Home Health Setting)
Schedule MonTueWedThursFriSat Sun
 nursing: 1 hr. a.m., 1 hr. p.m. nursing ditto; personal care aide, 3 hrs. afternoon ( 2:00-5:00 p.m.) nursing ditto; personal care aide, ditto Tuesday nursing ditto nursing ditto; personal care aide, 3 hrs. morning (9:00 a.m. - 12:00 noon) OR Sat. am. (see below) nursing ditto; personal care aide, (same hours as above in place of Friday morning) nursing ditto; personal care aide, 3 hrs., 9:00 a.m. -12:00 noon) 
Special Considerations Consumer requests only agencies, Consumer requests only non-smoker providers, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs
Contact  Kristin Schutte, Case Manager
Phone: 614-729-6396
Complete by 11/25/2009

Gallia

Request for Service
Posted 11/13/2009
CountyGallia
Request ID R227TF221
Sex Male
Age Adult
Program Waiver
Service Codes
Schedule MonTueWedThursFriSat Sun
 8a-10a and 8p-10p 8a-10a and 8p-10p 8a-10a and 8p-10p 8a-10p and 8p-10p 8a-10a and 8p-10p 8a-10a and 8p-10p 8a-10a and 8p-0p 
Special Considerations Consumer has pets, Consumer requires lifting, Consumer requires assistance with ADLs
Contact  Pamela Smith, Case Manager
Phone: 216-532-8264
Complete by 11/23/2009

Request for Service
Posted 11/13/2009
CountyGallia
Request ID R227TF221
Sex Male
Age Adult
Program Waiver
Service Codes G0154 (Skilled Nurse in a Home Health Setting), T1003 (LPN/LVN Services), T1002 (RN Services)
Schedule MonTueWedThursFriSat Sun
 8a-10a 8p-10p 8a-10a 8p-10p 8a-10a 8p-10p 8a-10a 8p-10p 8a-10a 8p-10p 8a-10a 8p-10p 8a-10a 8p-10p 
Special Considerations Consumer has pets, Consumer requires lifting, Consumer requires assistance with ADLs
Contact  Pamela Smith, Case Manager
Phone: 216-532-8264
Complete by 11/23/2009

Highland

Request for Service
Posted 11/6/2009
CountyHighland
Request ID R2365438e
Sex Female
Age Adult
Program Waiver
Service Codes T1019 (Personal Care Services), T1002 (RN Services)
Schedule MonTueWedThursFriSat Sun
 8 hours 8 hours 8 hours 8 hours 8 hours   
Special Considerations Consumer prefers female providers only
Contact  Lori Hupp, Case Manager
Phone: 614-729-6464
Complete by 11/21/2009

Request for Service
Posted 11/12/2009
CountyHighland
Request ID R2363400
Sex Female
Age Adult
Program Waiver
Service Codes T1003 (LPN/LVN Services), T1002 (RN Services)
Schedule MonTueWedThursFriSat Sun
 Consumer needs once a week nursing visits, can be done any day of the week,       
Special Considerations Consumer requests only independent providers, Consumer prefers female providers only
Contact  Wilma Purdin, Case Manager
Phone: 614-729-6392
Complete by 11/27/2009

Huron

Request for Service
Posted 11/13/2009
CountyHuron
Request ID R23901DBa
Sex Female
Age Adult
Program Waiver
Service Codes G0156 (Home Health Aide in a Home Health Setting), T1019 (Personal Care Services)
Schedule MonTueWedThursFriSat Sun
 4 hours  4 hours  4 hours   
Special Considerations Consumer requests only agencies, Consumer requires transportation, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs
Contact  Angela Vaughn, Case Manager
Phone: 614-729-6411
Complete by 11/28/2009

Jackson

Request for Service
Posted 11/13/2009
CountyJackson
Request ID R227TF221
Sex Male
Age Adult
Program Waiver
Service Codes
Schedule MonTueWedThursFriSat Sun
 8a-10a and 8p-10p 8a-10a and 8p-10p 8a-10a and 8p-10p 8a-10p and 8p-10p 8a-10a and 8p-10p 8a-10a and 8p-10p 8a-10a and 8p-0p 
Special Considerations Consumer has pets, Consumer requires lifting, Consumer requires assistance with ADLs
Contact  Pamela Smith, Case Manager
Phone: 216-532-8264
Complete by 11/23/2009

Request for Service
Posted 11/13/2009
CountyJackson
Request ID R227TF221
Sex Male
Age Adult
Program Waiver
Service Codes G0154 (Skilled Nurse in a Home Health Setting), T1003 (LPN/LVN Services), T1002 (RN Services)
Schedule MonTueWedThursFriSat Sun
 8a-10a 8p-10p 8a-10a 8p-10p 8a-10a 8p-10p 8a-10a 8p-10p 8a-10a 8p-10p 8a-10a 8p-10p 8a-10a 8p-10p 
Special Considerations Consumer has pets, Consumer requires lifting, Consumer requires assistance with ADLs
Contact  Pamela Smith, Case Manager
Phone: 216-532-8264
Complete by 11/23/2009

Knox

Request for Service
Posted 11/6/2009
CountyKnox
Request ID R24512151
Sex Male
Age School Age
Program Waiver
Service Codes T1000 (Private Duty/Independent Nursing Service(s))
Schedule MonTueWedThursFriSat Sun
 10p-6a newark area 10p-6a newark area 10p-6a newark area 10p-6a newark area 10p-6a newark area 10p-6a newark area 10p-6a newark area 
Special Considerations Consumer requests only independent providers, Consumer requests only non-smoker providers, Consumer requires lifting, Consumer prefers female providers only, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs
Contact  Lisa Delrosario-jayne, Case Manager
Phone: 614-729-6359
Complete by 11/21/2009

Request for Service
Posted 11/19/2009
CountyKnox
Request ID R2425534
Sex Female
Age Adult
Program Waiver
Service Codes T1019 (Personal Care Services)
Schedule MonTueWedThursFriSat Sun
      5 hours, 1 start  
Special Considerations Consumer requests only independent providers, Consumer requires transportation, Consumer prefers female providers only, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs
Contact  Christine Stone, Case Manager
Phone: 614-729-6394
Complete by 11/29/2009

Request for Service
Posted 11/20/2009
CountyKnox
Request ID R24211753
Sex Female
Age Geriatric
Program Waiver
Service Codes T1019 (Personal Care Services)
Schedule MonTueWedThursFriSat Sun
 4 hours daily 4 hours daily 4 hours daily 4 hours daily 4 hours daily 4 hours daily 4 hours daily 
Special Considerations Consumer requests only independent providers, Consumer has pets, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs
Contact  Christine Stone, Case Manager
Phone: 614-729-6394
Complete by 11/25/2009

Lawrence

Request for Service
Posted 11/6/2009
CountyLawrence
Request ID R2448505
Sex Female
Age Adult
Program Waiver
Service Codes G0154 (Skilled Nurse in a Home Health Setting), T1000 (Private Duty/Independent Nursing Service(s))
Schedule MonTueWedThursFriSat Sun
 1 hour       
Special Considerations Consumer has pets
Contact  Johnda Collins, Case Manager
Phone: 614-729-6356
Complete by 11/21/2009

Request for Service
Posted 11/9/2009
CountyLawrence
Request ID R2444410
Sex Female
Age Adult
Program Waiver
Service Codes G0156 (Home Health Aide in a Home Health Setting), T1019 (Personal Care Services)
Schedule MonTueWedThursFriSat Sun
 7 hours pm 7 hours pm 7 hours pm 7 hours pm 7 hours pm 7 hours pm 7 hours pm 
Special Considerations Consumer has pets, Consumer requires lifting, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs
Contact  Johnda Collins, Case Manager
Phone: 614-729-6356
Complete by 11/24/2009

Request for Service
Posted 11/16/2009
CountyLawrence
Request ID R24411650
Sex Female
Age Adult
Program Waiver
Service Codes T1019 (Personal Care Services)
Schedule MonTueWedThursFriSat Sun
  8 hours around 8-4pm  8 hours around 8-4pm  8 hours around 8-4pm  
Special Considerations Consumer has pets, Consumer requires transportation, Consumer prefers female providers only, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs
Contact  Michele Brown, Case Manager
Phone: 614-729-6363
Complete by 11/26/2009

Licking

Request for Service
Posted 11/6/2009
CountyLicking
Request ID R24529196
Sex Female
Age Adult
Program Waiver
Service Codes T1019 (Personal Care Services)
Schedule MonTueWedThursFriSat Sun
 10a-4p 11a-2:30p 10a-4p 11a-2:30p 3p-6p   
Special Considerations Consumer has pets, Consumer requests only non-smoker providers, Consumer requires transportation, Consumer prefers female providers only, Consumer requires assistance with IADLs
Contact  Lisa Delrosario-jayne, Case Manager
Phone: 614-729-6359
Complete by 11/21/2009

Request for Service
Posted 11/6/2009
CountyLicking
Request ID R24533906
Sex Female
Age Infant
Program Waiver
Service Codes G0153 (Speech and Language Pathologist in a Home Health Setting)
Schedule MonTueWedThursFriSat Sun
 1 hour weekly ST - Johnstown area       
Special Considerations Consumer requests only agencies
Contact  Lisa Delrosario-jayne, Case Manager
Phone: 614-729-6359
Complete by 11/21/2009

Request for Service
Posted 11/6/2009
CountyLicking
Request ID R24533906
Sex Female
Age Infant
Program Waiver
Service Codes T1000 (Private Duty/Independent Nursing Service(s))
Schedule MonTueWedThursFriSat Sun
     11p-7a 11p-7a johnstown area  
Special Considerations Consumer requests only non-smoker providers, Consumer requires lifting, Consumer prefers female providers only, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs, Consumer requests provider with MRDD experience, Consumer requires nurse with ventilator experience
Contact  Lisa Delrosario-jayne, Case Manager
Phone: 614-729-6359
Complete by 11/21/2009

Request for Service
Posted 11/6/2009
CountyLicking
Request ID R24512151
Sex Male
Age School Age
Program Waiver
Service Codes T1000 (Private Duty/Independent Nursing Service(s))
Schedule MonTueWedThursFriSat Sun
 10p-6a newark area 10p-6a newark area 10p-6a newark area 10p-6a newark area 10p-6a newark area 10p-6a newark area 10p-6a newark area 
Special Considerations Consumer requests only independent providers, Consumer requests only non-smoker providers, Consumer requires lifting, Consumer prefers female providers only, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs
Contact  Lisa Delrosario-jayne, Case Manager
Phone: 614-729-6359
Complete by 11/21/2009

Request for Service
Posted 11/9/2009
CountyLicking
Request ID R2456589
Sex Female
Age Adult
Program Waiver
Service Codes T1019 (Personal Care Services)
Schedule MonTueWedThursFriSat Sun
 resides in Newark, aide needed  9am-1pm and 7pm-9pm 7pm-9pm 9am-1pm    
Special Considerations Consumer requests only independent providers, Consumer has pets, Consumer prefers female providers only, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs
Contact  Robbin Zaborniak, Case Manager
Phone: 614-729-6406
Complete by 11/24/2009

Request for Service
Posted 11/16/2009
CountyLicking
Request ID R24510512
Sex Male
Age Adult
Program Waiver
Service Codes T1019 (Personal Care Services)
Schedule MonTueWedThursFriSat Sun
 resides in Southwest Licking Co.     4 hours in the morning 4 hours in the morning 
Special Considerations Consumer requests only independent providers, Consumer has pets, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs
Contact  Robbin Zaborniak, Case Manager
Phone: 614-729-6406
Complete by 11/21/2009

Request for Service
Posted 11/17/2009
CountyLicking
Request ID R245CA11
Sex Male
Age Adult
Program Waiver
Service Codes G0156 (Home Health Aide in a Home Health Setting), G0154 (Skilled Nurse in a Home Health Setting)
Schedule MonTueWedThursFriSat Sun
 aide 8a-2p; 6p-10p. *SN 1hr visit every other day aide 8a-12p; 6p-10p aide 8a-2p; 6p-10p aide 8a-12p; 6p-10p aide 8a-2p; 6p-10p aide 8a-12p; 6p-10p aide 8a-12p; 6p-10p 
Special Considerations Consumer requests only agencies, Consumer has pets, Consumer requests only non-smoker providers, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs
Contact  Deborah Woodrow, Case Manager
Phone: 614-729-1516
Complete by 11/22/2009

Request for Service
Posted 11/19/2009
CountyLicking
Request ID R2458372
Sex Male
Age School Age
Program Waiver
Service Codes T1000 (Private Duty/Independent Nursing Service(s))
Schedule MonTueWedThursFriSat Sun
 respite nursing shift - generally  one day a week, flexible, up to 8 hrs.      
Special Considerations Consumer requests only non-smoker providers, Consumer requires lifting, Consumer requires assistance with ADLs, Consumer requests provider with MRDD experience
Contact  Marilou Tonnesen, Case Manager
Phone: 614-729-6402
Complete by 12/4/2009

Request for Service
Posted 11/20/2009
CountyLicking
Request ID R2455233
Sex Female
Age Adult
Program Waiver
Service Codes T1002 (RN Services)
Schedule MonTueWedThursFriSat Sun
 1hr need RN with 4WD in utica/granville area  1 hr  1 hr   
Special Considerations Consumer has pets
Contact  Lisa Delrosario-jayne, Case Manager
Phone: 614-729-6359
Complete by 12/5/2009

Madison

Marion

Request for Service
Posted 11/12/2009
CountyMarion
Request ID R25127446
Sex Male
Age Adult
Program Waiver
Service Codes G0156 (Home Health Aide in a Home Health Setting), T1019 (Personal Care Services)
Schedule MonTueWedThursFriSat Sun
 2pm-4pm or 1pm-3pm 2pm-4pm or 1pm-3pm 2pm-4pm or 1pm-3pm 2pm-4pm or 1pm-3pm 2pm-4pm or 2pm-3pm 2x monthly for 2 hours per day 2x monthly for 2 hours per day 
Special Considerations Consumer has pets, Consumer requires lifting, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs
Contact  Carolyn Aiken, Case Manager
Phone: 614-729-6347
Complete by 11/27/2009

Request for Service
Posted 11/12/2009
CountyMarion
Request ID R25129950
Sex Female
Age Adult
Program Waiver
Service Codes T1019 (Personal Care Services)
Schedule MonTueWedThursFriSat Sun
 9am-11am 5pm-7pm back up for this 9am-11am 5pm-7pm back up for this 9am-11am 5pm-7pm back up for this 9am-11am 5pm-7pm back up for this 9am-11am 5pm-7pm back up for this 9am-11am 5pm-7pm back up for this 9am-11am 5pm-7pm back up for this (back up for 16 hours per month with 4 first hours per month) 
Special Considerations Consumer requests only independent providers, Consumer prefers female providers only, Consumer requires assistance with IADLs
Contact  Carolyn Aiken, Case Manager
Phone: 614-729-6347
Complete by 11/27/2009

Request for Service
Posted 11/16/2009
CountyMarion
Request ID R2513080
Sex Female
Age Adult
Program Waiver
Service Codes T1003 (LPN/LVN Services), T1002 (RN Services)
Schedule MonTueWedThursFriSat Sun
 1 hour once a week       
Special Considerations Consumer prefers female providers only
Contact  Summer Schnabel, Case Manager
Phone: 614-729-6421
Complete by 11/21/2009

Morrow

Pickaway

Request for Service
Posted 11/12/2009
CountyPickaway
Request ID R26567RLT
Sex Male
Age Adult
Program Waiver
Service Codes G0151 (Physical Therapist in a Home Health Setting)
Schedule MonTueWedThursFriSat Sun
 NEEDS ONGOING PHYSICAL THERAPY LIVES NEAR 23 south 10 mins south of Grove City.      
Special Considerations Consumer requests only agencies
Contact  Shelly Palumbo, Case Manager
Phone: 614-729-6455
Complete by 11/22/2009

Request for Service
Posted 11/12/2009
CountyPickaway
Request ID R26587ZB
Sex Male
Age School Age
Program Waiver
Service Codes T1000 (Private Duty/Independent Nursing Service(s)), T1003 (LPN/LVN Services), T1002 (RN Services)
Schedule MonTueWedThursFriSat Sun
 8am-8pm    8am-8pm 8am-8pm This would be for a pediatric nurse experience with mickey, and port.  
Special Considerations Consumer requests only independent providers, Consumer has pets, Consumer requests only non-smoker providers, Consumer requires transportation, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs
Contact  Shelly Palumbo, Case Manager
Phone: 614-729-6455
Complete by 11/22/2009

Request for Service
Posted 11/14/2009
CountyPickaway
Request ID R265311RS
Sex Male
Age Adult
Program Waiver
Service Codes G0156 (Home Health Aide in a Home Health Setting), T1019 (Personal Care Services)
Schedule MonTueWedThursFriSat Sun
 This consumer lives in the circleville area, needs backup for his aide services.  3 hours 3 hours  Everyother weekend sat 3 hours sun 3 hours Also transport to MD occasionally in columbus would have extra hours 
Special Considerations Consumer requires transportation, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs
Contact  Shelly Palumbo, Case Manager
Phone: 614-729-6455
Complete by 11/29/2009

Request for Service
Posted 11/16/2009
CountyPickaway
Request ID R2657290
Sex Male
Age School Age
Program Waiver
Service Codes T1019 (Personal Care Services)
Schedule MonTueWedThursFriSat Sun
 2:30p-9:30p 2:30p-9:30p 2:30p-9:30p 2:30p-9:30p 2:30p-9:30p 10a-5p  
Special Considerations Consumer requires assistance with ADLs
Contact  Jennifer Wellington, Case Manager
Phone: (614) 729-6364
Complete by 12/1/2009

Request for Service
Posted 11/18/2009
CountyPickaway
Request ID R26580RL
Sex Male
Age School Age
Program Waiver
Service Codes G0156 (Home Health Aide in a Home Health Setting), T1019 (Personal Care Services)
Schedule MonTueWedThursFriSat Sun
     Consumer lives Pickaway/franklin county line. Needs back up for afterschool. 4-5 hours respite  
Special Considerations Consumer requests only independent providers, Consumer has pets, Consumer requests only non-smoker providers, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs
Contact  Shelly Palumbo, Case Manager
Phone: 614-729-6455
Complete by 12/3/2009

Pike

Richland

Request for Service
Posted 11/18/2009
CountyRichland
Request ID R2704099
Sex Female
Age Geriatric
Program Waiver
Service Codes T1019 (Personal Care Services)
Schedule MonTueWedThursFriSat Sun
 7 hrs/day 7 hrs/day  7 hrs/day 7 hrs/day every other Saturday - 5 hrs/day  
Special Considerations Consumer requests only independent providers, Consumer prefers female providers only
Contact  Megan Vanwinkle, Case Manager
Phone: 614-729-6368
Complete by 11/23/2009

Request for Service
Posted 11/19/2009
CountyRichland
Request ID R27010123
Sex Male
Age Adult
Program Waiver
Service Codes T1019 (Personal Care Services)
Schedule MonTueWedThursFriSat Sun
 2x/day 7days/week of 3hrs/visit Hours will be shared with another provider. CONSUMER LIVES IN SHELBY  2x/day 7days/week of 3hrs/visit Hours will be shared with another provider. CONSUMER LIVES IN SHELBY  2x/day 7days/week of 3hrs/visit Hours will be shared with another provider. CONSUMER LIVES IN SHELBY  2x/day 7days/week of 3hrs/visit Hours will be shared with another provider. CONSUMER LIVES IN SHELBY  2x/day 7days/week of 3hrs/visit Hours will be shared with another provider. CONSUMER LIVES IN SHELBY  2x/day 7days/week of 3hrs/visit Hours will be shared with another provider. CONSUMER LIVES IN SHELBY  2x/day 7days/week of 3hrs/visit Hours will be shared with another provider. CONSUMER LIVES IN SHELBY  
Special Considerations Consumer requests only independent providers, Consumer has pets, Consumer requires transportation, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs
Contact  Michelle Jacobs, Case Manager
Phone: 614-729-1595
Complete by 11/24/2009

Ross

Request for Service
Posted 11/12/2009
CountyRoss
Request ID R27111431
Sex Male
Age School Age
Program Waiver
Service Codes T1000 (Private Duty/Independent Nursing Service(s))
Schedule MonTueWedThursFriSat Sun
 11 PM - 7 AM 11 PM - 7 AM 11 PM - 7 AM   Days of week will vary according to needs of consumer / parents  
Special Considerations Consumer requests only independent providers, Consumer requests only non-smoker providers, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs
Contact  Pamela Holsinger, Case Manager
Phone: 614-729-1537
Complete by 11/27/2009

Request for Service
Posted 11/16/2009
CountyRoss
Request ID R271MH695
Sex Female
Age School Age
Program Waiver
Service Codes T1000 (Private Duty/Independent Nursing Service(s))
Schedule MonTueWedThursFriSat Sun
       **back-up only** 8:30 am - 6:30 pm 
Special Considerations Consumer requests only independent providers, Consumer prefers female providers only
Contact  Angela Walter, Case Manager
Phone: 614-729-1008
Complete by 11/21/2009

Scioto

Request for Service
Posted 11/10/2009
CountyScioto
Request ID R2739458
Sex Female
Age Adult
Program Waiver
Service Codes T1019 (Personal Care Services)
Schedule MonTueWedThursFriSat Sun
 back-up (10am-2pm and 4pm-6pm) back-up (10am-2pm and 4pm-6pm) back-up (10am-2pm and 4pm-6pm) back-up (10am-2pm and 4pm-6pm) back-up (10am-2pm and 4pm-6pm) 10am-2pm and 4pm-6pm 10am-2pm and 4pm-6pm 
Special Considerations Consumer requires transportation, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs
Contact  Karen Demint, Case Manager
Phone: 614-729-1549
Complete by 11/25/2009

Seneca

Union

Request for Service
Posted 11/9/2009
CountyUnion
Request ID R2806543
Sex Female
Age Adult
Program Waiver
Service Codes T1019 (Personal Care Services)
Schedule MonTueWedThursFriSat Sun
 back up back up back up back up back up 8 hours on Saturday or Sunday 8 hours on Saturday or Sunday 
Special Considerations Consumer requests only independent providers, Consumer has pets, Consumer requires lifting, Consumer prefers female providers only, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs
Contact  Brenda Stone, Case Manager
Phone: 614-729-6424
Complete by 11/24/2009

Vinton

Wyandot

 



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