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 worksheet

Residential live-alone worksheet

Independent provider residential worksheet

Household schedule

ADA, NMT, and Other Services

ADA worksheet: local funded

Miscellaneous Services Worksheet

Money Management/Payee


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 or (513) 559-6736.