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 | Request for Service | | Posted | 11/10/2009 | | County | Adams | | Request ID | R2019468 | | Sex | Female | | Age | Adult | | Program | Waiver | | Service Codes | T1019 (Personal Care Services) | | Schedule | Mon:
Tue:
Wed:
Thurs:
Fri:
Sat: 3 hours
Sun:
| | Special Considerations | | | Contact | Pamela Stephens, Case Manager
Phone: 614-729-6352
| | Complete by | 11/20/2009 |
Ashland Brown | Request for Service | | Posted | 11/10/2009 | | County | Brown | | Request ID | R2019468 | | Sex | Female | | Age | Adult | | Program | Waiver | | Service Codes | T1019 (Personal Care Services) | | Schedule | Mon:
Tue:
Wed:
Thurs:
Fri:
Sat: 3 hours
Sun:
| | Special Considerations | | | Contact | Pamela Stephens, Case Manager
Phone: 614-729-6352
| | Complete by | 11/20/2009 |
Crawford Delaware | Request for Service | | Posted | 11/9/2009 | | County | Delaware | | 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 | Mon: 7a-3p, 11p-7a
Tue: 7a-3p, 11p-7a
Wed: 7a-3p, 11p-7a
Thurs: 7a-3p, 11p-7a
Fri: 7a-3p, 11p-7a
Sat: 7a-3p, 11p-7a
Sun: 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 | | County | Delaware | | 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 | Mon: 7a-3p, 11p-7a
Tue: 7a-3p, 11p-7a
Wed: 7a-3p, 11p-7a
Thurs: 7a-3p, 11p-7a
Fri: 7a-3p, 11p-7a
Sat: 7a-3p, 11p-7a
Sun: 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 | | County | Delaware | | Request ID | R2216826 | | Sex | Female | | Age | School Age | | Program | Waiver | | Service Codes | T1019 (Personal Care Services) | | Schedule | Mon: 6a-7a two days per week/ 3p-8p 1 day per week
Tue: 6a-7a two days per week/ 3p-8p 1 day per week
Wed: 6a-7a two days per week/ 3p-8p 1 day per week
Thurs: 6a-7a two days per week/ 3p-8p 1 day per week
Fri: 6a-7a two days per week/ 3p-8p 1 day per week
Sat:
Sun:
| | 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 | | County | Delaware | | Request ID | R2216826 | | Sex | Female | | Age | School Age | | Program | Waiver | | Service Codes | T1019 (Personal Care Services) | | Schedule | Mon: 6a-7a two days per week/ 3p-8p 1 day per week
Tue: 6a-7a two days per week/ 3p-8p 1 day per week
Wed: 6a-7a two days per week/ 3p-8p 1 day per week
Thurs: 6a-7a two days per week/ 3p-8p 1 day per week
Fri: 6a-7a two days per week/ 3p-8p 1 day per week
Sat:
Sun:
| | 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 | | County | Delaware | | 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 | Mon: 2pm-4pm or 1pm-3pm
Tue: 2pm-4pm or 1pm-3pm
Wed: 2pm-4pm or 1pm-3pm
Thurs: 2pm-4pm or 1pm-3pm
Fri: 2pm-4pm or 2pm-3pm
Sat: 2x monthly for 2 hours per day
Sun: 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 | | County | Delaware | | Request ID | R25129950 | | Sex | Female | | Age | Adult | | Program | Waiver | | Service Codes | T1019 (Personal Care Services) | | Schedule | Mon: 9am-11am 5pm-7pm back up for this
Tue: 9am-11am 5pm-7pm back up for this
Wed: 9am-11am 5pm-7pm back up for this
Thurs: 9am-11am 5pm-7pm back up for this
Fri: 9am-11am 5pm-7pm back up for this
Sat: 9am-11am 5pm-7pm back up for this
Sun: 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 | | County | Delaware | | Request ID | R2214700 | | Sex | Male | | Age | School Age | | Program | Waiver | | Service Codes | T1019 (Personal Care Services) | | Schedule | Mon: 5:30 AM- 7:30 AM & 6 PM-10 PM
Tue: 5:30 AM- 7:30 AM & 6 PM-10 PM
Wed: 5:30 AM- 7:30 AM & 6 PM-10 PM
Thurs: 5:30 AM- 7:30 AM & 2:30 PM-10 PM
Fri: 5:30 AM- 7:30 AM & 2:30 PM-10 PM
Sat: 10 AM-6 PM
Sun: 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 | | County | Delaware | | Request ID | R2214683 | | Sex | Female | | Age | Adult | | Program | Waiver | | Service Codes | T1019 (Personal Care Services) | | Schedule | Mon:
Tue: 9:00am-1:00pm
Wed:
Thurs:
Fri:
Sat:
Sun: 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 | | County | Fairfield | | Request ID | R2235512 | | Sex | Male | | Age | School Age | | Program | Waiver | | Service Codes | T1000 (Private Duty/Independent Nursing Service(s)) | | Schedule | Mon:
Tue: approx. 2:30PM-8:30PM
Wed:
Thurs:
Fri: approx. 2:30PM-8:30PM
Sat: every other approx. 10 hours per day
Sun:
| | 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 | | County | Fairfield | | Request ID | R22339609 | | Sex | Female | | Age | Infant | | Program | Waiver | | Service Codes | G0153 (Speech and Language Pathologist in a Home Health Setting) | | Schedule | Mon: ST 1 hr/wk Bremen area
Tue:
Wed:
Thurs:
Fri:
Sat:
Sun:
| | 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 | | County | Fairfield | | Request ID | R22311761 | | Sex | Female | | Age | Young Adult | | Program | Waiver | | Service Codes | T1000 (Private Duty/Independent Nursing Service(s)) | | Schedule | Mon:
Tue:
Wed:
Thurs:
Fri:
Sat: 8a-8p lancaster
Sun:
| | 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 | | County | Fairfield | | Request ID | R2238909 | | Sex | Female | | Age | Adult | | Program | Waiver | | Service Codes | T1019 (Personal Care Services) | | Schedule | Mon:
Tue:
Wed:
Thurs:
Fri:
Sat: 12n-4p, PRN Lancaster
Sun:
| | 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 | | County | Fairfield | | 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 | Mon:
Tue:
Wed:
Thurs: 9am-5pm
Fri: 9am-5pm
Sat: 6 hours flexible
Sun: 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 | | County | Fairfield | | Request ID | R22339609 | | Sex | Female | | Age | Infant | | Program | Waiver | | Service Codes | G0152 (Occupational Therapist in a Home Health Setting) | | Schedule | Mon: 1 hr/wk Bremen area
Tue:
Wed:
Thurs:
Fri:
Sat:
Sun:
| | 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 |
Fayette | Request for Service | | Posted | 11/16/2009 | | County | Fayette | | Request ID | R2247408 | | Sex | Male | | Age | School Age | | Program | Waiver | | Service Codes | T1019 (Personal Care Services) | | Schedule | Mon: covering breaks from school from 9a-5p, November 25 and 27 from 9a-5p
Tue:
Wed:
Thurs:
Fri:
Sat: once a month for 4 hours, flexible time
Sun:
| | 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 | | County | Franklin | | Request ID | R22529777 | | Sex | Male | | Age | Adult | | Program | Waiver | | Service Codes | G0156 (Home Health Aide in a Home Health Setting), T1019 (Personal Care Services) | | Schedule | Mon: 2 hrs in am, 2 hrs in pm
Tue: 2 hrs in am, 2 hrs in pm
Wed: 2 hrs in am, 2 hrs in pm
Thurs: 2 hrs in am, 2 hrs in pm
Fri: 2 hrs in am, 2 hrs in pm
Sat: 2 hrs in am, 2 hrs in pm
Sun: 2 hrs in am, 2 hrs in pm
| | Special Considerations | Consumer prefers female providers only | | Contact | Megan Vanwinkle, Case Manager
Phone: 614-729-6368
| | Complete by | 11/20/2009 |
| Request for Service | | Posted | 11/10/2009 | | County | Franklin | | Request ID | R22533478 | | Sex | Female | | Age | Adult | | Program | Waiver | | Service Codes | G0151 (Physical Therapist in a Home Health Setting) | | Schedule | Mon:
Tue:
Wed:
Thurs:
Fri:
Sat:
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 | | County | Franklin | | Request ID | R225680SA | | Sex | Male | | Age | Adult | | Program | Waiver | | Service Codes | T1019 (Personal Care Services) | | Schedule | Mon: E-mail responses only
Tue: 1p-4p
Wed: 1p-4p
Thurs: 1p-4p
Fri: 1p-4p
Sat: Worthington area zip 43235
Sun: 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 | | County | Franklin | | Request ID | R26567RLT | | Sex | Male | | Age | Adult | | Program | Waiver | | Service Codes | G0151 (Physical Therapist in a Home Health Setting) | | Schedule | Mon: NEEDS ONGOING PHYSICAL THERAPY
Tue: LIVES NEAR 23 south 10 mins south of Grove City.
Wed:
Thurs:
Fri:
Sat:
Sun:
| | 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 | | County | Franklin | | Request ID | R2254970 | | Sex | Female | | Age | Adult | | Program | Waiver | | Service Codes | T1019 (Personal Care Services) | | Schedule | Mon: 5-9P
Tue: 5-9P
Wed: 5-9P
Thurs: 5-9P
Fri:
Sat:
Sun:
| | 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 | | County | Franklin | | 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 | Mon:
Tue:
Wed:
Thurs: 9am-5pm
Fri: 9am-5pm
Sat: 6 hours flexible
Sun: 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 | | County | Franklin | | 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 | Mon: up to 1 hr, 1 visit only any day
Tue:
Wed:
Thurs:
Fri:
Sat:
Sun:
| | 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 | | County | Franklin | | Request ID | R2254959 | | Sex | Male | | Age | School Age | | Program | Waiver | | Service Codes | T1000 (Private Duty/Independent Nursing Service(s)) | | Schedule | Mon: 2pm-8pm
Tue: 2pm-8pm
Wed: 2pm-8pm
Thurs: 2pm-8pm
Fri: 2pm-8pm
Sat: occassional hours
Sun: 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 | | County | Franklin | | 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 | Mon: Need PT or OT
Tue: Eval for possilble
Wed: home modifications
Thurs:
Fri:
Sat:
Sun:
| | Special Considerations | | | Contact | Jamie Milem-oettinger, Case Manager
Phone: 614-729-1522
| | Complete by | 11/28/2009 |
| Request for Service | | Posted | 11/18/2009 | | County | Franklin | | 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 | Mon:
Tue:
Wed:
Thurs:
Fri: Consumer lives Pickaway/franklin county line. Needs back up for afterschool.
Sat: 4-5 hours respite
Sun:
| | 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 | | County | Franklin | | Request ID | R22512025 | | Sex | Female | | Age | Adult | | Program | Waiver | | Service Codes | T1019 (Personal Care Services) | | Schedule | Mon: 1-5P
Tue:
Wed: 1-5P
Thurs:
Fri: 1-5P
Sat:
Sun: 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 | | County | Franklin | | 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 | Mon: nursing: 1 hr. a.m., 1 hr. p.m.
Tue: nursing ditto; personal care aide, 3 hrs. afternoon ( 2:00-5:00 p.m.)
Wed: nursing ditto; personal care aide, ditto Tuesday
Thurs: nursing ditto
Fri: nursing ditto; personal care aide, 3 hrs. morning (9:00 a.m. - 12:00 noon) OR Sat. am. (see below)
Sat: nursing ditto; personal care aide, (same hours as above in place of Friday morning)
Sun: 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 | | County | Gallia | | Request ID | R227TF221 | | Sex | Male | | Age | Adult | | Program | Waiver | | Service Codes | | | Schedule | Mon: 8a-10a and 8p-10p
Tue: 8a-10a and 8p-10p
Wed: 8a-10a and 8p-10p
Thurs: 8a-10p and 8p-10p
Fri: 8a-10a and 8p-10p
Sat: 8a-10a and 8p-10p
Sun: 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 | | County | Gallia | | 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 | Mon: 8a-10a 8p-10p
Tue: 8a-10a 8p-10p
Wed: 8a-10a 8p-10p
Thurs: 8a-10a 8p-10p
Fri: 8a-10a 8p-10p
Sat: 8a-10a 8p-10p
Sun: 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 | | County | Highland | | Request ID | R2365438e | | Sex | Female | | Age | Adult | | Program | Waiver | | Service Codes | T1019 (Personal Care Services), T1002 (RN Services) | | Schedule | Mon: 8 hours
Tue: 8 hours
Wed: 8 hours
Thurs: 8 hours
Fri: 8 hours
Sat:
Sun:
| | 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 | | County | Highland | | Request ID | R2363400 | | Sex | Female | | Age | Adult | | Program | Waiver | | Service Codes | T1003 (LPN/LVN Services), T1002 (RN Services) | | Schedule | Mon: Consumer needs once a week nursing visits, can be done any day of the week,
Tue:
Wed:
Thurs:
Fri:
Sat:
Sun:
| | 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 | | County | Huron | | 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 | Mon: 4 hours
Tue:
Wed: 4 hours
Thurs:
Fri: 4 hours
Sat:
Sun:
| | 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 | | County | Jackson | | Request ID | R227TF221 | | Sex | Male | | Age | Adult | | Program | Waiver | | Service Codes | | | Schedule | Mon: 8a-10a and 8p-10p
Tue: 8a-10a and 8p-10p
Wed: 8a-10a and 8p-10p
Thurs: 8a-10p and 8p-10p
Fri: 8a-10a and 8p-10p
Sat: 8a-10a and 8p-10p
Sun: 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 | | County | Jackson | | 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 | Mon: 8a-10a 8p-10p
Tue: 8a-10a 8p-10p
Wed: 8a-10a 8p-10p
Thurs: 8a-10a 8p-10p
Fri: 8a-10a 8p-10p
Sat: 8a-10a 8p-10p
Sun: 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 | | County | Knox | | Request ID | R24512151 | | Sex | Male | | Age | School Age | | Program | Waiver | | Service Codes | T1000 (Private Duty/Independent Nursing Service(s)) | | Schedule | Mon: 10p-6a newark area
Tue: 10p-6a newark area
Wed: 10p-6a newark area
Thurs: 10p-6a newark area
Fri: 10p-6a newark area
Sat: 10p-6a newark area
Sun: 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 | | County | Knox | | Request ID | R2425534 | | Sex | Female | | Age | Adult | | Program | Waiver | | Service Codes | T1019 (Personal Care Services) | | Schedule | Mon:
Tue:
Wed:
Thurs:
Fri:
Sat: 5 hours, 1 start
Sun:
| | 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 | | County | Knox | | Request ID | R24211753 | | Sex | Female | | Age | Geriatric | | Program | Waiver | | Service Codes | T1019 (Personal Care Services) | | Schedule | Mon: 4 hours daily
Tue: 4 hours daily
Wed: 4 hours daily
Thurs: 4 hours daily
Fri: 4 hours daily
Sat: 4 hours daily
Sun: 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 | | County | Lawrence | | 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 | Mon: 1 hour
Tue:
Wed:
Thurs:
Fri:
Sat:
Sun:
| | 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 | | County | Lawrence | | 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 | Mon: 7 hours pm
Tue: 7 hours pm
Wed: 7 hours pm
Thurs: 7 hours pm
Fri: 7 hours pm
Sat: 7 hours pm
Sun: 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 | | County | Lawrence | | Request ID | R24411650 | | Sex | Female | | Age | Adult | | Program | Waiver | | Service Codes | T1019 (Personal Care Services) | | Schedule | Mon:
Tue: 8 hours around 8-4pm
Wed:
Thurs: 8 hours around 8-4pm
Fri:
Sat: 8 hours around 8-4pm
Sun:
| | 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 | 11/5/2009 | | County | Licking | | Request ID | R2455273 | | Sex | Female | | Age | Young Adult | | Program | Waiver | | Service Codes | T1003 (LPN/LVN Services), T1002 (RN Services) | | Schedule | Mon: resides in Heath (newark area)
Tue: Straight catheter and bowel program
Wed:
Thurs:
Fri: 8pm-9:30pm
Sat: 2-3:30pm and 8:00-9:30pm
Sun:
| | Special Considerations | Consumer requests only independent providers, Consumer has pets, Consumer prefers female providers only | | Contact | Robbin Zaborniak, Case Manager
Phone: 614-729-6406
| | Complete by | 11/20/2009 |
| Request for Service | | Posted | 11/6/2009 | | County | Licking | | Request ID | R24529196 | | Sex | Female | | Age | Adult | | Program | Waiver | | Service Codes | T1019 (Personal Care Services) | | Schedule | Mon: 10a-4p
Tue: 11a-2:30p
Wed: 10a-4p
Thurs: 11a-2:30p
Fri: 3p-6p
Sat:
Sun:
| | 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 | | County | Licking | | Request ID | R24533906 | | Sex | Female | | Age | Infant | | Program | Waiver | | Service Codes | G0153 (Speech and Language Pathologist in a Home Health Setting) | | Schedule | Mon: 1 hour weekly ST - Johnstown area
Tue:
Wed:
Thurs:
Fri:
Sat:
Sun:
| | 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 | | County | Licking | | Request ID | R24533906 | | Sex | Female | | Age | Infant | | Program | Waiver | | Service Codes | T1000 (Private Duty/Independent Nursing Service(s)) | | Schedule | Mon:
Tue:
Wed:
Thurs:
Fri: 11p-7a
Sat: 11p-7a johnstown area
Sun:
| | 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 | | County | Licking | | Request ID | R24512151 | | Sex | Male | | Age | School Age | | Program | Waiver | | Service Codes | T1000 (Private Duty/Independent Nursing Service(s)) | | Schedule | Mon: 10p-6a newark area
Tue: 10p-6a newark area
Wed: 10p-6a newark area
Thurs: 10p-6a newark area
Fri: 10p-6a newark area
Sat: 10p-6a newark area
Sun: 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 | | County | Licking | | Request ID | R2456589 | | Sex | Female | | Age | Adult | | Program | Waiver | | Service Codes | T1019 (Personal Care Services) | | Schedule | Mon: resides in Newark, aide needed
Tue:
Wed: 9am-1pm and 7pm-9pm
Thurs: 7pm-9pm
Fri: 9am-1pm
Sat:
Sun:
| | 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 | | County | Licking | | Request ID | R24510512 | | Sex | Male | | Age | Adult | | Program | Waiver | | Service Codes | T1019 (Personal Care Services) | | Schedule | Mon: resides in Southwest Licking Co.
Tue:
Wed:
Thurs:
Fri:
Sat: 4 hours in the morning
Sun: 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 | | County | Licking | | 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 | Mon: aide 8a-2p; 6p-10p. *SN 1hr visit every other day
Tue: aide 8a-12p; 6p-10p
Wed: aide 8a-2p; 6p-10p
Thurs: aide 8a-12p; 6p-10p
Fri: aide 8a-2p; 6p-10p
Sat: aide 8a-12p; 6p-10p
Sun: 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 | | County | Licking | | Request ID | R2458372 | | Sex | Male | | Age | School Age | | Program | Waiver | | Service Codes | T1000 (Private Duty/Independent Nursing Service(s)) | | Schedule | Mon: respite nursing shift - generally
Tue: one day a week, flexible, up to 8 hrs.
Wed:
Thurs:
Fri:
Sat:
Sun:
| | 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 | | County | Licking | | Request ID | R2455233 | | Sex | Female | | Age | Adult | | Program | Waiver | | Service Codes | T1002 (RN Services) | | Schedule | Mon: 1hr need RN with 4WD in utica/granville area
Tue:
Wed: 1 hr
Thurs:
Fri: 1 hr
Sat:
Sun:
| | 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 | | County | Marion | | 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 | Mon: 2pm-4pm or 1pm-3pm
Tue: 2pm-4pm or 1pm-3pm
Wed: 2pm-4pm or 1pm-3pm
Thurs: 2pm-4pm or 1pm-3pm
Fri: 2pm-4pm or 2pm-3pm
Sat: 2x monthly for 2 hours per day
Sun: 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 | | County | Marion | | Request ID | R25129950 | | Sex | Female | | Age | Adult | | Program | Waiver | | Service Codes | T1019 (Personal Care Services) | | Schedule | Mon: 9am-11am 5pm-7pm back up for this
Tue: 9am-11am 5pm-7pm back up for this
Wed: 9am-11am 5pm-7pm back up for this
Thurs: 9am-11am 5pm-7pm back up for this
Fri: 9am-11am 5pm-7pm back up for this
Sat: 9am-11am 5pm-7pm back up for this
Sun: 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 | | County | Marion | | Request ID | R2513080 | | Sex | Female | | Age | Adult | | Program | Waiver | | Service Codes | T1003 (LPN/LVN Services), T1002 (RN Services) | | Schedule | Mon: 1 hour once a week
Tue:
Wed:
Thurs:
Fri:
Sat:
Sun:
| | 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 | | County | Pickaway | | Request ID | R26567RLT | | Sex | Male | | Age | Adult | | Program | Waiver | | Service Codes | G0151 (Physical Therapist in a Home Health Setting) | | Schedule | Mon: NEEDS ONGOING PHYSICAL THERAPY
Tue: LIVES NEAR 23 south 10 mins south of Grove City.
Wed:
Thurs:
Fri:
Sat:
Sun:
| | 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 | | County | Pickaway | | 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 | Mon: 8am-8pm
Tue:
Wed:
Thurs:
Fri: 8am-8pm
Sat: 8am-8pm
Sun: 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 | | County | Pickaway | | 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 | Mon: This consumer lives in the circleville area, needs backup for his aide services.
Tue:
Wed: 3 hours
Thurs: 3 hours
Fri:
Sat: Everyother weekend sat 3 hours sun 3 hours
Sun: 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 | | County | Pickaway | | Request ID | R2657290 | | Sex | Male | | Age | School Age | | Program | Waiver | | Service Codes | T1019 (Personal Care Services) | | Schedule | Mon: 2:30p-9:30p
Tue: 2:30p-9:30p
Wed: 2:30p-9:30p
Thurs: 2:30p-9:30p
Fri: 2:30p-9:30p
Sat: 10a-5p
Sun:
| | 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 | | County | Pickaway | | 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 | Mon:
Tue:
Wed:
Thurs:
Fri: Consumer lives Pickaway/franklin county line. Needs back up for afterschool.
Sat: 4-5 hours respite
Sun:
| | 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 | | County | Richland | | Request ID | R2704099 | | Sex | Female | | Age | Geriatric | | Program | Waiver | | Service Codes | T1019 (Personal Care Services) | | Schedule | Mon: 7 hrs/day
Tue: 7 hrs/day
Wed:
Thurs: 7 hrs/day
Fri: 7 hrs/day
Sat: every other Saturday - 5 hrs/day
Sun:
| | 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 | | County | Richland | | Request ID | R27010123 | | Sex | Male | | Age | Adult | | Program | Waiver | | Service Codes | T1019 (Personal Care Services) | | Schedule | Mon: 2x/day 7days/week of 3hrs/visit Hours will be shared with another provider. CONSUMER LIVES IN SHELBY
Tue: 2x/day 7days/week of 3hrs/visit Hours will be shared with another provider. CONSUMER LIVES IN SHELBY
Wed: 2x/day 7days/week of 3hrs/visit Hours will be shared with another provider. CONSUMER LIVES IN SHELBY
Thurs: 2x/day 7days/week of 3hrs/visit Hours will be shared with another provider. CONSUMER LIVES IN SHELBY
Fri: 2x/day 7days/week of 3hrs/visit Hours will be shared with another provider. CONSUMER LIVES IN SHELBY
Sat: 2x/day 7days/week of 3hrs/visit Hours will be shared with another provider. CONSUMER LIVES IN SHELBY
Sun: 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 | | County | Ross | | Request ID | R27111431 | | Sex | Male | | Age | School Age | | Program | Waiver | | Service Codes | T1000 (Private Duty/Independent Nursing Service(s)) | | Schedule | Mon: 11 PM - 7 AM
Tue: 11 PM - 7 AM
Wed: 11 PM - 7 AM
Thurs:
Fri:
Sat: Days of week will vary according to needs of consumer / parents
Sun:
| | 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 | | County | Ross | | Request ID | R271MH695 | | Sex | Female | | Age | School Age | | Program | Waiver | | Service Codes | T1000 (Private Duty/Independent Nursing Service(s)) | | Schedule | Mon:
Tue:
Wed:
Thurs:
Fri:
Sat:
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 | | County | Scioto | | Request ID | R2739458 | | Sex | Female | | Age | Adult | | Program | Waiver | | Service Codes | T1019 (Personal Care Services) | | Schedule | Mon: back-up (10am-2pm and 4pm-6pm)
Tue: back-up (10am-2pm and 4pm-6pm)
Wed: back-up (10am-2pm and 4pm-6pm)
Thurs: back-up (10am-2pm and 4pm-6pm)
Fri: back-up (10am-2pm and 4pm-6pm)
Sat: 10am-2pm and 4pm-6pm
Sun: 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 | | County | Union | | Request ID | R2806543 | | Sex | Female | | Age | Adult | | Program | Waiver | | Service Codes | T1019 (Personal Care Services) | | Schedule | Mon: back up
Tue: back up
Wed: back up
Thurs: back up
Fri: back up
Sat: 8 hours on Saturday or Sunday
Sun: 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
|
