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<<Requests For Service

Region 3

Ashtabula Athens Belmont Carroll Columbiana Coshocton Guernsey Harrison Hocking Holmes Jefferson
Mahoning Meigs Monroe Morgan Muskingum Noble Perry Portage Stark Summit Trumbull
Tuscarawas Washington Wayne

Ashtabula

Athens

Request for Service
Posted 11/10/2009
CountyAthens
Request ID R30513581
Sex Male
Age Adult
Program Waiver
Service Codes T1019 (Personal Care Services)
Schedule Mon: 7am to 7pm 
Tue: 7am to 7pm 
Wed: 7am to 7pm 
Thurs: 7am to 7pm 
Fri: 7am to 7pm 
Sat: 7am to 7pm 
Sun: 7am to 7pm 
Special Considerations Consumer requests only independent providers, Consumer requires lifting, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs
Contact  Jean Dishong, Case Manager
Phone: 216-532-8652
Complete by 11/20/2009

Request for Service
Posted 11/18/2009
CountyAthens
Request ID R30522962
Sex Female
Age Adult
Program Waiver
Service Codes G0156 (Home Health Aide in a Home Health Setting)
Schedule Mon:  
Tue: 9am- 5pm 
Wed: 9am- 5pm 
Thurs:  
Fri:  
Sat:  
Sun: 9am- 5pm 
Special Considerations Consumer requests only independent providers, Consumer requires lifting, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs
Contact  Andrea Gogel, Case Manager
Phone: 216-446-0248
Complete by 12/3/2009

Request for Service
Posted 11/18/2009
CountyAthens
Request ID R30522962
Sex Female
Age Adult
Program Waiver
Service Codes G0156 (Home Health Aide in a Home Health Setting)
Schedule Mon:  
Tue: 9am- 5pm 
Wed: 9am- 5pm 
Thurs:  
Fri:  
Sat:  
Sun: 9am- 5pm 
Special Considerations Consumer requests only independent providers, Consumer requires lifting, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs
Contact  Andrea Gogel, Case Manager
Phone: 216-446-0248
Complete by 12/3/2009

Belmont

Carroll

Columbiana

Request for Service
Posted 11/17/2009
CountyColumbiana
Request ID R31529436
Sex Male
Age Young Adult
Program Waiver
Service Codes G0154 (Skilled Nurse in a Home Health Setting), T1019 (Personal Care Services)
Schedule Mon: 4x week from 11pm-7am SN 
Tue: 3x week from 11pm-7am PCA 
Wed: This is a consumer who is residing at the Univeristy of Pa for school 
Thurs: looking for someone who is willing to provide care while 
Fri: he is at school. There for need to be Ohio provider but also have 
Sat: needed paperwork to provide care in Pa. 
Sun: any questions email CM do not call 
Special Considerations Consumer requests only independent providers, Consumer requires lifting, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs
Contact  Cheryl Russell, Case Manager
Phone: 216-446-0278
Complete by 11/27/2009

Coshocton

Guernsey

Request for Service
Posted 11/12/2009
CountyGuernsey
Request ID R33016677
Sex Male
Age Adult
Program Waiver
Service Codes T1019 (Personal Care Services)
Schedule Mon: 2pm-530pm 
Tue: 2pm-530pm 
Wed: 830am-12pm and 2pm-530pm 
Thurs: 2pm-530pm 
Fri: 2pm-530pm 
Sat:  
Sun: 730pm-1130pm 
Special Considerations Consumer requests only independent providers, Consumer requires lifting
Contact  Cheryl Grim, Case Manager
Phone: 216-446-0274
Complete by 11/27/2009

Request for Service
Posted 11/13/2009
CountyGuernsey
Request ID R360JL5
Sex Male
Age Adult
Program Waiver
Service Codes T1019 (Personal Care Services)
Schedule Mon: 2p-530p 
Tue: 2p-530p 
Wed: 830a-12p, 2p-530p 
Thurs: 2p-530p 
Fri: 2p-530p 
Sat:  
Sun: 730p-1130pm 
Special Considerations Consumer requests only independent providers, Consumer requires lifting, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs
Contact  Cheryl Grim, Case Manager
Phone: 216-446-0274
Complete by 11/23/2009

Harrison

Hocking

Request for Service
Posted 11/12/2009
CountyHocking
Request ID R33712847
Sex Male
Age Adult
Program Waiver
Service Codes T1000 (Private Duty/Independent Nursing Service(s))
Schedule Mon:  
Tue:  
Wed:  
Thurs:  
Fri:  
Sat: 10am-5pm 
Sun:  
Special Considerations Consumer has pets, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs, Therapy eval needed for home modifications or equipment only, Consumer requires nurse with ventilator experience
Contact  Anne Klingler, Case Manager
Phone: 216-446-0286
Complete by 11/27/2009

Request for Service
Posted 11/19/2009
CountyHocking
Request ID R33714994
Sex Female
Age Adult
Program Waiver
Service Codes T1019 (Personal Care Services)
Schedule Mon:  
Tue: 11-4pm 
Wed:  
Thurs: 11-4pm 
Fri:  
Sat: 11-1pm every other weekend 
Sun: 11-1pm every other weekend 
Special Considerations Consumer requires assistance with ADLs, Consumer requires assistance with IADLs
Contact  Jolene Godenschwager, Case Manager
Phone: 216-446-0250
Complete by 11/29/2009

Holmes

Jefferson

Request for Service
Posted 11/12/2009
CountyJefferson
Request ID R34128577
Sex Female
Age Adult
Program Waiver
Service Codes T1019 (Personal Care Services)
Schedule Mon: 5 hours 
Tue: 5 hours 
Wed:  
Thurs: 5 hours 
Fri: 5 hours 
Sat:  
Sun:  
Special Considerations Consumer requests only independent providers, Consumer has pets, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs
Contact  Shari Staten, Case Manager
Phone: 216-446-0288
Complete by 11/22/2009

Mahoning

Request for Service
Posted 11/16/2009
CountyMahoning
Request ID R35016316
Sex Female
Age School Age
Program Waiver
Service Codes G0156 (Home Health Aide in a Home Health Setting), T1019 (Personal Care Services)
Schedule Mon:  
Tue: 3:30pm to 8pm 
Wed:  
Thurs:  
Fri: 3:30pm to 8:30pm 
Sat: 8am to 4pm 
Sun:  
Special Considerations Consumer prefers female providers only, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs, Consumer requests provider with MRDD experience
Contact  Ted Hughes, Case Manager
Phone: 216-446-0275
Complete by 11/26/2009

Request for Service
Posted 11/17/2009
CountyMahoning
Request ID R35030749
Sex Male
Age Adult
Program Waiver
Service Codes T1019 (Personal Care Services)
Schedule Mon: 8a-12p 
Tue: 8a-12p 
Wed: 8a-12p 
Thurs: 8a-12p 
Fri: 8a-12p 
Sat:  
Sun:  
Special Considerations Consumer has pets, Consumer requires transportation, Consumer requires assistance with ADLs
Contact  Beverly Davis, Case Manager
Phone: 216-446-0277
Complete by 11/27/2009

Meigs

Monroe

Request for Service
Posted 11/17/2009
CountyMonroe
Request ID R356143sj
Sex Male
Age Adult
Program Waiver
Service Codes T1019 (Personal Care Services)
Schedule Mon: 5:30a-9:30a and 2:30p-5:30p 
Tue: 5:30a-9:30a and 2:30p-5:30p 
Wed: 5:30a-9:30a and 2:30p-5:30p 
Thurs: 5:30a-9:30a and 2:30p-5:30p 
Fri: 5:30a-9:30a and 2:30p-5:30p 
Sat:  
Sun:  
Special Considerations Consumer requires transportation, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs
Contact  Shelly Long, Case Manager
Phone: 216-532-8380
Complete by 12/2/2009

Morgan

Muskingum

Request for Service
Posted 11/13/2009
CountyMuskingum
Request ID R360JL5
Sex Male
Age Adult
Program Waiver
Service Codes T1019 (Personal Care Services)
Schedule Mon: 2p-530p 
Tue: 2p-530p 
Wed: 830a-12p, 2p-530p 
Thurs: 2p-530p 
Fri: 2p-530p 
Sat:  
Sun: 730p-1130pm 
Special Considerations Consumer requests only independent providers, Consumer requires lifting, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs
Contact  Cheryl Grim, Case Manager
Phone: 216-446-0274
Complete by 11/23/2009

Noble

Perry

Request for Service
Posted 11/10/2009
CountyPerry
Request ID R36417121
Sex Female
Age Geriatric
Program Waiver
Service Codes T1019 (Personal Care Services)
Schedule Mon:  
Tue:  
Wed:  
Thurs:  
Fri:  
Sat:  
Sun: 3.5 hours day shift  
Special Considerations Consumer has pets, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs
Contact  Anne Klingler, Case Manager
Phone: 216-446-0286
Complete by 11/25/2009

Request for Service
Posted 11/11/2009
CountyPerry
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 11/18/2009
CountyPerry
Request ID R36418338
Sex Male
Age School Age
Program Waiver
Service Codes T1000 (Private Duty/Independent Nursing Service(s))
Schedule Mon: 7am-8:15am and 3pm-6pm Additional 33 HOURS MONTHLY/9 BASE HOURS/MONTHLY SHORT-TERM RELIEF. 
Tue: 7am-8:15am and 3pm-6pm  
Wed: 7am-8:15am and 3pm-6pm  
Thurs: 7am-8:15am and 3pm-6pm  
Fri: 7am-8:15am and 3pm-6pm  
Sat:  
Sun:  
Special Considerations Consumer requests only non-smoker providers
Contact  Carol Palmer, Case Manager
Phone: 216-446-0293
Complete by 12/3/2009

Request for Service
Posted 11/19/2009
CountyPerry
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

Portage

Request for Service
Posted 11/19/2009
CountyPortage
Request ID R367TV136
Sex Female
Age Adult
Program Waiver
Service Codes T1019 (Personal Care Services)
Schedule Mon: 7-11pm group visit 
Tue:  
Wed:  
Thurs:  
Fri:  
Sat:  
Sun:  
Special Considerations Consumer requires assistance with ADLs, Consumer requires assistance with IADLs
Contact  Esther Davis, Case Manager
Phone: 216-446-0270
Complete by 12/4/2009

Stark

Request for Service
Posted 11/11/2009
CountyStark
Request ID R37634302
Sex Female
Age Adult
Program Waiver
Service Codes T1019 (Personal Care Services)
Schedule Mon: 9a-12n Agencies Only 
Tue: 9a-12n 
Wed: 9a-12n 
Thurs: 9a-12n 
Fri: 9a-12n 
Sat: 9a-12n 
Sun: 9a-12n-Consuner in Beach City 
Special Considerations Consumer requests only agencies, Consumer prefers female providers only, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs
Contact  Monica Starkey, Case Manager
Phone: 216-532-8639
Complete by 11/26/2009

Request for Service
Posted 11/11/2009
CountyStark
Request ID R37631374
Sex Female
Age Young Adult
Program Waiver
Service Codes G0151 (Physical Therapist in a Home Health Setting)
Schedule Mon: Evaluation for wheelchair ramp 
Tue:  
Wed:  
Thurs:  
Fri:  
Sat:  
Sun:  
Special Considerations Therapy eval needed for home modifications or equipment only
Contact  Monica Starkey, Case Manager
Phone: 216-532-8639
Complete by 11/26/2009

Request for Service
Posted 11/12/2009
CountyStark
Request ID R37615344
Sex Male
Age Adult
Program Waiver
Service Codes G0156 (Home Health Aide in a Home Health Setting)
Schedule Mon: Consumer is in need of PCA generally from 8pm-8am 
Tue: Lives near Aultman hospital in Canton 
Wed:  
Thurs:  
Fri:  
Sat:  
Sun:  
Special Considerations Consumer requires lifting, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs
Contact  Cheryl Russell, Case Manager
Phone: 216-446-0278
Complete by 11/22/2009

Request for Service
Posted 11/12/2009
CountyStark
Request ID R37615344
Sex Male
Age Adult
Program Waiver
Service Codes G0156 (Home Health Aide in a Home Health Setting)
Schedule Mon: Consumer is in need of PCA generally from 8pm-8am 
Tue: Lives near Aultman hospital in Canton 
Wed:  
Thurs:  
Fri:  
Sat:  
Sun:  
Special Considerations Consumer requires lifting, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs
Contact  Cheryl Russell, Case Manager
Phone: 216-446-0278
Complete by 11/22/2009

Request for Service
Posted 11/17/2009
CountyStark
Request ID R3768888
Sex Male
Age Adult
Program Waiver
Service Codes T1019 (Personal Care Services)
Schedule Mon: EMAILS ONLY PLEASE! NO CALLS 
Tue:  
Wed:  
Thurs:  
Fri:  
Sat: 6 hours 
Sun: 6 hours 
Special Considerations Consumer requests only independent providers, Consumer has pets, Consumer requires lifting, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs
Contact  Tawny Burkhardt, Case Manager
Phone: 216-532-8645
Complete by 11/22/2009

Summit

Request for Service
Posted 11/7/2009
CountySummit
Request ID R37712608
Sex Female
Age Adult
Program Waiver
Service Codes T1019 (Personal Care Services)
Schedule Mon:  
Tue:  
Wed:  
Thurs:  
Fri: 10p-12m 
Sat: 10p-12m 
Sun: 10p-12m 
Special Considerations Consumer requests only independent providers, Consumer requires lifting, Consumer prefers female providers only, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs
Contact  Monica Starkey, Case Manager
Phone: 216-532-8639
Complete by 11/22/2009

Request for Service
Posted 11/11/2009
CountySummit
Request ID R37712480
Sex Female
Age Adult
Program Waiver
Service Codes
Schedule Mon:  
Tue:  
Wed:  
Thurs:  
Fri:  
Sat:  
Sun:  
Special Considerations Therapy eval needed for home modifications or equipment only
Contact  Monica Starkey, Case Manager
Phone: 216-532-8639
Complete by 11/26/2009

Request for Service
Posted 11/16/2009
CountySummit
Request ID R377JR160
Sex Male
Age Adult
Program Waiver
Service Codes T1019 (Personal Care Services)
Schedule Mon:  
Tue:  
Wed:  
Thurs:  
Fri: Non agency providers only please 
Sat: 5-7:15pm 
Sun: 8-10:30am 
Special Considerations Consumer requests only independent providers, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs
Contact  Esther Davis, Case Manager
Phone: 216-446-0270
Complete by 11/26/2009

Request for Service
Posted 11/16/2009
CountySummit
Request ID R37730872
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 Therapy eval needed for home modifications or equipment only
Contact  Monica Starkey, Case Manager
Phone: 216-532-8639
Complete by 12/1/2009

Request for Service
Posted 11/18/2009
CountySummit
Request ID R37729541
Sex Female
Age Adult
Program Waiver
Service Codes G0151 (Physical Therapist in a Home Health Setting)
Schedule Mon: PT evaluation needed for Stair lift 
Tue:  
Wed:  
Thurs:  
Fri:  
Sat:  
Sun:  
Special Considerations
Contact  Charissa Duffy, Case Manager
Phone: 216-532-8376
Complete by 11/28/2009

Request for Service
Posted 11/18/2009
CountySummit
Request ID R377pp317
Sex Female
Age Adult
Program Waiver
Service Codes T1019 (Personal Care Services)
Schedule Mon: 9a-12n 
Tue:  
Wed:  
Thurs: 9a-11a 
Fri:  
Sat:  
Sun:  
Special Considerations Consumer requests only agencies, Consumer has pets, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs
Contact  Amy Snell, Case Manager
Phone: 216-446-0281
Complete by 12/3/2009

Trumbull

Request for Service
Posted 11/13/2009
CountyTrumbull
Request ID R37812715
Sex Male
Age Adult
Program Waiver
Service Codes T1019 (Personal Care Services)
Schedule Mon: 11a-5pm 
Tue: 11a-5pm 
Wed: 11a-5p 
Thurs: 11a-5p 
Fri: 11a-5p 
Sat: 11a-5p 
Sun: resides in warren 
Special Considerations Consumer requests only independent providers, Consumer requires lifting, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs
Contact  Tammie Feuer, Case Manager
Phone: 216-532-8215
Complete by 11/23/2009

Tuscarawas

Washington

Request for Service
Posted 11/9/2009
CountyWashington
Request ID R38412448
Sex Male
Age Geriatric
Program Waiver
Service Codes T1019 (Personal Care Services)
Schedule Mon:  
Tue: 8p-10p tue, wed, thur, fri, sat, sun, and 1p-5p sun 
Wed: 8p-10p 
Thurs: 8p-10p 
Fri: 8p-10p 
Sat: 8p-10p 
Sun: 1p-5p 8p-10p 
Special Considerations Consumer requests only independent providers, Consumer requests only non-smoker providers, Consumer requires lifting
Contact  Lee Robinson, Case Manager
Phone: 216-532-8224
Complete by 11/24/2009

Wayne