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<<Requests For Service

Region 4

Cuyahoga Defiance Erie Fulton Geauga Henry Lake Lorain Lucas Medina Ottawa
Paulding Sandusky Williams Wood

Cuyahoga

Request for Service
Posted 11/17/2009
CountyCuyahoga
Request ID R4184416B
Sex Female
Age School Age
Program Waiver
Service Codes T1019 (Personal Care Services)
Schedule Mon: Mon-Friday 5hrs. 
Tue: NO PHONE CALLS PLEASE 
Wed: E-Mail Responses only! 
Thurs:  
Fri:  
Sat: Saturday and Sunday up to 10hrs. 
Sun:  
Special Considerations Consumer requires assistance with ADLs, Consumer requires assistance with IADLs, Consumer requests provider with MRDD experience
Contact  Theresa Gauchat, Case Manager
Phone: 216-532-8275
Complete by 11/27/2009

Request for Service
Posted 11/20/2009
CountyCuyahoga
Request ID R452RS205
Sex Male
Age Adult
Program Waiver
Service Codes T1019 (Personal Care Services)
Schedule Mon: 7a.m. to 3 p.m. and 4p.m. to 8 p.m.  
Tue: 9a.m to 3 p.m. and 3 p.m to 11 p.m. 
Wed: 7 a.m. to 3 p.m. and 3 p.m to 11 p.m  
Thurs: 7 p.m. to 3 p.m. and 3 p.m. to 8 p.m.  
Fri: 9a.m to 3 p.m. and 3 p.m to 11 p.m.  
Sat: 7a.m. to 3 p.m and 3 p.m. to 11 p.m 
Sun: 7 a.m. to 3 p.m and 3 p.m. to 11 p.m.  
Special Considerations Consumer requests only independent providers
Contact  Michele Hammond, Case Manager
Phone: 216-532-2027
Complete by 12/5/2009

Request for Service
Posted 11/20/2009
CountyCuyahoga
Request ID R452RS205
Sex Male
Age Adult
Program Waiver
Service Codes T1019 (Personal Care Services)
Schedule Mon: 7a.m. to 3 p.m. and 4p.m. to 8 p.m.  
Tue: 9a.m to 3 p.m. and 3 p.m to 11 p.m. 
Wed: 7 a.m. to 3 p.m. and 3 p.m to 11 p.m  
Thurs: 7 p.m. to 3 p.m. and 3 p.m. to 8 p.m.  
Fri: 9a.m to 3 p.m. and 3 p.m to 11 p.m.  
Sat: 7a.m. to 3 p.m and 3 p.m. to 11 p.m 
Sun: 7 a.m. to 3 p.m and 3 p.m. to 11 p.m.  
Special Considerations Consumer requests only independent providers
Contact  Michele Hammond, Case Manager
Phone: 216-532-2027
Complete by 12/5/2009

Request for Service
Posted 11/20/2009
CountyCuyahoga
Request ID R45200000
Sex Male
Age Adult
Program Waiver
Service Codes T1003 (LPN/LVN Services), T1002 (RN Services)
Schedule Mon: 8p.m. to 11 p.m.  
Tue: 7 a.m. to 9 a.m.  
Wed:  
Thurs: 8 p.m .to 11 p.m . 
Fri: 7 a.m to 9 a.m.  
Sat:  
Sun:  
Special Considerations Consumer requests only independent providers
Contact  Michele Hammond, Case Manager
Phone: 216-532-2027
Complete by 12/5/2009

Request for Service
Posted 11/20/2009
CountyCuyahoga
Request ID R41825855
Sex Female
Age School Age
Program Waiver
Service Codes
Schedule Mon:  
Tue:  
Wed:  
Thurs:  
Fri:  
Sat: 11AM-3PM  
Sun: 9AM-1PM 
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
Contact  Shelia Harris, Case Manager
Phone: 216-532-2004
Complete by 11/25/2009

Defiance

Erie

Fulton

Request for Service
Posted 11/17/2009
CountyFulton
Request ID R42629485
Sex Male
Age Adult
Program Waiver
Service Codes G0156 (Home Health Aide in a Home Health Setting), T1019 (Personal Care Services)
Schedule Mon: 8am-10am and 8pm-10pm 
Tue: 8am-10am and 8pm-10pm 
Wed: 8am-10am and 8pm-10pm 
Thurs: 8am-10am and 8pm-10pm 
Fri: 8am-10am and 8pm-10pm 
Sat: 8am-10am and 8pm-10pm 
Sun: 8am-10am and 8pm-10pm 
Special Considerations Consumer requests only agencies, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs
Contact  Joan Ziehm, Case Manager
Phone: 216-532-2021
Complete by 11/27/2009

Geauga

Henry

Request for Service
Posted 11/18/2009
CountyHenry
Request ID R43526899
Sex Male
Age Preschool
Program Waiver
Service Codes T1000 (Private Duty/Independent Nursing Service(s))
Schedule Mon: Need Nurse to fill in shifts of 5-6 hours on various days 
Tue:  
Wed:  
Thurs:  
Fri:  
Sat:  
Sun:  
Special Considerations Consumer requests only non-smoker providers, Consumer requires lifting, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs
Contact  Joan Ziehm, Case Manager
Phone: 216-532-2021
Complete by 11/23/2009

Lake

Request for Service
Posted 11/12/2009
CountyLake
Request ID R44320054
Sex Female
Age Geriatric
Program Waiver
Service Codes T1003 (LPN/LVN Services), T1002 (RN Services)
Schedule Mon: 6a - 2p 
Tue:  
Wed:  
Thurs:  
Fri:  
Sat:  
Sun: 6a - 2p 
Special Considerations Consumer requires assistance with ADLs, Consumer requires assistance with IADLs
Contact  Brandy Dickman, Case Manager
Phone: 216-532-8288
Complete by 11/22/2009

Request for Service
Posted 11/12/2009
CountyLake
Request ID R44320671
Sex Male
Age Adult
Program Waiver
Service Codes T1019 (Personal Care Services)
Schedule Mon:  
Tue:  
Wed:  
Thurs:  
Fri:  
Sat: 9a-12p 
Sun: 9a-12p 
Special Considerations Consumer requests only agencies, 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  Kristina Johnston, Case Manager
Phone: 216-532-8319
Complete by 11/27/2009

Lorain

Request for Service
Posted 11/6/2009
CountyLorain
Request ID R44724809
Sex Female
Age Adult
Program Waiver
Service Codes T1019 (Personal Care Services)
Schedule Mon: 7 days a week  
Tue: 9a-12p and again 6p-9p 
Wed:  
Thurs:  
Fri:  
Sat:  
Sun:  
Special Considerations Consumer requires assistance with ADLs, Consumer requires assistance with IADLs
Contact  Dawn Steele, Case Manager
Phone: 614-729-1021
Complete by 11/21/2009

Request for Service
Posted 11/6/2009
CountyLorain
Request ID R44724809
Sex Female
Age Adult
Program Waiver
Service Codes T1019 (Personal Care Services)
Schedule Mon: 7 days a week  
Tue: 9a-12p and again 6p-9p 
Wed:  
Thurs:  
Fri:  
Sat:  
Sun:  
Special Considerations Consumer requires assistance with ADLs, Consumer requires assistance with IADLs
Contact  Dawn Steele, Case Manager
Phone: 614-729-1021
Complete by 11/21/2009

Request for Service
Posted 11/6/2009
CountyLorain
Request ID R447202CT
Sex Female
Age Adult
Program Waiver
Service Codes T1019 (Personal Care Services)
Schedule Mon:  
Tue: 12noon-2pm 
Wed:  
Thurs: 12noon-2pm 
Fri:  
Sat:  
Sun: 9a-12noon 
Special Considerations Consumer requests only independent providers, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs
Contact  Denise Loke, Case Manager
Phone: 216-446-0395
Complete by 11/21/2009

Request for Service
Posted 11/9/2009
CountyLorain
Request ID R447268EW
Sex Female
Age Adult
Program Waiver
Service Codes T1000 (Private Duty/Independent Nursing Service(s))
Schedule Mon: 2 - 8 hour shifts (typically 8a-4p and 11p-7a, flexible start time) 
Tue: 2 - 8 hour shifts (typically 8a-4p and 11p-7a, flexible start time) 
Wed: 2 - 8 hour shifts (typically 8a-4p and 11p-7a, flexible start time) 
Thurs: 2 - 8 hour shifts (typically 8a-4p and 11p-7a, flexible start time) 
Fri: 2 - 8 hour shifts (typically 8a-4p and 11p-7a, flexible start time) 
Sat: 2 - 8 hour shifts (typically 8a-4p and 11p-7a, flexible start time) 
Sun: 2 - 8 hour shifts (typically 8a-4p and 11p-7a, flexible start time) 
Special Considerations Consumer requests only independent providers, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs, Consumer requires nurse with ventilator experience
Contact  Denise Loke, Case Manager
Phone: 216-446-0395
Complete by 11/24/2009

Request for Service
Posted 11/13/2009
CountyLorain
Request ID R447489kc
Sex Female
Age Adult
Program Waiver
Service Codes T1019 (Personal Care Services)
Schedule Mon:  
Tue:  
Wed:  
Thurs:  
Fri:  
Sat: up to 4 hours starting at 5pm AND every other Saturday 8a-1p STNA from Lorain only  
Sun: up to 4 hours starting at 5pm AND every other Sunday 8a-1p STNA from Lorain only 
Special Considerations Consumer requests only independent providers, Consumer prefers female providers only, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs
Contact  Denise Loke, Case Manager
Phone: 216-446-0395
Complete by 11/28/2009

Request for Service
Posted 11/16/2009
CountyLorain
Request ID R44721093
Sex Female
Age Young Adult
Program Waiver
Service Codes T1002/3 (Agency Only Nursing Services)
Schedule Mon: 9 am - 1 pm 
Tue: 9 am - 1 pm 
Wed: 9 am - 1 pm 
Thurs: 9 am - 1 pm 
Fri: 9 am - 1 pm 
Sat: 9 am - 1 pm 
Sun: 9 am - 1 pm 
Special Considerations Consumer requests only agencies
Contact  Roberta Intihar, Case Manager
Phone: 216-532-8374
Complete by 12/1/2009

Lucas

Request for Service
Posted 11/6/2009
CountyLucas
Request ID R44820415
Sex Female
Age Adult
Program Waiver
Service Codes T1019 (Personal Care Services)
Schedule Mon: 4 hour/ evening visit 
Tue: 4 hour/ evening visit 
Wed: 4 hour/ evening visit 
Thurs: 4 hour/ evening visit 
Fri: 4 hour/ evening visit 
Sat: 2 hour AM visit and 4 hour/evening visit 
Sun: 2 hour AM visit and 4 hour/evening visit 
Special Considerations Consumer requests only agencies, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs, Consumer requests provider with MRDD experience
Contact  Heather Shue, Case Manager
Phone: 216-532-2032
Complete by 11/21/2009

Request for Service
Posted 11/10/2009
CountyLucas
Request ID R48720985
Sex Male
Age Young Adult
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: 4p-11p 
Tue: 4p-11p 
Wed: 4p-11p 
Thurs: 4p-11p 
Fri: 4p-11p 
Sat:  
Sun:  
Special Considerations Consumer requests only independent providers, Consumer requires transportation
Contact  Brooke Rollins, Case Manager
Phone: 216-532-8383
Complete by 11/25/2009

Request for Service
Posted 11/19/2009
CountyLucas
Request ID R448dunn
Sex Male
Age Adult
Program Waiver
Service Codes T1019 (Personal Care Services)
Schedule Mon: DLS 2 days weekly typically 10a-2p 
Tue: Consumer primarily needs help with  
Wed: homemaking and errands, meal prep. 
Thurs:  
Fri:  
Sat:  
Sun:  
Special Considerations Consumer requests only agencies, Consumer requires assistance with IADLs
Contact  Rebecca Swisher, Case Manager
Phone: 216-532-8371
Complete by 12/4/2009

Request for Service
Posted 11/19/2009
CountyLucas
Request ID R448dunn
Sex Male
Age Adult
Program Waiver
Service Codes T1019 (Personal Care Services)
Schedule Mon: DLS 2 days weekly typically 10a-2p 
Tue: Consumer primarily needs help with  
Wed: homemaking and errands, meal prep. 
Thurs:  
Fri:  
Sat:  
Sun:  
Special Considerations Consumer requests only agencies, Consumer requires assistance with IADLs
Contact  Rebecca Swisher, Case Manager
Phone: 216-532-8371
Complete by 12/4/2009

Medina

Request for Service
Posted 11/10/2009
CountyMedina
Request ID R45219855
Sex Male
Age Adult
Program Waiver
Service Codes T1019 (Personal Care Services)
Schedule Mon: 7a-12N 
Tue: 7a-12N 
Wed: 7a-12N 
Thurs: 7a-12N 
Fri: 7a-12N 
Sat: 6p-9p 
Sun: 11a-1p 
Special Considerations Consumer has pets, Consumer requires transportation, Consumer requires lifting, Consumer requires assistance with ADLs, Consumer requires assistance with IADLs
Contact  Alicia Laffin, Case Manager
Phone: 216-532-2009
Complete by 11/25/2009

Request for Service
Posted 11/20/2009
CountyMedina
Request ID R452RS205
Sex Male
Age Adult
Program Waiver
Service Codes T1019 (Personal Care Services)
Schedule Mon: 7a.m. to 3 p.m. and 4p.m. to 8 p.m.  
Tue: 9a.m to 3 p.m. and 3 p.m to 11 p.m. 
Wed: 7 a.m. to 3 p.m. and 3 p.m to 11 p.m  
Thurs: 7 p.m. to 3 p.m. and 3 p.m. to 8 p.m.  
Fri: 9a.m to 3 p.m. and 3 p.m to 11 p.m.  
Sat: 7a.m. to 3 p.m and 3 p.m. to 11 p.m 
Sun: 7 a.m. to 3 p.m and 3 p.m. to 11 p.m.  
Special Considerations Consumer requests only independent providers
Contact  Michele Hammond, Case Manager
Phone: 216-532-2027
Complete by 12/5/2009

Request for Service
Posted 11/20/2009
CountyMedina
Request ID R452RS205
Sex Male
Age Adult
Program Waiver
Service Codes T1019 (Personal Care Services)
Schedule Mon: 7a.m. to 3 p.m. and 4p.m. to 8 p.m.  
Tue: 9a.m to 3 p.m. and 3 p.m to 11 p.m. 
Wed: 7 a.m. to 3 p.m. and 3 p.m to 11 p.m  
Thurs: 7 p.m. to 3 p.m. and 3 p.m. to 8 p.m.  
Fri: 9a.m to 3 p.m. and 3 p.m to 11 p.m.  
Sat: 7a.m. to 3 p.m and 3 p.m. to 11 p.m 
Sun: 7 a.m. to 3 p.m and 3 p.m. to 11 p.m.  
Special Considerations Consumer requests only independent providers
Contact  Michele Hammond, Case Manager
Phone: 216-532-2027
Complete by 12/5/2009

Request for Service
Posted 11/20/2009
CountyMedina
Request ID R45200000
Sex Male
Age Adult
Program Waiver
Service Codes T1003 (LPN/LVN Services), T1002 (RN Services)
Schedule Mon: 8p.m. to 11 p.m.  
Tue: 7 a.m. to 9 a.m.  
Wed:  
Thurs: 8 p.m .to 11 p.m . 
Fri: 7 a.m to 9 a.m.  
Sat:  
Sun:  
Special Considerations Consumer requests only independent providers
Contact  Michele Hammond, Case Manager
Phone: 216-532-2027
Complete by 12/5/2009

Ottawa

Paulding

Sandusky

Williams

Wood

Request for Service
Posted 11/10/2009
CountyWood
Request ID R48720985
Sex Male
Age Young Adult
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: 4p-11p 
Tue: 4p-11p 
Wed: 4p-11p 
Thurs: 4p-11p 
Fri: 4p-11p 
Sat:  
Sun:  
Special Considerations Consumer requests only independent providers, Consumer requires transportation
Contact  Brooke Rollins, Case Manager
Phone: 216-532-8383
Complete by 11/25/2009