Resolution of Complaint
Who to Call
Resource Center .................
............................More >
Individual Resources
....................More >
Community Resources
............................More >
Provider Resources
............................More >
Click to go to Knox MRDD Homepage
Early Intervention
Eligibility for Services
Meeting Milestones
Child Team
Eligibility for Services
Family Support Services
My Plan
Adult Team (SSA)
Adult Day Services
Community Services
Educational Opportunities
Eligibility for Services
My Plan
Early Intervention
Emergency Number
General Information
Service & Support Administration
Agency Directory
Agency Overview
Board Members
Image Library
Important Notices
People First Language
Press Releases
Ages & Stages
Community Resources
Family Resources
Frequently Asked Questions
Individual Resources
Provider Resources
Resolution of Complaints
Who to Call
Your Rights
Children..................... pop-out menu for children links
Infants & Toddlers ......Infants & Toddlers Menu



Sometimes we use abbreviations or acronyms to save time. The following are acronyms commonly used within the Knox County Board of Developmental Disabilities in things such as case notes.

20/20 - A cost projection tool used in Ohio to develop service plans for people who live together.

ADD or ADHD - Attention Deficit Disorder or Attention Deficit Hyperactivity Disorder.

ADA - The Americans with Disabilities Act: enacted in 1990, prohibits discrimination against any person because of their disabilities.

ADS - Adult Day Services. Licensed providers of services that provide programs that individuals can attend for skill development during the day.

APSI - Advocacy and Protective Services, Inc: guardianship agency for individuals with disabilities.

BCI/BCII - Bureau of Criminal Identification and Investigation. This agency provides a criminal record check used to determine the eligibility of a person to be certified by DODD as a Medicaid service provider.  http://www.ohioattorneygeneral.gov/Enforcement/BCI

BCMH - Bureau for Children with Medical Handicaps: a health care program that links families of children with special health care needs to a network of quality providers and helps families obtain payment for the services their children’s need.

BSP - Behavior Support Plan - A plan that helps individuals with behavioral concerns to have the support they need to have more appropriate behaviors.

BSVI - Bureau of Services for the Visually Impaired.

BVR - Bureau of Vocational Rehabilitation: state agency which may provide funding for services, equipment, and supports that prepare an individual with disabilities for employment.

CHIP/SCHIP - Children's Health Insurance Program: designed to provide increased access to health coverage for children in families with income too high to qualify for Medicaid (Title XIX) but too low to afford private coverage.

CCL - Concepts in Community Living, Inc: An ADS and residential provider.

CCG - County Collaborative Group: Investigates early childhood issues.

CF – Creative Foundations: Residential and ADS provider.

COVA – Center of Vocational Alternatives: provides vocational rehabilitation services for people with mental illnesses and other disabilities that pose a barrier to employment

COEDI – Children’s Ohio Eligibility Determination Instrument: an evaluation tool to determine the eligibility of persons for state and county Developmental Disabilities services.

CP - Cerebral Palsy: A functional disorder caused by damage to the brain during pregnancy, delivery, or shortly after birth.

CV - Canterbury Villa: An ICF/MR located in Centerburg, OH.

DC - Developmental Center. Generally refers to MVDC.

DD - Developmental Disability: a life-long disabilities attributable to mental and/or physical impairments, manifested prior to age 18. In the mental health field DD is often used to refer to Dual Diagnosed: having a developmental disability and mental health diagnosis or mental health and substance abuse diagnosis concurrently.

DOB - Date of Birth.

DODD - Ohio Department of Developmental Disabilities: Provides oversight for KCBDD .

DHGM - Donkeys, Horses, Goats, and More: Gantt farm ADS program.

ECF - Extended Care Facility.

EC - Early Childhood: Services for children from birth through age 6.

ELP - Essential Lifestyle Plan . A person-center plan created annually to outline services and supports for individuals. KCBDD used ELPs from 2004 - 2008. We currently use Individual Service Plans (ISPs).

EMA – Emergency Medical Authorization.

ER - Emergency Room.

ES - Easter Seals Adult Day Service: ADS provider .

ESC - Educational Service Center. Also known as KCESC.

ETR - Evaluation Team Report.

FAPE - Free Appropriate Public Education: ensured to all children by IDEA.

FAQ - Frequently-Asked-Questions.

FFY - Federal Fiscal Year: From October 1 to September 30 of any year.

FR - Family Resources program. The program formerly known as Family Support Services (FSS). Provides assistance for families with individuals · with disabilities living in their home to meet the everyday needs of that individual. These are locally-paid services, rather than waiver funded services.

FSS - Family Support Services. In 2008 this program came to be referred to as Family Resources in Knox County.

GH - Group Home: A home for persons with disabilities that generally has 5 or fewer residents. If it has more than 5 individuals is called an ICFMR.

HAB - Habilitation: Training in life skills, such as housekeeping, that have not been otherwise learned.

HCBS- Home and Community Based Services: general title of the Medicaid Waiver program administered by the Ohio Department of Jobs and Family Services

HIPAA - Health Insurance Portability and Accountability Act of 1996: creates national standards to protect individuals’ medical records and other protected health information

H/PC or HPC – Homemaker/Personal Care: services provided in either daily functions within the home  or to assist with care of oneself.

HV - Home visit.

ICF/MR - Intermediate Care Facility for the Mentally Retarded: A Medicaid-funded residential facility that teaches living skills to help people live in less restrictive environments.

IDEA - The Individuals with Disabilities Education Act: guarantees all eligible children with disabilities between the ages of 3 and 21 (or until the child graduates) the right to a free and appropriate public education designed to meet their individual needs.  

IEP - Individualized Education Plan: outlines the goals and objectives necessary to meet the educational needs of a child or young adult in school.

IIF - Individual Information Form: general information tracking completed annually by local County Boards of Developmental Disabilities and submitted to DODD.

IOW or IO – Individual Options Waiver: home and community-based waiver to let people receive the services they need in their own homes.

ISP - Individual Service Plan: The plan created annually and updated as needed that outlines an individuals' services and supports.

IT - Information Technology. Also, ITS: Information Technology Services.

JFS - Ohio or Knox County Department of Jobs and Family Services.

KAT - Knox Area Transit (formerly known as MOTA) - reduced cost bus and taxi service available with some vehicles having wheelchair lifts.

KCB or KCBDD - Knox County Board of Developmental Disabilities.

KCCC - Knox County Career Center.

KCCS - Knox County Children’s Services.

KCESC or ESC - Knox County Educational Service Center.

KCH - Knox Community Hospital.

KCHD or HD - Knox County Health Department.

L1 - Level I waiver: Waiver that offers different services with set spending limits.

LM - Left message.

LOC - Level of Care: Determination of the help needed to guarantee a person's health and safety.

MBI-WD  or MBI - Medicaid Buy-In for Workers with Disabilities.  A program to help people with disabilities who work maintain Medicaid coverage and not lose their benefits.

MEORC - Mid-East Ohio Regional Council (of governments): Created by a cooperative agreement of eighteen (18) county boards, MEORC provides services such as quality assurance, investigation of incidents and accreditation preparation to counties.  

METRO - Knox Metropolitan Housing Authority: Section 8 government subsidized housing provides payments directly to landlords for qualified (low income) individuals to rent at a reduce cost.  

MFE - Multi-Factored Evaluation: Used in schools to determine special education eligibility.

MH - Mental Health.

MR - Mental Retardation: means significantly below-average general intellectual functioning (IQ 70-75 or below), existing concurrently with deficits in adaptive behavior, and manifested during an individual's developmental period, which is before the age of 22.

KAT - Knox Area Transit

MUI - Major Unusual Incident: The reporting system mandated by Ohio law that sets procedures to review and report allegations of abuse, neglect and other potentially serious incidents that occur in the Developmental Disabilities system.

MVDC - Mount Vernon Developmental Center (ICF/MR). The majority of people who reside at MVDC are diagnosed with profound mental retardation and need extensive supports in the areas of daily living, health care, and social skills development.

MW/MWHS - MidWest Health Services: ADS and residential provider.

NF - Nursing Facility. A residential facility that is established pursuant to section 1919 (a) - (d) of the Social Security Act, to provide Medicaid-funded services.

NHI - New Hope Industries, Inc.: ADS and vocational services provider.

NHEEC - New Hope Early Education Center. Location of the offices of the Knox County Board of DD at 11700 Upper Gilchrist Road, Mt. Vernon, Ohio.

OAC - Ohio Administrative Code: Contains the full text of, or a reference to, every rule that has been adopted by the agencies of state government.

ODDP - Ohio Developmental Disabilities Profile: Assessment tool for individuals enrolled on the IO Home and Community Based Waiver.

OEDI - Ohio Eligibility Determination Instrument: COEDI for ages 16 and over.

OLRS - Ohio Legal Rights Services provides rights protection and advocacy services to adults and children with disabilities.

OSU - Ohio State University & Ohio State University Medical Center Hospitals.

ORC - Ohio Revised Code. Contains the laws of the State of Ohio.

PAR - Prior Authorization Request. A formal request for additional funding above the funding limit.

PAR - Ohio-Professionals, Advocates, Resources. An association for individuals working in the field of mental retardation and developmental disabilities in Ohio. Provides training.

Part C - Part of Medicare that allows for private insurance to contract with the federal government to offer Medicare benefits through their own policies.

Part D - Section of the Medicare program that covers the cost of prescription medications.

PASRR - Pre-Admission Screening Resident Review. The system used to determine eligibility for nursing facility placement and/or specialized services.

PASSPORT - Pre-Admission Screening System Providing Options and Resources Today: Waiver available to people over the age of 60 who meet certain requirements.

PAWS - Payment Authorization for Waiver Services. The DODD form that authorizes payment for HCBS Waiver services.

PCP - Person Centered Planning: emphasizes the needs and choices of the individual when planning services.

PICT - Preliminary Implementation Component Tool: A tool used by County Boards and the DODD to identify and allocate capacity on waivers administered by the Department.

PHI - Protected Health Information: The type of personal information protected under HIPAA.

PPI - Person of Interest: A term used to refer to the person under investigation in a Major Unusual Incident (MUI).

PR - Public Relations.

Provider - A person or agency that delivers services to people with disabilities.

QA - Quality Assurance: A structured method of measuring and documenting quality of services.

OAR - Outcome Assessment Reports: A tool used to evaluate the quality of services, compliance with rules and regulations and/or individual satisfaction.

QM - Quarterly Monitoring: report done by SSAs to evaluate compliance and satisfaction with services.

Redet - Redetermination. A process of reassessment of an individual's continued needs and eligibility for services. Involves completion of ISP.

REM Ohio - Serves adults and youth with varied and complex intellectual and developmental needs. Partner of The MENTOR Network, a national network of local human service providers.

Respite Care - This service provides back-up support, and in some cases relief, to people responsible for care of an ill or disabled person who ordinarily lives in their household by providing temporary care of the individual.

RSC/BVR - Rehabilitation Services Commission / Bureau of Vocational Rehabilitation.

RX - doctor’s prescription / prescription medication / as prescribed.

SE - Supported Employment services: services that help individuals with disabilities get, learn and keep a job

SELF-ADVOCACY - People with Developmental Disabilities, either individually or in groups, speaking or acting on behalf of themselves, or on behalf of issues that affect people with disabilities.

SELF-DETERMINATION - An initiative built on the principles of freedom, authority, support, responsibility, and confirmation. Self-Determination gives people with disabilities the freedom to decide how they will live, work and participate in the community.

SIB - Self-Injurious Behavior.

SL - Supported Living services: assistance directed toward individuals with disabilities, which enables them to live as independently as possible in their own communities, with supports as they choose.

SSA - Service and Support Administration (is sometimes called a Case Manager): this person links the individual with appropriate service providers, and monitors progress, compliance and satisfaction.

SSA - Social Security Administration: U.S. government agency that covers a wide range of social security services, such as disability, retirement and survivors' benefits.

SS - Social Security: government program designed to provide for the basic economic security and welfare of individuals and their dependents.

SSI - Supplementary Security Income. The federal government provides income support to people 65 and over, adults and children with blindness or other disabilities, who have few or no financial resources.

SSDI - Social Security Disability Insurance: pays monthly benefits to disabled workers and their dependents.

SSN - Social Security Number. Nine-digit personal identification number given to U.S. citizens, permanent residents, and temporary (working) residents under section 205(c)(2) of the Social Security Act.

TANF - Temporary Aid to Needy Families. Formerly known as 'welfare' The Act provides temporary financial assistance while aiming to get people off of that assistance, primarily through employment. There is a maximum of 60 months of benefits within one's lifetime (some states have instituted shorter periods) and there is a component requiring clients to attempt to find employment.

TCM - Targeted Case Management: coordination of specialized services for an individual that helps them get the needed services, evaluates if the services are appropriate and monitors them.

TBI - Traumatic Brain Injury: Traumatic brain injury is usually the result of a sudden, violent blow to the head — which launches the brain on a collision course with the inside of the skull. This collision can bruise the brain, tear nerve fibers and cause bleeding. Traumatic brain injury may also be caused by objects such as bullets or even a shattered piece of the skull entering brain tissue.

TOG - A Touch of Grace: a home health care provider agency.

UI - Unusual Incident: any incident that is not typical for an individual with a disability.

UIR - Unusual Incident Report: used to document and report an UI.

VA - Veteran’s Administration: agency of the federal government that provides services for eligible veterans.

VM - Voice Mail message.

WAITING LIST - Each County Board of Developmental Disabilities establishes a waiting list when there are not enough resources to meet the needs of everyone requesting services. If a person asks for a service that has a waiting list, a county will document the request, along with the date and time it was requested, and place the person's name on the list.

WAIVER - Waiver is usually used in reference to the Home and Community-Based Waiver program where a state has applied for and received permission to use Medicaid funds to assist and keep people with disabilities in the community. Types of waivers include Individual Option (IO) and Level I (LI). There are also several waivers offered through other agencies such as the Area Agency on Aging PASSPORT waiver.

Back To Top


2015 Holiday Closing Calendar adobe pdf

Back To Top

Frequently Asked Questions

Q: What is a SSA?

A: A SSA or Service & Support Administrator was previously known as a case manager.

All individuals (age 3 and above) enrolled with the Knox County Board DD will have access to a Service and Support Administrator (SSA). The SSA will assist individuals with planning for future goals/needs, making informed choices and leading a self-determined life. The SSA will assist individuals and families in understanding and using community resources, understanding and advocating for their rights and making decisions regarding their lives. All SSAs must meet the Ohio Department of Developmental Disabilities's rules for certification and on-going trainings. In addition, Service & Support Administrators are chosen for their unique abilities and their knowledge of community resources.

Q: How long can someone be in Early Intervention?

A: A child is eligible for Early Intervention (EI) services until they turn three years old. At the age of three, the EI. Specialist will help coordinate the child's transition. If a child is still in need of services from the Knox County Board of Developmental Disabilities, the EI Specialist will help coordinate their enrollment for Developmental Disabilities services.

Q: How do I apply for or determine if I am eligible for services?

A:If you are interested in receiving supports through the Knox County Board DD you may:

  1. Come into the office and pick up the application information. 11700 Upper Gilchrist Road, Suite A, Mt. Vernon.
  2. Call the Intake Department at 740-397-4607 and the information will be mailed to you.
  3. Review, print and complete forms that are located on this website (Application for Servicesadobe pdf)and mail or bring the forms to the agency.
    You can e-mail the intake department at intakes@knoxdd.com

If you need help, the intake person will explain the steps to take to apply for enrollment and assist you with completing the application and getting the documents you may need.

Q: How do I know what services I am able/eligible to receive?

A: Some one from the County Board of Developmental Disabilities is available to guide you through each step of the process. You can apply for services through the information in the answer to the above questions and once you are enrolled you will have the assistance of a Service & Support Administrator (Case Manager) to help connect you with the services you are eligible for.

Q: Do you offer internship opportunities?

A: Yes, the County Board of Developmental Disabilities welcomes internships and volunteers. To find out about available opportunities call: Virginia Harden, Human Resource Director, 740-397-4712 or e-mail support@knoxdd.com

Q: Who monitors the providers?

A: The Knox County Board of Developmental Disabilities monitors all providers in several different ways. The individuals Service & Support Administrator makes periodic scheduled and unscheduled visits to residential and Adult Day Service sites. Quality Assurance also does periodic reviews of service providers.

Q: What is an MUI?

A: Information about an MUI can be found HERE


To send a general question you would like answered please click HERE

Back To Top


The following links are meant to be resources for additional information. The Knox County Board of Developmental Disabilities is not responsible for the content of these website's and their content does not necessarily reflect the views of the Knox County Board of Developmental Disabilities. If you have links to add please e-mail us.

State and Local Resources


Adult Day Service - Concepts in Community Living
bullet Adult Day Service - Core Connections


Adult Day Service - Creative Foundations

Adult Day Service - Creative Learning Workshop

Adult Day Service - KritterVille


Adult Day Service - Easter Seals


Adult Day Support Program - Life Builders
bullet Adult Day Service - Midwest Innovations (Dusk to Dawn Candle Shop)


Adult Day Service - New Hope Industries

bullet Advocacy and Protective Services (APSI)


Arc of Ohio


Alcohol and Drug Freedom Center of Knox County


Autism Society of Ohio


Ohio Autism Task Force


Bureau of Disability Determination (ORSC/BDD)


Bureau of Services for the Visually Impaired (ORSC/BSVI)

bullet Bureau of Vocational Rehab (ORSC/BVR)
  DNOS - Solidarity Conference


Knox County Health Department


Mental Health and Recorvery of Licking and Knox Counties


North East Ohio Network Council Of Governments (NEON COG)


Norwich Consulting Services, LTD


Ohio Association of Adult Services (O.A.A.S.)


Ohio Assoc. of County Boards (w/database, publications, etc.)


Ohio Department of DD (including the publication "Visions")


Ohio Department of Education - Exceptional Children


Ohio Department of Health - Bureau of Early Intervention Services (Help Me Grow)


Ohio Developmental Disabilities Council (ODDC)


Ohio Industries for the Handicapped (OIH)


Ohio League for the Mentally Retarded (OLMR)


Ohio Legal Rights


Ohio Provider Resource Association (OPRA)

bullet Ohio Public Images Network


Ohio Rehabilitation Services Commission (ORSC)


PAR Ohio (Providers, Advocates, Resources)

bullet People First of Ohio
bullet Prader-Willi Syndrome Association of Ohio


Red Treehouse




REM- Ohio

United Way

Title 51, Section 5126 (Ohio Revised Code re: County Boards of Developmental Disabilities)


National Resources


Are You Ready - An In-Depth Guide for Citizen Preparedness (FEMA)


Autism Society Of America


American Association on Mental Retardation


Americans with Disabilities Act (The ADA)


National Institute of Mental Health


Arc of the United States (formerly, The Association for Retarded Citizens)


Assistive Technology Educational Network (ATEN)


CARF (The Rehabilitation Accreditation Commission)


Commission on Mental and Physical Disability Law


Crisis Planning, Practical Information: A Guide for Schools and Communities


Disabled People's International (DPI)


Emergency Evacuation Preparedness - A Guide For People with Disabilities and Other Activity Limitations


Emergency Preparedness for Children with Special Health Care Needs


FEMA's Disaster Preparedness for People with Disabilities Movie (Windows Media)


Inclusion Press International


Independent Living Research Utilization (ILRU)


Mainstream Magazine


Self-Determination - National Program Office


Special Olympics


Sign Language Dictionary


United Cerebral Palsy

Back To Top

MUI (Major Unusual Incident)

What is an MUI?
What is a major unusual incident?
What happens if an MUI occurs?
Why does the county board have to do MUI's?
Does an MUI mean something bad or that I was bad?

What is an MUI?

An MUI is a short name for a major unusual incident.

What is a major unusual incident?

A major unusual incident is something that has happened to you that affects your health and safety, or things that belong to you. The Ohio Department of DD tells us when things are major unusual incidents. Major unusual incidents include:

  • Physical abuse (being hit, slapped, pushed, or hurt by someone on purpose).
  • Sexual abuse (having someone touch you or do things to you in places you don’t want or having you touch them in places you don’t want).
  • Verbal abuse (being yelled at, called names, threatened, made to feel bad).
  • Having someone steal from you or take your things.
  • Having someone use your disability as a way for them to get money.
  • Getting sick and being admitted to the hospital.
  • Being injured and getting stitches, breaking a bone, or Getting a splint, when you know how the injury happened.
  • Being arrested, taken to jail, or charged with a crime.
  • Having someone not take care of you, who was supposed to care for you.
  • If you are missing longer than your plan allows and your staff can’t find you.
  • Having a medical emergency, like choking, needing CPR, needing emergency medicine to save your life.
  • attempting to kill yourself (suicide) & going to the hospital.
  • Having someone restrain you (hold you down) when a restraint is not part of your plan, or it is done differently than written in your plan.
  • Having an injury that needs a doctor or nurse practitioner to treat, when no one knows how you got hurt.
  • Death – even if you’ve been very sick and dying was expected.
  • Failure to report – when someone knows you have been hurt or had things taken from you, and doesn’t tell someone to help you.

What happens if an MUI occurs?

Someone will help you, or check with you to make sure you are OK and safe. Your provider or SSA will write a report about what happened and give it to the person at the county board who takes care of these reports. The county board will send a person out to meet with you so you can tell them about what happened. They will write a report, and a plan to keep this from happening to you again. Your SSA will tell you when the report is done and what the plan is to keep you safe in the future (prevention plan).

Why does the county board have to do MUI's?

The Ohio Department of DD tells each county board they must do this. They want to make sure every individual is healthy and safe, and that other people don't take their things. By having an incident reported as an MUI, you can make sure a serious incident will be reported, investigated, and a plan put into place to help you be protected in the future.

Does an MUI mean something bad or that I was bad?

No - an MUI does not mean you were bad nor does it always mean a "bad" thing happened! It just means something really unexpected or unusual happened, and sometimes people need to talk with you to get more information about what happened.

Back To Top

Resolution of Complaints

The Board provides due process protections to individuals, families, guardians or complainants in the resolution of complaints involving programs, services, policies or administrative practices of the Board or any entities acting under contract with the Board. Areas subject to administrative resolution may include, but not be limited to, eligibility determination, arranging appropriate services for eligible individuals, or denial, reduction or termination of services to individuals provided by the Board.

Employees of the Knox County Board of DD make decisions based on what they consider to be in the best interest of individuals and families receiving services. Staff also implements policies and procedures based on legal requirements and regulations. Conflicts and disagreements may arise due to differences in preference and due to availability of services. Anyone who is not satisfied with an outcome of Board services is encouraged to bring the complaint through due process channels to have the complaint considered. Individuals, families or advocates can request a person to help them when using any of the complaint procedures. Your SSA can help you with a Due Process request

Back To Top

Who to Call

General Inquiry
Sharon Beck, Secretary/Receptionist: 740-397-4656
Service & Support Administration
Andrew Taylor, SSA Director: 740-397-4621
Christy Payne, Administrative Assistant: 740-397-4607, intakes@knoxdd.com
Early Intervention
Krista Crall, EI Director: 740-393-6977
Vickie Clark, EI Specialist: 740-393-6983 or Cell: 740-398-1340
Nancy Nixon, EI Specialist: 740-393-5724 or Cell: 740-398-3244
Kim Wayne, EI SSA: 740-393-5714 or Cell: 740-398-0334
Robert Mahle, Fiscal Director: 740-397-4701
Eileen Hill, Federal Funds Manager: 740-393-6975
Evelyn Duston, Clerical Specialist: 740-397-4619
Steve Miller, Facility Director: 740-397-4656, ext. 334
Human Resources/ Provider Certification
Jill Lahna, Human Resource Director: 740-397-4712
Public Relations
Andrea McKay, Compliance & Outreach Manager: 740-393-5713
Kelly White, RN, MUI Manager: 740-397-4651


Back To Top





































































































































































































































































































































































































































































About_Us Services_Button News Resources Services & Supports
Adult Eligibility ..................
useover="MM_showHideLayers('ResourceDropDown','','show')" onmouseout="MM_showHideLayers('ResourceDropDown','','hide')" /> Services & Supports
Adult Eligibility ..................