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Supplemental Service Trust (SST)


As per Ohio Revised Code §5815.28, individuals meeting either of the following conditions are eligible to receive Supplemental Service Trust funding:

  1. The individual has a physical or mental disability and is eligible to receive services through the department of developmental disabilities or a county board of developmental disabilities; or
  2. The individual has a mental disability and is eligible to receive services through the department of mental health and addiction services or a board of alcohol, drug addiction, and mental health services.


As per Rule 5123-13-01, the Supplemental Service Trust Program is a trust created pursuant to Ohio Revised Code §5815.28 for the purpose of providing supplemental services to an individual with a disability. “Supplemental services” are expenditures, items, or services which meet the following criteria:

  1. The services are in addition to services an individual with a disability is eligible to receive under programs authorized by federal or state law or regulations or other third-party resources, and the services do not supplant services which would otherwise be available without the existence of the trust;
  2. The services are in addition to basic necessities for such items as essential food, clothing, shelter, education, and medical care, and the services are in addition to other items provided pursuant to an ascertainable standard; and
  3. The services are paid for with funds distributed pursuant to a trust which meets the requirements of Ohio Revised Code §5815.28 or with funds distributed from the supplemental services fund, and the services would not be available without payment from the trust or fund.

Supplemental services which meet the criteria outlined above may include, but are not limited to:

  1. Reimbursement for attendance at or participation in recreational or cultural events;
  2. Travel and vacations;
  3. Participation in hobbies, sports, or other activities;
  4. Items beyond necessary food and clothing (e.g., funds for dining out occasionally, for special foods periodically delivered, or for an article of clothing such as a coat which is “extra” but which is desirable because it is newer or more stylish);
  5. Cosmetic, extraordinary, experimental, or elective medical or dental care;
  6. Visiting with friends or family;
  7. Exercise equipment or special medical equipment;
  8. The difference in rent between a shared bedroom and a private bedroom;
  9. Equipment or services for the individual’s private use such as telephones, smart phones, cable television, televisions, radios, cameras, computers, computer software, internet service, video recorders, and video games;
  10. Membership in clubs or other organizations such as book clubs, health clubs, and community service organizations;
  11. Subscriptions to magazines and newspapers;
  12. Small, irregular amounts of personal spending money, including reasonable funds for the occasional purchase of gifts for family and friends or for donations to charities or churches;
  13. Personal advocacy;
  14. Services of a representative payee or conservator;
  15. Guardianship or other protective services listed in Ohio Revised Code §5815.28;
  16. Counseling and guidance;
  17. Someone to visit the individual periodically and monitor the services he/she receives;
  18. Intervention or respite when the person is in crisis;
  19. Vocational rehabilitation or habilitation;
  20. Reimbursement for attendance at or participation in meetings, conferences, seminars, or training sessions;
  21. Reimbursement for the time and expense for a companion or attendant necessary to enable the individual to access or receive supplemental services including, but not limited to, travel and vacations and attendance at meetings, conferences, seminars, or training sessions;
  22. Items which Medicaid and other governmental programs do not cover or have denied payment or reimbursement for, even if those items include basic necessities such as physical or mental health care or enhanced versions of basic care or equipment (e.g., mobility or communication devices), and items which are not included for payment by the per diem of the facility in which the beneficiary lives; and
  23. Other expenditures used to provide dignity, purpose, optimism, and joy to the beneficiary of a supplemental services trust.


  • The SST Program will only be operational as long as SST monies are available. Once funding is exhausted for the year, the SST Program will be paused until additional funding is received. 
  • Requests for payment/reimbursement of medical expenses covered by Medicaid, insurance, or other governmental programs are not eligible for this program. This includes requests for the payment of co-pays, deductibles, and co-insurance. In addition, a written letter of denial from Medicaid and/or other third-party payor(s) may be requested by MCBDD.

**Note: The expenditure of trust funds are at the sole discretion of the Supplemental Service Trust Committee in accordance with program criteria.


Please submit all Supplemental Service Trust Request Forms (see below) for funding, as well as any questions or concerns regarding the Supplemental Service Trust Program to:

Stephanie Williams
4791 Woodridge Drive
Austintown, Ohio 44515
Office Phone: 330-799-9037
Email Address: