DODD-Certified Medicaid Waiver Provider

Support that treats people like people.

We provide Homemaker Personal Care and related waiver services to individuals with developmental disabilities across Southwest Ohio. Small enough to know every person we serve, professional enough to get it right.

Join Our Team Explore Our Services

Serving individuals and families across Southwest Ohio.

A Nirvana Services direct support professional sharing a meal with a young man who uses a wheelchair, both smiling, in a bright living room.

Certified December 9, 2025 Ohio Department of Developmental Disabilities

DODD certifiedCertified provider since December 2025

Answer within one business dayEvery referral and every application

Southwest OhioCertified more broadly across the state, so ask

Participant-directedFamilies can choose and direct their own staff

Start Here

Tell us who you are

Three different people land on this page, and each of them needs something different from us.

Individuals and families

You are looking for support for yourself or someone you love. We explain how waiver services work in plain language, what the acronyms mean, and what to ask any agency before you choose one.

Start with our family guide

SSAs and county boards

You need a clear yes or no, quickly, with an honest read on whether we can staff the placement. No chasing, no vague maybes while a referral sits open.

How referrals reach us Hiring now

Direct Support Professionals

You want work that matters, with a team that answers the phone. We will tell you plainly what is open, what it pays and when it actually starts.

See how to join

What We Provide

Four services, delivered properly

Each one is authorized through an approved DODD waiver and an individual service plan.

A direct support professional helping an older adult with a meal at home.

Homemaker Personal Care

Daily support with hygiene, household routines, meals and getting out into the community, built around what the person actually wants their day to look like.

Details

A direct support professional talking with a man who uses a wheelchair outside his front door.

Participant-Directed HPC

You choose the staff and set the schedule. Who holds the employer role depends on your waiver, and we will walk you through the difference.

Details

A direct support professional driving a young man to an appointment, both wearing seat belts.

HPC Transportation

Rides to appointments, work, activities and family, coordinated with the same personal care support rather than handed off to a stranger.

Details

We are also certified for Community Transition, which reimburses one-time household start-up costs for someone moving out of a facility onto an Individual Options waiver. What that covers

A direct support professional sitting with an older man, holding his hand and listening.

For SSAs and County Boards

A straight answer, fast

We are a newer agency, and we are honest about what that means. We do not carry a large bench of idle staff. What we do carry is a short line between you and the person who makes the decision.

What you can expect from us: a response within one business day, a clear yes or no rather than a placeholder, and a direct explanation if we cannot staff something so the referral is not sitting idle while you wait on us.

Referrals reviewed and answered within one business day
Honest capacity assessment before we accept, not after
Direct communication with the administrator, not a call queue
Participant-directed and approved family caregiver arrangements welcome
Background-checked, DODD-trained staff on every placement

How to Refer to Us Eligibility Chart

How It Works

From referral to first shift

Referral arrives

An SSA sends the referral through LiveCare Marketplace, or a family reaches out and we point them to their county board first.

We respond

Within one business day you get a decision and any questions we need answered about schedule, hours and staff preferences.

Matching

We look for a direct support professional who fits the person, the location and the hours. We tell you honestly how that search is going.

Start of service

Documentation, training and introductions are completed before the first shift, so day one is calm rather than improvised.

Paying For Services

Funded through Ohio waivers

Services are billed to the waiver or funding source attached to the individual service plan. Families do not pay Nirvana directly for authorized waiver services.

I/O Waiver Level 1 Waiver SELF Waiver Local county funds

Not sure which one applies? Your Support Service Administrator at the county board can confirm the waiver type and what it authorizes.

Find your county board

A direct support professional walking outdoors alongside an older woman using a walker.

Where We Work

Serving Southwest Ohio

Our staff are concentrated in and around the Cincinnati and Dayton region, which is where we can usually respond fastest.

Our home region

Most of our team lives and works across Southwest Ohio, so this is where we can typically move quickest on a new referral and where we know the county boards, the SSAs and the local resources best.

Outside the area? Still ask

Our certification reaches further across the state than our day to day service area does, and we would rather hear from you than have you assume the answer is no. Tell us where you are and we will give you a straight answer either way.

Ask about your area

A direct support professional playing with a young child during a therapy session.

Careers

Work that means something

Direct Support Professionals are the whole agency. If you are certified, or willing to get certified, we would like to talk with you.

$17 to $20 an hour, plus mileage reimbursement when you drive for work
Flexible scheduling built around your availability
Support getting CPR, First Aid and DODD orientation completed
A real person answering your email, usually the same day

See What We Look For

Let's talk about what you need

Whether you are sending a referral, looking for support for a family member, or applying to join our team, you will hear back from a person.