Authorizations
How to Become a Medicaid Provider for Home Care
To bill Medicaid for home care you need a state license, a Type 2 NPI, state Medicaid enrollment and screening, waiver or managed care contracts, EVV and authorizations.
Which Medicaid managed care plans do home care agencies contract with in Ohio?
Last verified October 17, 2026 · All Ohio resources
Ohio delivers some long-term services and supports through 4 managed care plans in Next Generation MyCare (for people with both Medicare and Medicaid), and pays for the rest fee-for-service. Ohio covers home and community-based waiver services for most adults with both Medicare and Medicaid through Next Generation MyCare plans, which now operate in every county. Agencies serving these members contract with the MyCare plans: Anthem, Buckeye, CareSource and Molina. Medicaid-only older adults and adults with disabilities on waivers such as PASSPORT or Ohio Home Care are not in MyCare, and agencies serve them as providers enrolled directly with Ohio Medicaid. Developmental disabilities waivers are run separately.
Which plans are there?
Next Generation MyCare is available in all Ohio counties. Buckeye Health Plan is not open to new members for plan year 2026.
For the programs that pay for home care, see Ohio Medicaid waivers.
More for Ohio
Medicaid managed care by state: other states
Related guides
Authorizations
How Do You Keep Caregiver Hours Inside a Medicaid Authorization?
Track units remaining, the end date and the service code for every client, and check them before each schedule change. Hours over the cap are unbillable.
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