Ohio Medicaid pays for in-home personal care and related services through 3 programs, including the PASSPORT Waiver and the Ohio Home Care Waiver. Ohio implemented the Next Generation MyCare program on January 1, 2026 to provide enhanced benefits to dually-eligible Ohioans. Self-direction is available under the Ohio Home Care Waiver effective October 1, 2024 and expanded under the MyCare Waiver effective November 15, 2024.
Which Ohio waivers can a home care agency bill?
Each waiver below lists who it covers, the services it pays for, and how providers bill.
PASSPORT Waiver
Population
Ohioans aged 60 and older who would otherwise require nursing facility level of care
Services covered
personal care
homemaker
adult day health
respite
home-delivered meals
emergency response services
case management
Billing format
Fee-for-service or MyCare managed care; EVV via Sandata or Ohio-certified alternate
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.
Private pay means higher rates and fast payment; Medicaid means steady volume at state-set rates with authorizations and EVV. Compare rates, cash timing and admin before you mix them.
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.
Four units equal one hour. How to convert units to hours, the common HCPCS codes, how states round partial units, and how to stay inside the authorization.
These free tools are made by the team behind Caregiver Scheduling,
caregiver scheduling software for home care agencies.
Simple pricing
From$199/month
Up to 10 caregivers on Starter, 50 on Growth.
More than 50 caregivers? We'll put together a custom Scale plan for your agency.