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Ohio Medicaid waivers that pay for home care

Last verified April 30, 2026 · All Ohio resources

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
Prior authorization
Required
Open waiver page (opens in a new tab)

Ohio Home Care Waiver

Population
Individuals of any age with physical disabilities who require nursing facility level of care
Services covered
  • personal care aide services
  • home care attendant services
  • self-directed waiver nursing
  • adult day health
  • home modifications
Billing format
Fee-for-service; EVV via Sandata or Ohio-certified alternate; self-direction available
Prior authorization
Required
Open waiver page (opens in a new tab)

MyCare Ohio (Next Generation MyCare Program)

Population
Ohioans dually eligible for Medicare and Medicaid
Services covered
  • personal care
  • home health aide
  • homemaker
  • adult day services
  • skilled nursing
Billing format
Capitated managed care; EVV via Sandata or Ohio-certified alternate; self-direction expanded effective November 15, 2024
Prior authorization
Required
Open waiver page (opens in a new tab)

Sources

More for Ohio

Medicaid waiver lookup: other states

Related guides

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.

These free tools are made by the team behind Caregiver Scheduling, caregiver scheduling software for home care agencies.

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