OHIO
Department of Medicaid Integrated Care Delivery System (ICDS) Waiver Program
Next Generation MyCare Waiver – Self-Directed Services
PROGRAMS FOR
Physical Disability (Adult)
Both Medicaid and Medicare (Dually Eligible) (Adult)
Mental/Behavioral Needs (Adult)
Serving members of
- Anthem MyCare
- Buckeye
- CareSource
- Molina
IMPORTANT PROGRAM NOTICES
You may have heard that Ohio has issued a Statewide New Provider Moratorium. This means Ohio Medicaid is not adding any new providers, including waiver service agencies.
However, you can still hire new self-directed caregivers. Caregivers must be enrolled with PPL or Medicaid to be hired.
To qualify as a potential caregiver, a person must be either:
- Enrolled with Ohio Medicaid and eligible to render the applicable self-directed service: personal care aide, home care attendant, waiver nurse or Choices home care attendant or
- Eligible to render self-directed services through Public Partnerships Limited (PPL).
Existing Ohio Medicaid providers can be hired as self-directed caregivers, even if they are not currently employed in self-direction. Ohio Medicaid providers can also add new services to their agreements.
Once you identify a new caregiver, please ask your care manager to send a referral to PPL. They will verify the caregiver is enrolled and eligible for hire. Please talk to your care manager if you need to hire a new caregiver or to explore options to ensure your service needs can be met.
EVENT
Webinar: Learn about Self-Direction in Ohio: An Overview
Thursday, August 27, 2026 | 1:00–2:00 PM ET | Virtual
Join us for a free virtual webinar for families, caregivers, and individuals interested in self-directed care in Ohio. Learn how these programs work, who they are for, and how to get started.
RegisterOverview
This program helps people with Nursing Facility – Level of Care (NF-LOC) needs who have difficulty with three or more of the following: taking care of themselves, understanding and expressing themselves using words, learning, decision-making, being able to live without help, and moving around. The waiver is expanding to 88 Ohio counties, and serves individuals age 18 or older with a NF-LOC.
ODM Self-Direction Resources
MyCare Next Gen Resources
MyCare Next Gen Contact Information
Conditional Employment Information
Participants can
Find, hire, manage, and dismiss your caregivers.
Use MyAccount to review your budget and approved services.
Use MyAccount to monitor your caregiver’s hours and spending.
Use MyAccount or Time4Care to review, approve, and submit your caregiver’s timesheets.
Services include
All the services and supports furnished in the other nursing facility-based waivers are available on this waiver. Services provided under this waiver include:
- HCAS
- Waiver Nursing
- Personal Care Service
- Choices HC Attendant
- Goods & Services
- Home Modifications
- Alternative Meals Service
- Home Maintenance and Chore Service
- Home Medical Equipment and Supplies
How to get started
Are you wondering if self-direction is right for you or your loved one?
Time4Care™
Both participants (employers) and caregivers (employees) have lots of timekeeping to do when working in a self-direction program.
Time4Care is our highly rated mobile solution for Apple and Android smart devices. Learn more here.
Reminders to submit timesheets
Timesheet submission and approval alerts
Timesheet error checking
Offline time entry
Simple calendar interface
Privacy features
Documentation
Instant timesheet approval
Works right in the MyAccount/BetterOnline portal
MyAccount
MyAccount has everything you need to make sure your self-direction journey is a success. Designed for participants and caregivers, it lets you complete and check all required paperwork, timesheets, budgets and spending, with a focus on making the enrollment process easy.
It’ll make smooth sailing of any choppy waters you encounter while you’re getting set up, giving you the answers and forms you need, right when you need them.
Electronic Visit Verification (EVV)
Electronic Visit Verification (EVV) is used in your program. Submit and approve timesheets with Time4Care EVV, our easy-to-use mobile app.
Download on App Store Download on Google PlayHere are some things that will help you learn more about EVV and how to use the Time4Care mobile app:
EVV and Time4Care FAQ Time4Care Quick GuideLog in
Select the system your program uses to go to the login page.
Time4Care™
Log time, review, approve, and submit timesheets, and handle electronic visit verification with ease.
Learn more about the benefits of Time4Care or watch our training videos here
Download on App Store Download on Google PlayOur complete web app that puts everything you need as a self-director (or case manager, or caregiver!) right at your fingertips.
Program Documents
FILTER DOCUMENTS
Procedures & Information
Goods and Services Card FAQ MyCare Workers’ Compensation Reference Guide NEW OH MyCare Difficulty Of Care OH MyCare Representative Agreement Ohio MyCare Who to Contact Sheet Verification of Employment Instructions What to Expect During your MyCare EnrollmentPayroll Documents
Information Change Form MyCare Pay Stub QRG NEW OH Form IT-4 OH MyCare Pay Schedule 2026 OH MyCare Provider Services & Rates Fillable OH MyCare Tax Exemptions Provider Payroll Card FAQ Telephony Guide NEWReferral & Enrollment Process
Direct Deposit Form IRS Form W-4 IRS Form W-4 (Spanish) Ohio Conditional Employment Rule USCIS Form I-9 USCIS Form I-9 Instructions USCIS Form I-9, Spanish (FOR REFERENCE ONLY) What to Expect OH MyCareMyAccount
GPSConsentGuideMyAcct MyAccount Participant Guide OH MyCare MyAccount User Guide for Participants OH MyCare MyAccount User Guide for ProvidersContact Information
Customer Service Hours:
Monday – Friday: 7am – 6pm | ET
Customer Service / General Questions:
1-833-202-6174
Customer Service Email:
PPLODMMyCare-cs@pplfirst.com