OHIO

Department of Medicaid Integrated Care Delivery System (ICDS) Waiver Program

Next Generation MyCare Waiver – Self-Directed Services

PROGRAMS FOR

PD

Physical Disability (Adult)

DE

Both Medicaid and Medicare (Dually Eligible) (Adult)

Serving members of

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:

  1. 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
  2. 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

Wednesday, October 28, 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.

Register

Overview

In the MyCare Ohio program, you are enrolled if you meet the following criteria:* Have full Medicaid Have Medicare parts A, B, and D Age 21 and older Live in a county where the program is available.

Participants can 

Find, hire, manage, and dismiss your careworkers.

Use MyAccount to review your budget and approved services.

Use MyAccount to monitor your care worker’s hours and spending.

Use MyAccount or Time4Care to review, approve, and submit your careworker’s timesheets.

Services include

Payroll – We process payroll for your careworker using money from your budget.

Employment tax requirements – We handle all employment-related taxes for you, including federal, state, local, and unemployment.

Monthly budget management – We help you keep your spending on track. 

Enrollment support – We help you and your care worker with enrollment and training through your enrollment specialist,

Customer service – Our friendly and professional customer service agents are available five days a week to help you with any questions.

Service reports – With our reports you’ll always have a clear picture of the services you’ve received. 

How to get started

Are you wondering if self-direction is right for you or your loved one?

Take the questionnaire

Program Documents

FILTER DOCUMENTS

Procedures & Information

Goods and Services Card FAQ 2026 NEW MyCare Workers’ Compensation Reference Guide NEW ODM Self-Directed Goods and Services Guide NEW OH MyCare Difficulty Of Care OH MyCare Representative Agreement Ohio MyCare Who to Contact Sheet NEW Verification of Employment Instructions NEW What to Expect During your MyCare Enrollment

Time4Care™

Electronic Visit Verification FAQ GPS Consent guide Time4Care Mobile Time4Care How To Download OH Time4Care™ Guide NEW

MyAccount

GPSConsentGuideMyAcct MyAccount Participant Guide MyAccount Provider Guide NEW OH MyCare MyAccount User Guide for Participants

Payroll 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

Referral & 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 MyCare

Trainings & How to Guides

MyAccount ODM Admin Guide MyAccount ODM Provider Guide

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.

MyAccount Support Videos

Creating Referral Reviewing Referrals Submitting Receipts

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.

Log in

Select the system your program uses to go to the login page.

Time4Care™

Log time, review, approve, and submit shifts, 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 Play
MyAccount

Our complete web app that puts everything you need as a self-director (or case manager, or caregiver!) right at your fingertips.

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. It keeps you on top of all your time-related tasks. Check out our videos to get started!

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 on your mobile device

Contact Information

Customer Service Hours:
Monday – Friday: 7am – 6pm | ET

Customer Service / General Questions:
1-833-202-6174

TTY:
1-800-360-5899

Customer Service Email: 
PPLODMMyCare-cs@pplfirst.com