OHIO
Department of Medicaid
OH HomeCare Waiver – Self-Directed Services
PROGRAMS FOR
Chronically Ill (Adult)
Chronically Ill (18 and under)
Physical Disability (Adult, 18 & under)
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.
WHAT’S NEW
- More information coming soon!
Overview
This program helps people with physical disabilities and chronic health conditions with directing their care in their home and community.
Participants can
Select services and support to meet your needs.
Decide how much to pay for services, and negotiate with careworkers (within your budget).
Work with a support broker to develop a budget.
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?
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
Program Documents
FILTER DOCUMENTS
Payroll Documents
Direct Deposit Form HomeCare Pay Stub QRG NEW I-9 NEW I-9 Instructions NEW IRS Form W-4 NEW IRS Form W-9 NEW OH Declaration of Tax Representative NEW OH Home Care Waiver Payment Schedule 2026 OH JFS Form 20106 NEWProcedures & Information
FAQ-Wisely_ADP-Goods-and-Services-Card-2025-1 OH Cost to Employer with Instructions Representative Form NEW Self-Direction Employer Agreement NEW Verification of Employment Instructions What to Expect During your HomeCare EnrollmentMyAccount
GPSConsentGuideMyAcct MyAccount Guide for Admins MyAccount Guide for Participants MyAccount Guide for Providers MyAccount Guide for VendorsContact Information
Customer Service Hours:
Monday – Friday 7am – 6pm
Customer Service / General Questions:
1-833-202-6174 (Toll-free)
Customer Service / Enrollment Email:
ohiohomecare-cs@pplfirst.com
TTY:
1-800-360-5899