Ohio Department of Aging

PASSPORT Waiver – Self-Directed Services

PROGRAMS FOR

A

Aging (Adult)

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

PASSPORT participants are age 60 or older, financially eligible for Medicaid institutional care, frail enough to require a nursing home level of care; and able to remain safely at home with the consent of their physician. Self-direction is called Particpant-Direction in the PASSPORT program.

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

Take the questionnaire

Log in

BetterOnline™

Fill out, approve, and submit timesheets, complete enrollment paperwork, and run reports. 

BetterOnline™

Better Online is a web-based app that keeps you organized and gives you the tools and info you need to manage your self-direction journey. Handle timesheets, check how much you spend each month, and get answers when you need them. It’s easy to use and available from any internet-connected device.

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.

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