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New Provider/Steps to Enrollment/Personal Care Aide

Non-Agency Personal Care Aide

Requirement

 

Question & Answer

1

You must have a current certificate of completion of a First Aid Training class.

  How do you define current?
Certificate will have an expiration date on it. Therefore, if certificate is not expired it is current.

2

You must have a current waiver consumer requesting, in writing, your help with personal care assistant's needs.

  Where do I find a Consumer? Most who apply to become Providers already have a friend, family member or neighbor that is a Waiver Consumer. If you do not have a consumer already, you may try the Ohio Home Care website Request for Service tool to locate possible cases. Others have used business cards, advertising, and networking to locate possible Consumers.

3

You must submit two forms of identification.
1. One must be a copy of your Social Security Card.
2. The other must be a government issued photo ID with your current address on it.

If your ID does not list your current address you may submit a current utility bill or pay stub that has your current address on it along with the copy of your ID.

  Are credit cards accepted as a form of identification? Credit Cards are not acceptable ID and will not be accepted under any circumstances.

4

You must have obtained within the last 24 months a certificate of completion of either a nurse aide competency evaluation program conducted by the Ohio Department of, Health or the Medicare competency evaluation program for home health aides, or other equivalent program.

 

Where can I learn more about the:
Other Equivalent Program Option or the Consumer Specific Training Option (CSTO)?
Click here>>

5

Submit all the required information to your regional
Ohio Home Care Program office.

Region 1 - Dayton
Ohio Home Care Program
Provider Enrollment Department
81 Rhoads Center Drive
Suite A
Centerville, Ohio 45458
Office 937-435-1161
Toll Free 1-800-538-4218
Region 2 - Columbus
Ohio Home Care Program
Provider Enrollment Department
6100 Channingway Blvd.
Suite 700
Columbus, Ohio 43232
Office 614-751-7777
Toll Free 1-800-616-3718
Region 3 - Canton
Ohio Home Care Program
Provider Enrollment Department
4450 Belden Village Street
Suite 504
Canton, Ohio 44718
Office 330-492-4530
Toll Free 1-800-423-1046
Region 4 - Cleveland
Ohio Home Care Program
Provider Enrollment Department
4141 Rockside Road
Suite 210
Seven Hills, Ohio 44131
Office 216-532-2000
Toll Free 1-800-442-1857

Please make sure that there is a valid phone number and current address on all the documentation being sent. Faxed documentation will not be accepted. After all required documentation is received an application will be sent to you for completion.

 

  How can I find out what region(s) I would apply to become a provider of services? Click here>>

Where can I see Application Instructions?
Click here>>