About the Ohio Home Care Program
What is the Ohio Home Care Program?
Ohio Home Care is Medicaid's integrated program of home care services. The Ohio Department of Medicaid (ODM) administers the Ohio Home Care Program through the Bureau of Long Term Care Services & Supports (BLTCSS).
Ohio Home Care Waiver
The benefit package consists of nursing services, personal care assistance services and/or skilled therapy services plus, one or more waiver specific service such as: home modifications, home delivered meals, adult day health care, respite care, supplemental transportation, adaptive/assistive devices, and emergency response systems. It is designed to meet the needs of consumers eligible for Medicaid who have been assessed to require an intermediate or skilled level of care. Without the services available through the Waiver benefit, these consumers are at risk for hospital or nursing home placement. Consumers approved for the OHC Waiver benefit may receive care and services at home, or they may choose to receive their care in a nursing facility.
Transitions MRDD Waiver
This benefit package consists of all of the services as listed above. However, it is designed to meet the needs of consumers eligible for Medicaid who have been assessed to require an ICFMR/DD (intermediate care facility for the mentally retarded/ developmentally disabled) level of care. This Waiver is not open to new enrollees. You must first be on the OHC Waiver and be “transitioned” due to level of care considerations.
Transitions Carve Out Waiver
This benefit package consists of all of the services as listed above. However, it is designed to meet the needs of consumers who are age 60 and over. Eligibility criteria requires having either an intermediate or skilled level of care. This Waiver is not open to new enrollees. You must first be on the OHC Waiver and be “transitioned” due reaching age 60.
Consumers enrolled in the Ohio Home Care Waiver and Transitions Waiver benefit packages are provided a variety of services through our contracted case management agency, CareStar. These services include:
home care case management (a service incorporating case management), overall care coordination, and data collection for the determination of program eligibility and cost range assignments.
Consumers and families are viewed as members of a team responsible for the consumer's care and are involved at every point in the service planning development and delivery. Several consumer options allow consumers to have flexibility in directing their care and selecting providers.
ODM monitors compliance with the requirements for the Ohio Home Care Program through a comprehensive quality assurance program. ODM monitoring activities include outcome-based consumer interviews, consumer satisfaction surveys, contractor and provider site visits, and review of consumer, contractor, and provider records.
Ohio Home Care is administered by the:
Ohio Department of Medicaid
Ohio Health Plans
Bureau of Long Term Care Services & Supports